AHIP FINAL EXAM BANK 2025 | ACCURATE
CURRENTLY TESTING REAL EXAM QUESTIONS AND
ANSWERS WITH AND A STUDY GUIDE | 2 VERSIONS |
EXPERT VERIFIED FOR GUARANTEED PASS | LATEST
UPDATE
Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition. However,
she and her physicians feel that after her lengthy hospital stay, she will
need a month or two of nursing and rehabilitative care. What should
you tell them about Original Medicare's coverage of care in a skilled
nursing facility? - answerMedicare will cover Mrs. Shield's skilled
nursing services provided during the first 20 days of her stay, after
which she would have a copay until she has been in the facility for 100
days.
,Mrs. West wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through massage therapy. She is concerned
about whether or not Medicare will cover these items and services.
What should you tell her? - answerMedicare does not cover massage
therapy, or, in general, glasses or dentures.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance? - answerShe
should contact her state Medicaid agency to see if she qualifies for one
of several programs that can help with Medicare costs for which she is
responsible.
Mr. Alonso receives some help paying for his two generic prescription
drugs from his employer's retiree coverage, but he wants to compare it
to a Part D prescription drug plan. He asks you what costs he would
generally expect to encounter when enrolling into a standard Medicare
Part D prescription drug plan. What should you tell him? - answerHe
generally would pay a monthly premium, annual deductible, and per-
prescription cost-sharing.
,Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap
policy as well, but it provides no drug coverage. She would like to keep
the coverage she has but replace her existing Medigap plan with one
that provides drug coverage. What should you tell her? - answerMrs.
Gonzalez cannot purchase a Medigap plan that covers drugs, but she
could keep her Medigap policy and enroll in a Part D prescription drug
plan.
Mr. Davis is 52 years old and has recently been diagnosed with end-
stage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should you
tell him? - answerHe may sign-up for Medicare at any time however
coverage usually begins on the fourth month after dialysis treatments
start.
Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has
recently reviewed her Medicare Summary Notice (MSN) and disagrees
with a determination that partially denied one of her claims for
services. What advice would you give her? - answerMrs. Duarte should
file an appeal of this initial determination within 120 days of the date
she received the MSN in the mail.
, Mrs. Geisler's neighbor told her she should look at her Part D options
during the annual Medicare enrollment period because the features of
Part D might have changed. Mrs. Geisler can't remember what Part D
is so she called you to ask what her neighbor was talking about. What
could you tell her? - answerPart D covers prescription drugs and she
should look at her premiums, formulary, and cost-sharing among other
factors to see if they have changed.
Mr. Rainey is experiencing paranoid delusions and his physician feels
that he should be hospitalized. What should you tell Mr. Rainey (or his
representative) about the length of an inpatient psychiatric hospital
stay that Medicare will cover? - answerMedicare will cover a total of
190 days of inpatient psychiatric care during Mr. Rainey's entire
lifetime.
Mr. Xi will soon turn age 65 and has come to you for advice as to what
services are provided under Original Medicare. What should you tell
Mr. Xi that best describes the health coverage provided to Medicare
beneficiaries? - answerBeneficiaries under Original Medicare have no
cost-sharing for most preventive services.
CURRENTLY TESTING REAL EXAM QUESTIONS AND
ANSWERS WITH AND A STUDY GUIDE | 2 VERSIONS |
EXPERT VERIFIED FOR GUARANTEED PASS | LATEST
UPDATE
Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition. However,
she and her physicians feel that after her lengthy hospital stay, she will
need a month or two of nursing and rehabilitative care. What should
you tell them about Original Medicare's coverage of care in a skilled
nursing facility? - answerMedicare will cover Mrs. Shield's skilled
nursing services provided during the first 20 days of her stay, after
which she would have a copay until she has been in the facility for 100
days.
,Mrs. West wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through massage therapy. She is concerned
about whether or not Medicare will cover these items and services.
What should you tell her? - answerMedicare does not cover massage
therapy, or, in general, glasses or dentures.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance? - answerShe
should contact her state Medicaid agency to see if she qualifies for one
of several programs that can help with Medicare costs for which she is
responsible.
Mr. Alonso receives some help paying for his two generic prescription
drugs from his employer's retiree coverage, but he wants to compare it
to a Part D prescription drug plan. He asks you what costs he would
generally expect to encounter when enrolling into a standard Medicare
Part D prescription drug plan. What should you tell him? - answerHe
generally would pay a monthly premium, annual deductible, and per-
prescription cost-sharing.
,Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap
policy as well, but it provides no drug coverage. She would like to keep
the coverage she has but replace her existing Medigap plan with one
that provides drug coverage. What should you tell her? - answerMrs.
Gonzalez cannot purchase a Medigap plan that covers drugs, but she
could keep her Medigap policy and enroll in a Part D prescription drug
plan.
Mr. Davis is 52 years old and has recently been diagnosed with end-
stage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should you
tell him? - answerHe may sign-up for Medicare at any time however
coverage usually begins on the fourth month after dialysis treatments
start.
Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has
recently reviewed her Medicare Summary Notice (MSN) and disagrees
with a determination that partially denied one of her claims for
services. What advice would you give her? - answerMrs. Duarte should
file an appeal of this initial determination within 120 days of the date
she received the MSN in the mail.
, Mrs. Geisler's neighbor told her she should look at her Part D options
during the annual Medicare enrollment period because the features of
Part D might have changed. Mrs. Geisler can't remember what Part D
is so she called you to ask what her neighbor was talking about. What
could you tell her? - answerPart D covers prescription drugs and she
should look at her premiums, formulary, and cost-sharing among other
factors to see if they have changed.
Mr. Rainey is experiencing paranoid delusions and his physician feels
that he should be hospitalized. What should you tell Mr. Rainey (or his
representative) about the length of an inpatient psychiatric hospital
stay that Medicare will cover? - answerMedicare will cover a total of
190 days of inpatient psychiatric care during Mr. Rainey's entire
lifetime.
Mr. Xi will soon turn age 65 and has come to you for advice as to what
services are provided under Original Medicare. What should you tell
Mr. Xi that best describes the health coverage provided to Medicare
beneficiaries? - answerBeneficiaries under Original Medicare have no
cost-sharing for most preventive services.
