Review Questions
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. Medicare covers some screening tests that must be performed
within the first year after enrollment. Beyond that point expenses
for screening tests are the responsibility of the beneficiary.
d. Medicare covers the periodic performance of a range of
screening tests that are meant to provide early detection of disease.
Mr. Buck will need to check specific tests before obtaining them to
see if they will be covered.
Source: Module 1, Slide - Medicare Part B Benefits - Preventive
Services and Screenings
Question 2
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?
Chamberlain College of Nursing /NR602 2022 AHIP
Test Review Questions
,a.Part C, which always covers dental and vision services, is covered
under Original Medicare.
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.
c.Part A, which covers long-term custodial care services, is
covered under Original Medicare. d.Part D, which covers
prescription drug services, is covered under Original Medicare.
Source: Module 1, Slide - Overview of Medicare Benefits and
Coverage - Parts A, B, C, and Slide - Overview of Different Ways to
Get Medicare
Question 3
Juan Perez, who is turning age 65 next month, intends to work for
several more years at Smallcap, Incorporated. Smallcap has a
workforce of 15 employees and offers employer-sponsored
healthcare coverage. Juan is a naturalized citizen and has contributed
to the Medicare system for over 20 years. Juan asks you if he will be
entitled to Medicare and if he enrolls how that will impact his
employer- sponsored healthcare coverage. How would you respond?
a.Juan is likely to be ineligible for Medicare since he was born outside
the United States and has only contributed to the Medicare system for
20 years.
b. Juan is likely to be eligible for Medicare once he turns age 65 and if
he enrolls Medicare would become the primary payor of his
Chamberlain College of Nursing /NR602 2022 AHIP
Test Review Questions
,healthcare claims but Smallcap must continue to offer him coverage
under its employer-sponsored group health plan and would become
a secondary payor.
c.Juan is likely to be eligible for Medicare once he turns age 65 and if
he enrolls his employer-sponsored coverage would continue to be
the primary payor while Medicare would be considered a secondary
payor of his healthcare claims.
Incorrect: Medicare is the primary payor for individuals who have
group health coverage due to their continued employment with a
small employer. A small group health plan is one offered by a
company with fewer than 20 employees.
d. Juan is likely to be eligible for Medicare once he turns age 65 and if
he enrolls Medicare would become the primary payor of his
healthcare claims and Smallcap does not have to continue to offer
him coverage comparable to those under age 65 under its employer-
sponsored group health plan.
Source: Module 1, Slide - Eligibility for Part A and Part B Benefits and
Slide - Medicare for Individuals Who Are Still Working - Small GHPs
and Slide - Medicare Coordination with Employer Group Health Plans
Question 4
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?
a.After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
Chamberlain College of Nursing /NR602 2022 AHIP
Test Review Questions
, b.Individuals who become eligible for such disability payments only
have to wait 12 months before they can apply for coverage under
Medicare.
c.Individuals receiving such disability payments from the Social
Security Administration continue to receive those payments but only
become eligible for Medicare upon reaching age 65.
d.He became eligible for Medicare when his disability
eligibility determination was first made. Source: Module 1,
Slide - Medicare Enrollment Part A & B
Question 5
Ms. Moore plans to retire when she turns 65 in a few months. She is
in excellent health and will have considerable income when she
retires. She is concerned that her income will make it impossible for
her to qualify for Medicare. What could you tell her to address her
concern?
a.Medicare is a program for people who have incomes and assets
below specific limits, so you will have to find out her exact financial
situation before telling her whether she can obtain Medicare
coverage.
b.Eligibility for Medicare is based on whether or not a person has
ever been employed by the federal government. If she or her
husband were ever employed by the federal government, she can
enroll in Medicare.
Chamberlain College of Nursing /NR602 2022 AHIP
Test Review Questions