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AHIP 2025 MODULE 1 , AHIP 2025
MODULE 2, AHIP 2025 MODULE 3, AHIP
2025 MODULE 3: MEDICARE PART D
PRESCRIPTION DRUG COVERAGE,
AHIP 2025 MODULE 4, AHIP 2025
MODULE 5
AHIP 2025 MODULE 1 ANSWERED
AHIP 2025 MODULE 2 ANSWERED
AHIP 2025 MODULE 3 ANSWERED
AHIP 2025 MODULE 3: MEDICARE PART D PRESCRIPTION DRUG COVERAGE ANSWERED
AHIP 2025 MODULE 4 ANSWERED
AHIP 2025 MODULE 5 ANSWERED
1
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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?
Beneficiaries under Original Medicare have no cost-sharing for most
preventive services
Mrs. Quinn recently turned 66 and decided after many years of work to
begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn
received a letter informing her that she has been automatically enrolled in
Medicare Part B. She wants to understand what this means. What should
you tell Mrs. Quinn?
Part B primarily covers physician services. She will be paying a monthly
premium and, except for many preventive screening and tests, generally
will have 20 percent co-payments for these services in addition to an
annual deductible
2
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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 treatment
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?
He generally would pay a monthly premium, annual deductible, and per-
prescription cost sharing.
Ms. Brooks has an aggressive cancer and would like to know if Medicare
will cover hospice services in case she needs them. What should you tell
her?
3
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Medicare covers hospice services and they will be available to her.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance?
She 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.
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?
Mrs. Duarte should file an appeal of this initial determination within 120
days of the date she received the MSN in the mail.
4
https:// /ahip-4-ahip-2024-module-4-flash-cards/
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
AHIP 2025 MODULE 1 , AHIP 2025
MODULE 2, AHIP 2025 MODULE 3, AHIP
2025 MODULE 3: MEDICARE PART D
PRESCRIPTION DRUG COVERAGE,
AHIP 2025 MODULE 4, AHIP 2025
MODULE 5
AHIP 2025 MODULE 1 ANSWERED
AHIP 2025 MODULE 2 ANSWERED
AHIP 2025 MODULE 3 ANSWERED
AHIP 2025 MODULE 3: MEDICARE PART D PRESCRIPTION DRUG COVERAGE ANSWERED
AHIP 2025 MODULE 4 ANSWERED
AHIP 2025 MODULE 5 ANSWERED
1
https:// /ahip-4-ahip-2024-module-4-flash-cards/
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
,https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
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?
Beneficiaries under Original Medicare have no cost-sharing for most
preventive services
Mrs. Quinn recently turned 66 and decided after many years of work to
begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn
received a letter informing her that she has been automatically enrolled in
Medicare Part B. She wants to understand what this means. What should
you tell Mrs. Quinn?
Part B primarily covers physician services. She will be paying a monthly
premium and, except for many preventive screening and tests, generally
will have 20 percent co-payments for these services in addition to an
annual deductible
2
https:// /ahip-4-ahip-2024-module-4-flash-cards/
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
,https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
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 treatment
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?
He generally would pay a monthly premium, annual deductible, and per-
prescription cost sharing.
Ms. Brooks has an aggressive cancer and would like to know if Medicare
will cover hospice services in case she needs them. What should you tell
her?
3
https:// /ahip-4-ahip-2024-module-4-flash-cards/
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
, https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
Medicare covers hospice services and they will be available to her.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance?
She 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.
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?
Mrs. Duarte should file an appeal of this initial determination within 120
days of the date she received the MSN in the mail.
4
https:// /ahip-4-ahip-2024-module-4-flash-cards/
https://www.stuvia.com/user/passnursingnow https://www.stuvia.com/user/passnursingnow
