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
... [Show More] 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
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
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.
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
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
up to 60 days over his lifetime, after which he wouldbe responsible for all costs.
Ms. Henderson believes that she will qualify for Medicare Coverage when she turns 65, without paying any premiums, because she has been working for 40 yearsand paying Medicare taxes. What should you tell her? ✓✓To obtain Part B coverage, she must pay a standard monthly premium, though it is higher for individuals with higher incomes.
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 afterdialysis 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 employees and offers employer-sponsored healthcare coverage. Juan is a naturalized citizen and has
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
2022 NURSING 412 AHIP FINAL EXAM TEST
Questions and Answers 100%Correct/Verified
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 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 understand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife's needs. What could you tell Mr. Moy? ✓Medicare Supplemental Insurance would help cover his Part A and Part B deductibles or coinsurance in Original Fee-for-Service (FFS) Medicare as well as possibly someservices that Medicare does not cover.
Mr. Alonso receives some help paying for his two generic prescription drugs fromhis employer's retiree coverage, but he wants to compare it to a Part D prescriptiondrug plan. He asks you what costs he would generally expect to encounter when enrolling [Show Less]