AHIP

Mr. Garcia was told he qualifies for a Special Enrollment Period (SEP), but he lost the paper that explains what he could do during the SEP. What can you tell him? - ANSWER ==If the SEP is for MA coverage, he will generally have one opportunity to change his MA coverage. Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover prescription drugs, she wants to enroll i...

Question1 Marks: 1 Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-for-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.

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1073. A client in a long-term care facility who had multiple sclerosis is embarrassed about the need to use a wheelchair and the muscle spasms that are readily visible in her legs. Which approach is therapeutic in assisting the client to cope? 1. Keep the client in her room as much as possible . 2. Assist the client with all activities of daily living (ADLs). 3. T ell the client that many of the people in the facility ...

Mr. Lopez has heard tha t he can sign up for a product called "Medicare Ad vantage" but is not sure about what type of plan de signs are availabl e through this pr ogram. What should you tell him ab out the types of health plans that are available through the Medicare Advantag e program ? - ANS They are Medicare health p lans such a s HMOs, PPOs, PFFS, SNPs, and MSAs (W) Mr. Wells is trying to understand the difference b etween Original Medicare and Medicare Advant...

Mr. Davis is 52 years old a nd has recently been diagnosed with end- stage renal disease (ES RD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him? Correct Ans - He may s ign-up for Medicare a t any time however coverage usually begins on the fourth month after dialysis treatments start. Juan Perez, who is t ur ning age 65 next month, intends to work for several more years at Smallcap, I ncorpora...

Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? Correct Answer: Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan's website, fill it out, and submit it to his plan. Mr. Polanski likes the cos...

Mrs. Parker likes to handle most of her business matters through telephone calls. She currently is enrolled in Original Medicare Parts A and B but has heard about a Medicare Advantage plan offered by Senior Health from a neighbor. Mrs. Parker asks you whether she can enroll in Senior Health's MA plan over the telephone. What can tell her? I. Enrollment requests can only be made in face-to-face interviews or by mail. II. Telephone enrollment request calls must be recorded. III. Telephonic enr...

Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B because he has coverage through an employer plan. If he wants to enroll in a Medicare Advantage plan, what will he have to do? Correct Answer: He will have to enroll in Part B. Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare. What should she be aware of when considering enrollment in a Medicare Advantage (MA) plan? Correct Answer: She cannot enroll in an MA Medical Savings A...

What is a joint? ANS It's the junction where two bones meet and allow movement. What non-contractile structure attaches muscle to the bones? ANS A tendon How do muscles cause bones to move? ANS The muscle contraction will pull on the bones. What are the 3 types of joints ANS fibrous, cartilaginous, synovial What is found in synovial joints ANS ligaments, articular cartilage, joint capsule (Shock absorber), synovial membrane (decrease friction) What are the components of a joint? ANS Bones...