- Study guides, Class notes & Summaries

Medicare - correct answer Parts A & B, Original Medicare Supplement - correct answer Medicare Supplement, Medigap Advantage - correct answer Medicare Advantage, MA, MAPD Part D - correct answer Part of MAPD OR Stand-alone PDP Pre-Medicare - correct answer Under 65, Individual and Family, Affordable Care Act (ACA or PPACA), Obamacare Ancillary - correct answer Dental, Vision Veterans Administration (VA) Benefits - correct answer Government program for Veterans Healthcare Tric...

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3 pages

Written in 2023/2024

Grade A+

RealGrades

Ms. Gibson recently lost her employer group health and drug coverage and now she wants to enroll in a PPO that does not include drug coverage. What should you tell her about obtaining drug coverage? - correct answer She can enroll in the PPO, but she will not be able to purchase a stand-alone Medicare Part D prescription drug plan 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 l...

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4 pages

Written in 2023/2024

Grade A+

RealGrades

What impact, if any, have recent regulatory changes had upon Medigap plans? A. The Part A deductible is no longer covered under Medigap plans for all enrollees starting January 1, 2020. B. The Part A deductible is no longer covered for individuals newly eligible for Medicare starting January 1, 2020. C. The Part B deductible is no longer covered for individuals newly eligible for Medicare starting January 1, 2020. D. The Part B deductible is now covered for some newly eligible individuals de...

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10 pages

Written in 2023/2024

Grade A+

RealGrades

Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in November. She would like to meet and discuss plan choices with you. What advice should you give her? - correct answer Tell her to wait until October to discuss plan choices with you so that you can share plan benefits for the current year as well as any changes for the following year that may impact her choice. Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D lo...

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4 pages

Written in 2023/2024

Grade A+

RealGrades

Willard works as a representative focused on the senior marketplace. What would be considered prohibited activity by Willard? - correct answer Implying that only seniors can enroll in a Medicare Advantage plan when meeting with Mr. Hernandez, who is 58 but qualifies for Medicare because he is disabled. Mr. Wendt suffers from diabetes which has gotten progressively worse during the last year. He is currently enrolled in Original Medicare (Parts A and B) and a Part D prescription drug plan and ...

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4 pages

Written in 2023/2024

Grade A+

RealGrades

Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify for the Part D low-income subsidy. Where might he turn for help with his prescription drug costs? a.Mr. Wu may still qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program. b.Mr. Wu may still qualify for help in paying for Part D costs through the Federal Pharmaceutical Assistance Program. c.Mr. Wu may still qualify for help in paying for Part D costs through the loca...

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11 pages

Written in 2023/2024

Grade A+

RealGrades

Medicare plan means - correct answer A MA plan, MA-PD plan or PDP Subcontractor means - correct answer **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals or organizations with INDIRECT relationship, such as an agent who has a contract with an agency or filed marketing organization that contract with a Medicare plan. FWA Training: A compliance program...

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11 pages

Written in 2023/2024

Grade A+

RealGrades

Annual Enrollment period (AEP) - correct answer The AEP occurs October 15 through December 7 each year. During this time, all Medicare eligible beneficiaries can enroll in, disenrollment from or change MA,, MA-PD or PDP plans. coverage changes made during the AEP are effective January 1 of the following year. If Medicare eligible beneficiaries do not make a change, their current coverage continues into the next year with any applicable premium or benefit design adjustments. Appeal - correct a...

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6 pages

Written in 2023/2024

Grade A+

RealGrades

Which of the following requires intent to obtain payment and the knowledge that the actions are wrong? - correct answer Fraud Which of the following is not potentially a penalty for violation of the law or regulation prohibiting fraud, waste and abuse (fwa)? - correct answer Deportation A person comes into your pharmacy to drop off a prescription for a beneficiary who is a regular customer. The prescription is for a controlled substance with a quantity of 160. This beneficiary normally rec...

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1 pages

Written in 2023/2024

Grade A+

RealGrades

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 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 governme...

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8 pages

Written in 2023/2024

Grade A+

RealGrades

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 premiums...

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5 pages

Written in 2023/2024

Grade A+

RealGrades

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? - correct answer 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 years at Smallcap, Incorporated. Smallcap has a workforce of15 emplo...

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39 pages

Written in 2023/2024

Grade A+

RealGrades

Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through acupuncture. She is concerned about whether or not Medicare will cover these items and services. What should you tell her? - correct answer Medicare does not cover acupuncture, or, in general, glasses or dentures. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug program and he is wondering if there is any other option he has f...

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8 pages

Written in 2023/2024

Grade A+

RealGrades

AHIP 2024 Final Exam Test Questions and Answers Updated (Verified Answers)

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227 pages

Written in 2023/2024

Grade A+

WECHE

AHIP Final Exam Test Questions and Answers- Latest 2023/2024 (Verified Answers)

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261 pages

Written in 2023/2024

Grade A+

WECHE

AHIP FWA 2024 Questions And Answers

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41 pages

Written in 2023/2024

Grade A+

Chloelunar

AHIP FINAL EXAM PRACTICE QUESTIONS AND 100% CORRECT ANSWERS 2024 LATEST UPDATE 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?correct answersHe 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 s...

5.0

(2)

36 pages

Written in 2023/2024

Grade A+

NURSINGEXAMS

AHIP NONDISCRIMINATION TRAINING 2021(updated)

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2 pages

Written in 2023/2024

Grade A+

clairenjeri39

AHIP 2024 Final Exam Test Updated Questions and Answers (Verified Answers)

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36 pages

Written in 2023/2024

Grade A+

LAWEXEPRT

AHIP Assessment Test Questions well Answered 2023. 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? Medicare is a program for people 65 or older and those under the age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig's disease so she will be elig...

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5 pages

Written in 2023/2024

Grade A+

Sanchy062