- Study guides, Class notes & Summaries

Mrs. Pena is 66 years old, has coverage under an employer plan, and will retire next year. She heard she must enroll in Part B at the beginning of the year to ensureno gap in coverage. What can you tell her? She may enroll at any time while she is covered under her employer plan, but she will have a special eight-month enrollment period after the last month on her employer plan that differs from the standard general enrollment period, during which she may enroll in Medicare Part B. Mrs. ...

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186 pages

Written in 2023/2024

Grade A+

calebomolo01

Question 1 Mr. Buck has several family members who died from different cancers. He wants to know if Medicare covers cancer screening. What should you tell him? a. Medicare covers all screening tests that have been approved by the FDA on a frequency determined by the treating physician. b.Medicare covers treatments for existing disease, injury, and malformed limbs or body parts. As such, it does not cover any screening tests and these must be paid for by the beneficiary out-of-pocket. c.Me...

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41 pages

Written in 2023/2024

Grade A+

calebomolo01

Mrs. Paterson is concerned about the deductibles and co-payments associated with Original MedicareWhat can you tell her about Medigap as an option to address this concern? a. Medigap plans are not sold by private companies and are a government insurance product. b.All costs not covered by Medicare are covered by some Medigap plans. c. If Mrs. Paterson applies during the Medigap open enrollment period, she will have to undergo a medical review to determine if she has a pre-existing condition...

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21 pages

Written in 2023/2024

Grade A+

calebomolo01

UNIT 1 Medicare Basics Question 1 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? a. Mrs. Duarte should file an appeal of this initial determination within 120 days of the date she received the MSN in the mail. b.Mrs. Duarte has no right to appeal this determination since her claim has been parti...

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103 pages

Written in 2023/2024

Grade A+

calebomolo01

Question1 Marks: 1 Mrs. Roberts has Original Medicare and would like to enroll in a Private Feefor-Service (PFFS) plan. All types of PFFS plans are available in her area. Which options could Mrs. Roberts consider before selecting a PFFS plan? Choose one answer. Question2 Marks: 1 Mr. Wong is a single individual. He has had a successful business career and is now able to retire with a comfortable income. Mr. Wong's taxable income is in excess of $100,000. Mr. Wong has health coverage t...

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30 pages

Written in 2023/2024

Grade A+

calebomolo01

Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original Fee-for-Service (FFS) Medicare? What could you tell him? Choose one answer. a. Part D, which covers prescription drug services, is covered under Original Medicare. Incorrect b. Part A, which covers hospital, skilled nursing facility, hospice, and home health services and Part B, which covers professional services such as those provided by a doctor are covered under Original Medicare. Correct Co...

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51 pages

Written in 2023/2024

Grade A+

calebomolo01

Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and paid taxes during that entire period. She is concerned that she will not qualify for coverage under part A because she was not born in the United States. What should you tell her? Choose one answer. a. Most individuals who are citizens and over age 65 are covered under Part A by virtue of having paid Medicare taxes while working, though some may be covered as a result of paying monthly premiu...

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6 pages

Written in 2023/2024

Grade A+

calebomolo01

Mr. Ziegler is turning 65 next month and has asked you what he can do, and when he must do it, with respect to enrolling in Part D. What could you tell him? Correct Answer: He is currently in the Part D Initial Enrollment Period (IEP) and, during this time, he may make one Part D enrollment choice, including enrollment in a stand-alone Part D plan or an MA-PD plan. Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D lowincome subsidy. How does that affect his abilit...

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5 pages

Written in 2023/2024

Grade A+

calebomolo01

Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure about what type of plan designs are available through this program. What should you tell him about the types of health plans that are available through the Medicare Advantage program? Correct Answer: c. They are Medicare health plans such as HMOs, PPOs, PFFS, and MSAs. Correct Mr. Wells is trying to understand the difference between Original Medicare and Medicare Advantage. What would be a c...

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4 pages

Written in 2023/2024

Grade A+

calebomolo01

Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a program known as Medicare Advantage (MA), not by the government. He likes Original Medicare and does not want to sign up for an MA product, but he also wants prescription drug coverage. What should you tell him? Correct Answer: b. Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan through a private company that has contracted with the g...

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5 pages

Written in 2023/2024

Grade A+

calebomolo01

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? a.Medicare covers glasses, but not dentures or massage therapy. b.Medicare does not cover massage therapy, or, in general, glasses or dentures. Correct: Neither Medicare Part A nor Part B covers massage therapy, dentures, or routine eye examinations to prescribe e...

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163 pages

Written in 2023/2024

Grade A+

calebomolo01

Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social Security Administration and has been receiving disability payments. He is wondering whether he can obtain coverage under Medicare. What should you tell him? After receiving such disability payments for 24 months, he will be automatically enrolled in Medicare, regardless of age Mr. Davis is 49 years old and has been receiving disability benefits from the Social Security Administration for 12 months. C...

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67 pages

Written in 2023/2024

Grade A+

calebomolo01

Grade 9 out of a maximum of 10 (90%) Feedback You have completed this Knowledge Check. To proceed, please return to the training dashboard and select the next availa Question1 Marks: 1 Dr. Elizabeth Brennan does not contract with the PFFS plan but accepts the plan’s terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge? Choose one answer. a. Dr. Brennan can charge Mary no more than the cost sharing specified in the PFFS plan’...

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110 pages

Written in 2023/2024

Grade A+

calebomolo01

AHIP Final Exam Test Questions and Answers (2022/2023) Rated A+ Answers Correct/Verified Mr., Moy’s, wife ,has ,a ,Medicare ,Advantage ,plan, ,but ,he ,wants ,to ,understand ,what coverage ,Medicare ,Supplemental ,Insurance ,provides ,since ,his ,health ,care ,needs ,are,different ,from ,his ,wife's ,needs. ,What ,could ,you ,tell ,Mr. ,Moy?correct ,answersMedicare,Supplemental ,Insurance ,would ,help ,cover ,his ,Part ,A ,and ,Part ,B ,deductibles ,or coinsurance ,in ,Original ,Fee-f...

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72 pages

Written in 2023/2024

Grade A+

Jamesmaggie73

AHIP Final Exam Practice Test (200 Questions and Answers 100% Correct) Latest (2023 / 2024) (Verified Answers Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure about what type of plan designs are available through this program. What should you tell him about the types of health plans that are available through the Medicare Advantage program? - ANS They are Medicare health plans such as HMOs, PPOs, PFFS, SNPs, and MSAs (W) Mr. Wells is try...

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13 pages

Written in 2023/2024

Grade A+

Jamesmaggie73

AHIP FULL BUNDLE|| ACTUAL EXAMS|| 2024| FULL PACKAGED SOLUTION ( A+ GRADED 100% VERIFIED)

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9 items

easypasstuvia

Ahip Final Exam 2022&Sol;2023 Updated Version &Newline;Questions And 100&Percnt;Correct Answers&Plus; &Newline;Elaborations

2.0

(1)

26 pages

Written in 2023/2024

Grade A+

Ryy

AHIP Final Exam Test Questions and Answers- Latest 2023/2024 (Verified Answers) 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? He may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start. Juan Perez, who is turning age 65 next month, intends to work for several more...

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64 pages

Written in 2023/2024

Grade A+

ScholarExams

Ahip 2022 Package Deal Success Guaranteed

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5 items

jackline98

Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to the benefits package of a Medicare Advantage Plan before she starts looking at specific plans. What could you tell her? - ️️Medicare Advantage Plans may offer extra benefits that Original Medicare does not offer such as vision, hearing, and dental services and must include a maximum out-of-pocket limit on Part A and Part B services. Mrs. Shields is covered by Original Medicare. She sustained a h...

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9 pages

Written in 2023/2024

Grade A+

jackline98