Exam (elaborations)
AHIP module 1 Versions 1-6 Complete study set with verified answers (VERIFIED!!)
- Course
- AHIP module 1
- Institution
- Walden University
AHIP module 1 Versions 1-6 Complete study set with verified answers (VERIFIED!!)
[Show more]
Content preview
AHIPmodule1Versions1-6Completestudysetwithverified
answers(VERIFIED!!)
AHIPmodule1Version1
Mrs.Chenwillbe65soon,hasbeenacitizenfortwelveyears,hasbeenemployed
fulltime,andpaidtaxesduringthatentireperiod.Sheisconcernedthatshewillnot
qualifyforcoverageunderpartAbecauseshewasnotbornintheUnitedStates.
Whatshouldyoutellher?
Chooseoneanswer.
a.Mostindividualswhoarecitizensandoverage65arecoveredunderPartAby
virtueofhavingpaidMedicaretaxeswhileworking,thoughsomemaybecoveredas
aresultofpayingmonthlypremiums.
b.Mostindividualswhoarecitizensandoverage65andwishtobecoveredunderPart
AmustenrollinaMedicareHealthPlan.
c.Mostindividualswhoarecitizensandoverage65andarecoveredunderPartAmust
payamonthlypremiumforthatcoverage.
d.Allindividualswhoarecitizensandoverage65willbecoveredunderPart
A.CorrectAnswer-a.Mostindividualswhoarecitizensandoverage65arecovered
underPartAbyvirtueofhavingpaidMedicaretaxeswhileworking,thoughsomemay
becoveredasaresultofpayingmonthlypremiums.
Mr.Baueris49yearsold,buteighteenmonthsagohewasdeclareddisabledbythe
SocialSecurityAdministrationandhasbeenreceivingdisabilitypayments.Heis
wonderingwhetherhecanobtaincoverageunderMedicare.Whatshouldyoutellhim?
CorrectAnswer-d.Afterreceivingsuchdisabilitypaymentsfor24months,hewillbe
automaticallyenrolledinMedicare,regardlessofage.
Mr.Dentonis52yearsoldandhasrecentlybeendiagnosedwithend-stagerenal
disease(ESRD)andwillsoonbegindialysis.Heiswonderingifhecanobtain
coverageunderMedicare.Whatshouldyoutellhim?CorrectAnswer-
a.Hemaysign-upforMedicareatanytimehowevercoverageusuallybeginsonthe
fourthmonthafterdialysistreatmentsstart.Correct
Ms.HendersonbelievesthatshewillqualifyforMedicarecoveragewhensheturns65,
withoutpayinganypremiums,becauseshehasbeenworkingfor40yearsand
payingMedicaretaxes.Whatshouldyoutellher?CorrectAnswer-a.Inorderto
obtainPartBcoverage,shemustpayastandard monthlypremium,thoughitishigherforindividualswithhigherincomes.Correct
Mr.Diazcontinuedworkingwithhiscompanyandwasinsuredunderhis
employer'sgroupplanuntilhereachedage68.Hehasheardthatthereisapremium
penaltyforthosewhodidnotsignupforPartBwhenfirsteligibleandwantstoknow
howmuchhewillhavetopay.Whatshouldyoutellhim?CorrectAnswer-b.Mr.
Diazwillnotpayanypenaltybecausehehadcontinuouscoverageunderhis
employer'splan.Correct
Mrs.Peňais66yearsold,hascoverageunderanemployerplanandwillretirenext
year.SheheardshemustenrollinPartBatthebeginningoftheyeartoensurenogap
incoverage.Whatcanyoutellher?CorrectAnswer-d.Shemayenrollatanytime
whilesheiscoveredunderheremployerplan,butshewillhaveaspecialeight-month
enrollmentperiodthatdiffersfromthestandardgeneralenrollmentperiod,during
whichshemayenrollinMedicarePartB.Correct
Mrs.Kelly,age65,isentitledtoPartA,buthasnotyetenrolledinPartB.Sheis
consideringenrollmentinaMedicarehealthplan(PartC).Whatshouldyouadviseher
todobeforeshewillbeabletoenrollintoaMedicarehealthplan?CorrectAnswer-
Mrs.Kelly,age65,isentitledtoPartA,buthasnotyetenrolledinPartB.Sheis
consideringenrollmentinaMedicarehealthplan(PartC).Whatshouldyouadviseher
todobeforeshewillbeabletoenrollintoaMedicarehealthplan?
Mrs.Parkisanelderlyretiree.Shehasalow,fixedincome.WhatcouldyoutellMrs.
Parkthatmightbeofassistance?CorrectAnswer-d.Sheshouldcontactherstate
Medicaidagencytoseeifshequalifiesforoneofseveralprogramsthatcanhelpwith
Medicarecostsforwhichsheisresponsible.
Correct
Mr.WuiseligibleforMedicare.Hehaslimitedfinancialresourcesbutfailedtoqualify
forthePartDlow-incomesubsidy.Wheremightheturnforhelpwithhisprescription
drugcosts?CorrectAnswer-a.Mr.WumaystillqualifyforhelpinpayingPartDcosts
throughhisStatePharmaceuticalAssistanceProgram.Correct
Mr.Patelisingoodhealthandispreparingabudgetinanticipationofhisretirement
whenheturns66.Hewantstounderstandthehealthcarecostshemightbeexposedto
underMedicareifheweretorequirehospitalizationasaresultofanillness.Ingeneral
terms,whatcouldyoutellhimabouthiscostsforinpatienthospitalservicesunder
OriginalMedicare?CorrectAnswer-
d.UnderOriginalMedicare,thereisasingledeductibleamountdueforthefirst60
daysofanyinpatienthospitalstay,afterwhichitconvertsintoaper-daycoinsurance
amountthroughday90.Afterday90,hewouldpayadaily amountupto60daysoverhislifetime,afterwhichhewouldberesponsibleforall
costsCorrect
Mrs.ShieldsiscoveredbyOriginalMedicare.Shesustainedahipfractureandis
beingsuccessfullytreatedforthatcondition.However,sheandherphysiciansfeelthat
afterherlengthyhospitalstayshewillneedamonthortwoofnursingand
rehabilitativecare.WhatshouldyoutellthemaboutOriginalMedicare'scoverageof
careinaskillednursingfacility?CorrectAnswer-b.MedicarewillcoverMrs.Shields'
skillednursingservicesprovidedduringthefirst20daysofherstay,afterwhichshe
wouldhaveacoinsuranceuntilshehasbeeninthefacilityfor100days.Correct
Mr.Raineyisexperiencingparanoiddelusionsandhisphysicianfeelsthatheshouldbe
hospitalized.WhatshouldyoutellMr.Rainey(orhisrepresentative)aboutthelength
ofaninpatientpsychiatrichospitalstaythatMedicarewillcover?CorrectAnswer-a.
Medicarewillcoveratotalof190daysofinpatientpsychiatriccareduringMr.
Rainey'sentirelifetime.Correct
Mrs.Quinnhasrecentlyturned66anddecidedaftermanyyearsofworktobegin
receivingSocialSecuritybenefits.ShortlythereafterMrs.Quinnandreceivedaletter
informingherthatshehasbeenautomaticallyenrolledinMedicarePartB.Shewants
tounderstandwhatthismeans.WhatshouldyoutellMrs.Quinn?CorrectAnswer-a.
PartBprimarilycoversphysicianservices.Shewillbepayingamonthlypremiumand,
withtheexceptionofmanypreventiveandscreeningtests,generallywillhave20%
co-paymentsfortheseservices,inadditiontoanannualdeductible.Correct
Mr.Buckhasseveralfamilymemberswhodiedfromdifferentcancers.Hewantsto
knowifMedicarecoverscancerscreening.Whatshouldyoutellhim?Correct
Answer-c.Medicarecoversperiodicperformanceofarangeofscreeningteststhat
aremeanttoprovideearlydetectionofdisease.Mr.
Buckwillneedtocheckspecifictestsbeforeobtainingthemtoseeiftheywillbe
covered.Correct
Mrs.Turneriscomparingheremployer'sretireeinsurancetoOriginalMedicareand
wouldliketoknowwhichofthefollowingservicesOriginalMedicarewillcoverifthe
appropriatecriteriaaremet?Whatcouldyoutellher?CorrectAnswer-a.Original
Medicarecoversambulanceservices.
Correct
Mrs.Wolfwearsglassesanddenturesandhasenjoyedconsiderablepainrelieffrom
arthritisthroughacupuncture.SheisconcernedaboutwhetherornotMedicarewill
covertheseitemsandservices.Whatshouldyoutellher?CorrectAnswer-c.
Medicaredoesnotcoveracupuncture,or,ingeneral,glassesordentures.Correct
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller betterscholar. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $30.19. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
80796 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now