Nursing 412 – AHIP Final Exam (2022), Verified Questions and Answers – Complete Exam Prep

2025 NURSING 412 AHIP FINAL EXAM
TEST Questions and Answers
100%Correct/Verified




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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. Chen will be 65 soon, has been a citizen for twelve years, has
been employedfull 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? ✓Most individuals who are citizens and age 65 or over are
covered under Part A by virtue of having paid Medicare taxes
whileworking, though some may be covered as a result of paying
monthly premiums.


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 butreplace her existing Medigap plan
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with one that provides drug coverage. What should you tell her?
✓✓Mrs. 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.


pg. 2

, Mrs. West wears glasses and dentures and has enjoyed
considerable pain relieffrom arthritis through massage therapy.
She is concerned about whether or notMedicare will cover these
items and services. What should you tell her?

✓✓Medicare does not cover massage therapy, or, in general, glasses
or dentures.


Mr. Patel is in good health and is preparing a budget in anticipation
of his retirement when he turns 66. He wants to understand the
health care costs he mightbe exposed to under Medicare if he were
to require hospitalization as a result of anillness. In general terms,
what could you tell him about his costs for inpatient hospital
services

under Original Medicare? ✓✓Under Original Medicare, there is a
single deductible amount due for the first 60 days of any inpatient
hospital stay, after which it converts into a per-day coinsurance
amount through day 90. After day 90,he would pay a daily amount


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contributed to the Medicare system for over 20 years. Juan asks
you if he willbe entitled to Medicare and if he enrolls how that will
impact his employer- sponsored healthcare coverage. How would

pg. 3

, you respond? ✓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.


Mr. Moy's wife has a Medicare Advantage plan, but he wants to
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understand what coverage Medicare Supplemental Insurance
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provides since his health care needs are different from his wife's needs.
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What could you tell Mr. Moy? ✓Medicare Supplemental Insurance
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would help cover his Part A and Part B deductibles or coinsurance in
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Original Fee-for-Service (FFS) Medicare as well as possibly
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someservices that Medicare does not cover. b b b b b




Mr. Alonso receives some help paying for his two generic prescription
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drugs fromhis employer's retiree coverage, but he wants to compare it
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to a Part D prescriptiondrug plan. He asks you what costs he would
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generally expect to encounter when enrolling
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pg. 4