9/2/24,h10:22hP ATIhMedhSurghProctoredhExamhLatest.docxh
M 1
NURSINGh 412hAHIPh EXAMh QUESTIONShANDhANSW
ERShASSUREDh SUCCESSh GRADEDhA+
.
Mrs.hWesthwearshglasseshandhdentureshandhhashenjoyedhconsiderablehpainhre
liefhfromharthritishthroughhmassagehtherapy.hShehishconcernedhabouthwhetherh
orhnothMedicarehwillhcoverhthesehitemshandhservices.hWhathshouldhyouhtellhhe
r?
✓✓Medicareh doesh noth coverh massageh therapy,h or,h inh general,h glassesh orh dentures.
Mr.hPatelhishinhgoodhhealthhandhishpreparinghahbudgethinhanticipationhofhhishretire
menthwhenhhehturnsh66.hHehwantshtohunderstandhthehhealthhcarehcostshhehmighthbeh
exposedhtohunderhMedicarehifhhehwerehtohrequirehhospitalizationhashahresulthofhanhi
llness.hInhgeneralhterms,hwhathcouldhyouhtellhhimhabouthhishcostshforhinpatienthho
spitalhservices
underh Originalh Medicare?h ✓✓Underh Originalh Medicare,h thereh ish ah single
deductiblehamounthduehforhthehfirsth60hdayshofhanyhinpatienthhospitalhstay,haft
erhwhichhithconvertshintohahper-
dayhcoinsurancehamounththroughhdayh90.hAfterhdayh90,hhehwouldhpayhahdailyha
mounthuphtoh60hdayshoverhhishlifetime,hafterhwhichhhehwouldhbehresponsiblehfo
rhallhcosts.
Ms.hHendersonhbelieveshthathshehwillhqualifyhforhMedicarehCoveragehwhenhsheht
urnsh65,hwithouthpayinghanyhpremiums,hbecausehshehhashbeenhworkinghforh40hyea
rshandhpayinghMedicarehtaxes.hWhathshouldhyouhtellhher?h✓✓TohobtainhParthBhc
overage,hshehmusthpayhahstandardhmonthlyhpremium,hthoughhithishhigherhforhindi
vidualshwithhhigherhincomes.
NURSINGh 412h AHIPh FINALh EXAMh TESTh Questions
andhAnswershGuaranteedhsuccesshRatedhA+
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M 1
NURSINGh 412hAHIPh EXAMh QUESTIONShANDhANSW
ERShASSUREDh SUCCESSh GRADEDhA+
Mr.hDavishish52hyearsholdhandhhashrecentlyhbeenhdiagnosedhwithhend-
stagehrenalhdiseaseh(ESRD)handhwillhsoonhbeginhdialysis.hHehishwonderinghifhh
ehcanhobtainhcoveragehunderhMedicare.hWhathshouldhyouhtellhhim?h✓Hehmayh
sign-
uphforhMedicarehathanyhtimehhoweverhcoveragehusuallyhbeginshonhthehfourthhm
onthhafterhdialysishtreatmentshstart.
JuanhPerez,hwhohishturninghageh65hnexthmonth,hintendshtohworkhforhseveralhmor
ehyearshathSmallcap,hIncorporated.hSmallcaphhashahworkforcehof15hemployeesha
ndhoffershemployer-
sponsoredhhealthcarehcoverage.hJuanhishahnaturalizedhcitizenhandhhashcontributed
htohthehMedicarehsystemhforhoverh20 hyears.hJuanhaskshyouhifhhehwillhbehentitledht
ohMedicarehandhifhhehenrollshhowhthathwillhimpacthhishemployer-
hsponsoredhhealthcarehcoverage.h Howhwouldhyouhrespond?h✓Juanhish likelyhtoh
beheligiblehforhMedicarehoncehhehturnshageh65handhifhhehenrollshMedicarehwoul
dhbecomehthehprimaryhpayorhofhhishhealthcarehclaimshandhSmallcaphdoeshnothha
vehtohcontinuehtohofferhhimhcoveragehcomparablehtohthosehunderhageh65hunderhit
shemployer-sponsoredhgrouphhealthhplan.
Mr.h Moy'sh wifeh hash ah MedicarehAdvantageh plan,h buth heh wantsh toh understandh wha
thcoveragehMedicarehSupplementalhInsurancehprovideshsincehhishhealthh carehne
edsharehdifferenthfromhhishwife'shneeds.hWhathcouldhyouhtellhMr.hMoy?h ✓Medi
carehSupplementalh Insuranceh wouldh helph coverh hish ParthAhandh Parth Bh deductibles
h orhcoinsurancehinhOriginalhFee-for-
Serviceh(FFS)hMedicarehashwellhashpossiblyhsomehserviceshthathMedicarehdoeshn
othcover.
NURSINGh 412h AHIPh FINALh EXAMh TESTh Questions
andhAnswershGuaranteedhsuccesshRatedhA+
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M 1
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M 1
NURSINGh 412hAHIPh EXAMh QUESTIONShANDhANSW
ERShASSUREDh SUCCESSh GRADEDhA+
Ms.hMoorehplanshtohretirehwhenhshehturnsh65hinhahfewhmonths.hShehishinhexcelle
nthhealthhandhwillhhavehconsiderablehincomehwhenhshehretires.hShehishconcerned
hthathherhincomehwillh makehithimpossiblehforhherhtohqualifyhforhMedicare.hWhat
hcouldhyouhtellhherhtohaddresshherhconcern?h✓✓Medicarehishahprogramhforhpe
oplehageh65horholderhandhthosehunderhageh65hwithhcertainhdisabilities,hend-
stagehrenalhdisease,handhLouhGehrig'shdiseasehsohshehwillhbeheligiblehforhMedic
are.
Mr.hXihwillhsoonhturnhageh65handhhashcomehtohyouhforhadvicehashtohwhathservicesh
arehprovidedhunderhOriginalhMedicare.hWhathshouldhyouhtellhMr.hXihthathbesthdesc
ribeshthehhealthhcoveragehprovidedhtohMedicarehbeneficiaries?h✓✓Beneficiariesh
underhOriginalhMedicarehhavehnohcost-
sharinghforhmosthpreventivehserviceshwhichhincludehimmunizationshsuchhashannual
hfluhshots.
Mrs.hPenahish66hyearshold,hhashcoveragehunderhanhemployerhplan,handhwillhretireh
nexthyear.hShehheardhshehmusthenrollhinhParthBhaththehbeginninghofhthehyearhtohens
urehnohgaphinhcoverage.hWhathcanhyouhtellhher?h✓Shehmayhenrollhathanyhtimehwhil
ehshehishcoveredhunderhherhemployerhplan,hbuthshehwillhhavehahspecialheight-
monthhenrollmenthperiodhafterhthehlasthmonthhonhherhemployerhplanhthathdiffershfr
omhthehstandardhgeneralhenrollmenthperiod,hduringhwhichhshehmayhenrollhinhMedi
carehPart
B.
Mrs.hChenhwillhbeh65hsoon,hhashbeenhahcitizenhforhtwelvehyears,hhashbeenhemploy
edhfullhtime,handhpaidhtaxeshduringhthathentirehperiod.hShehishconcernedhthathshehw
ill
NURSINGh 412h AHIPh FINALh EXAMh TESTh Questions
andhAnswershGuaranteedhsuccesshRatedhA+
about:blank 4/101
M 1
NURSINGh 412hAHIPh EXAMh QUESTIONShANDhANSW
ERShASSUREDh SUCCESSh GRADEDhA+
.
Mrs.hWesthwearshglasseshandhdentureshandhhashenjoyedhconsiderablehpainhre
liefhfromharthritishthroughhmassagehtherapy.hShehishconcernedhabouthwhetherh
orhnothMedicarehwillhcoverhthesehitemshandhservices.hWhathshouldhyouhtellhhe
r?
✓✓Medicareh doesh noth coverh massageh therapy,h or,h inh general,h glassesh orh dentures.
Mr.hPatelhishinhgoodhhealthhandhishpreparinghahbudgethinhanticipationhofhhishretire
menthwhenhhehturnsh66.hHehwantshtohunderstandhthehhealthhcarehcostshhehmighthbeh
exposedhtohunderhMedicarehifhhehwerehtohrequirehhospitalizationhashahresulthofhanhi
llness.hInhgeneralhterms,hwhathcouldhyouhtellhhimhabouthhishcostshforhinpatienthho
spitalhservices
underh Originalh Medicare?h ✓✓Underh Originalh Medicare,h thereh ish ah single
deductiblehamounthduehforhthehfirsth60hdayshofhanyhinpatienthhospitalhstay,haft
erhwhichhithconvertshintohahper-
dayhcoinsurancehamounththroughhdayh90.hAfterhdayh90,hhehwouldhpayhahdailyha
mounthuphtoh60hdayshoverhhishlifetime,hafterhwhichhhehwouldhbehresponsiblehfo
rhallhcosts.
Ms.hHendersonhbelieveshthathshehwillhqualifyhforhMedicarehCoveragehwhenhsheht
urnsh65,hwithouthpayinghanyhpremiums,hbecausehshehhashbeenhworkinghforh40hyea
rshandhpayinghMedicarehtaxes.hWhathshouldhyouhtellhher?h✓✓TohobtainhParthBhc
overage,hshehmusthpayhahstandardhmonthlyhpremium,hthoughhithishhigherhforhindi
vidualshwithhhigherhincomes.
NURSINGh 412h AHIPh FINALh EXAMh TESTh Questions
andhAnswershGuaranteedhsuccesshRatedhA+
about:blank 1/101
,9/2/24,h10:22hP ATIhMedhSurghProctoredhExamhLatest.docxh
M 1
NURSINGh 412hAHIPh EXAMh QUESTIONShANDhANSW
ERShASSUREDh SUCCESSh GRADEDhA+
Mr.hDavishish52hyearsholdhandhhashrecentlyhbeenhdiagnosedhwithhend-
stagehrenalhdiseaseh(ESRD)handhwillhsoonhbeginhdialysis.hHehishwonderinghifhh
ehcanhobtainhcoveragehunderhMedicare.hWhathshouldhyouhtellhhim?h✓Hehmayh
sign-
uphforhMedicarehathanyhtimehhoweverhcoveragehusuallyhbeginshonhthehfourthhm
onthhafterhdialysishtreatmentshstart.
JuanhPerez,hwhohishturninghageh65hnexthmonth,hintendshtohworkhforhseveralhmor
ehyearshathSmallcap,hIncorporated.hSmallcaphhashahworkforcehof15hemployeesha
ndhoffershemployer-
sponsoredhhealthcarehcoverage.hJuanhishahnaturalizedhcitizenhandhhashcontributed
htohthehMedicarehsystemhforhoverh20 hyears.hJuanhaskshyouhifhhehwillhbehentitledht
ohMedicarehandhifhhehenrollshhowhthathwillhimpacthhishemployer-
hsponsoredhhealthcarehcoverage.h Howhwouldhyouhrespond?h✓Juanhish likelyhtoh
beheligiblehforhMedicarehoncehhehturnshageh65handhifhhehenrollshMedicarehwoul
dhbecomehthehprimaryhpayorhofhhishhealthcarehclaimshandhSmallcaphdoeshnothha
vehtohcontinuehtohofferhhimhcoveragehcomparablehtohthosehunderhageh65hunderhit
shemployer-sponsoredhgrouphhealthhplan.
Mr.h Moy'sh wifeh hash ah MedicarehAdvantageh plan,h buth heh wantsh toh understandh wha
thcoveragehMedicarehSupplementalhInsurancehprovideshsincehhishhealthh carehne
edsharehdifferenthfromhhishwife'shneeds.hWhathcouldhyouhtellhMr.hMoy?h ✓Medi
carehSupplementalh Insuranceh wouldh helph coverh hish ParthAhandh Parth Bh deductibles
h orhcoinsurancehinhOriginalhFee-for-
Serviceh(FFS)hMedicarehashwellhashpossiblyhsomehserviceshthathMedicarehdoeshn
othcover.
NURSINGh 412h AHIPh FINALh EXAMh TESTh Questions
andhAnswershGuaranteedhsuccesshRatedhA+
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M 1
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M 1
NURSINGh 412hAHIPh EXAMh QUESTIONShANDhANSW
ERShASSUREDh SUCCESSh GRADEDhA+
Ms.hMoorehplanshtohretirehwhenhshehturnsh65hinhahfewhmonths.hShehishinhexcelle
nthhealthhandhwillhhavehconsiderablehincomehwhenhshehretires.hShehishconcerned
hthathherhincomehwillh makehithimpossiblehforhherhtohqualifyhforhMedicare.hWhat
hcouldhyouhtellhherhtohaddresshherhconcern?h✓✓Medicarehishahprogramhforhpe
oplehageh65horholderhandhthosehunderhageh65hwithhcertainhdisabilities,hend-
stagehrenalhdisease,handhLouhGehrig'shdiseasehsohshehwillhbeheligiblehforhMedic
are.
Mr.hXihwillhsoonhturnhageh65handhhashcomehtohyouhforhadvicehashtohwhathservicesh
arehprovidedhunderhOriginalhMedicare.hWhathshouldhyouhtellhMr.hXihthathbesthdesc
ribeshthehhealthhcoveragehprovidedhtohMedicarehbeneficiaries?h✓✓Beneficiariesh
underhOriginalhMedicarehhavehnohcost-
sharinghforhmosthpreventivehserviceshwhichhincludehimmunizationshsuchhashannual
hfluhshots.
Mrs.hPenahish66hyearshold,hhashcoveragehunderhanhemployerhplan,handhwillhretireh
nexthyear.hShehheardhshehmusthenrollhinhParthBhaththehbeginninghofhthehyearhtohens
urehnohgaphinhcoverage.hWhathcanhyouhtellhher?h✓Shehmayhenrollhathanyhtimehwhil
ehshehishcoveredhunderhherhemployerhplan,hbuthshehwillhhavehahspecialheight-
monthhenrollmenthperiodhafterhthehlasthmonthhonhherhemployerhplanhthathdiffershfr
omhthehstandardhgeneralhenrollmenthperiod,hduringhwhichhshehmayhenrollhinhMedi
carehPart
B.
Mrs.hChenhwillhbeh65hsoon,hhashbeenhahcitizenhforhtwelvehyears,hhashbeenhemploy
edhfullhtime,handhpaidhtaxeshduringhthathentirehperiod.hShehishconcernedhthathshehw
ill
NURSINGh 412h AHIPh FINALh EXAMh TESTh Questions
andhAnswershGuaranteedhsuccesshRatedhA+
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