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AHIP Medicare Training Module 1 Final Review questions and answers rated A+ 2025/2026
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AHIP Medicare Training Module 1 Final Review questions and answers rated A+ 2025/2026
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AHIP Medicare Training Module 1 FinalReview
What effect, if any, have recent regulatory modifications had upon Medigap plans?
A. The Part A deductible is now not included below Medigap plans for all enrollees starting
January 1, 2020.
B. The Part A deductible is not covered for individuals newly eligible for Medicare beginning
January 1, 2020.
C. The Part B deductible is now not covered for individuals newly eligible for Medicare
starting January 1, 2020.
D. The Part B deductible is now protected for some newly eligible individuals depending on
their economic status. - ANSC. The Part B deductible is no longer protected for individuals
newly eligible for Medicare beginning January 1, 2020.
Explanation: Starting January 1, 2020, Medigap plans sold to folks that are newly eligible to
Medicare are not allowed to cowl the Part B deductible. If an individual already had one of
the plans earlier than January 1, 2020, they could preserve their plan. If an man or woman
was eligible for Medicare before January 1, 2020, however are not but enrolled, he or she
can be capable of purchase this sort of plans.
Mrs. Geisler's neighbor instructed her she must study her Part D options all through the
yearly Medicare enrollment period due to the fact features of Part D would possibly have
changed. Mrs. Geisler can not take into account what Part D is so she known as you to ask
what her neighbor turned into speaking approximately. What should you tell her?
A. Part D covers sanatorium and home fitness offerings and the cost-sharing has changed
this 12 months.
B. Part D covers physician and non-physician practitioner services and the deductible has no
longer changed this 12 months, however the medical doctor expenses may work up.
C. Part D covers pharmaceuticals and he or she should examine her charges, formulary, and
fee-sharing amongst different elements to peer if they have changed.
D. Part D covers lengthy-term care services and she should not fear because there has
been no alternate in insurance. - ANSC. Part D covers prescribed drugs and she should
study her rates, formulary, and price-sharing amongst other elements to look in the event
that they have modified.
Explanation: Part D offers prescription drug insurance. Premiums, plan formularies, and
fee-sharing, amongst other elements, may additionally change from one plan year to any
other.
Mrs. Shields is included through Original Medicare. She sustained a hip fracture and is being
efficiently dealt with for that condition. However, she and her physicians feel that after her
lengthy sanatorium stay she can want a month or of nursing and rehabilitative care. What
, have to you inform them approximately Original Medicare's coverage of care in a
professional nursing facility?
A. Medicare will cover a vast range of days in a skilled-nursing facility, so long as a doctor
certifies that such care is wanted.
B. Mrs. Shields will have to apply for Medicaid to have her professional nursing offerings
included because Medicare does now not offer this kind of advantage.
C. Once she has expended her liquid belongings, Medicare will cowl 80% of Mrs. Shield's
long-time period care expenses.
D. Medicare will cowl Mrs. Shield's skilled nursing offerings provided all through the primary
20 days of her stay, after which she could have a copay till she has been inside the f -
ANSD. Medicare will cover Mrs. Shield's skilled nursing services furnished at some point of
the first 20 days of her live, and then she would have a copay till she has been within the
facility for one hundred days.
Explanation: Mrs. Shields has skilled a long health center stay, over the 3-day time period to
qualify for professional nursing and rehabilitative care advantages underneath Medicare.
Mr. Rainey is experiencing paranoid delusions and his doctor feels that he must be
hospitalized. What should you inform Mr. Rainey (or his representative) approximately the
period of an inpatient psychiatric health facility stay that Medicare will cover?
A. Medicare inpatient psychiatric insurance is confined to the identical variety of days
protected for common inpatient remains.
B. Inpatient psychiatric services are not included underneath Original Medicare.
C. Medicare will cowl a total of 190 days of inpatient psychiatric care at some point of Mr.
Rainey's entire lifetime.
D. Medicare will cowl, at its allowable amount, as many stays as are wished in the course of
Mr. Rainey's lifestyles, so long as no single stay exceeds 190 days. - ANSC. Medicare will
cover a complete of a hundred ninety days of inpatient psychiatric care during Mr. Rainey's
entire lifetime.
Explanation: Medicare Part A provides coverage for inpatient psychiatric take care of as
much as a hundred ninety lifetime days.
Mr. Buck has numerous own family contributors who died from one of a kind cancers. He
desires to recognise if Medicare covers most cancers screening. What must you inform him?
A. Medicare covers treatments for current ailment, injury, and malformed limbs or frame
elements. As such, it does not cover any screening tests and these should be paid for by
means of the beneficiary out-of-pocket.
B. Medicare covers all screening tests that have been accepted by means of the FDA on a
frequency determined with the aid of the treating health practitioner.
C. Medicare covers the periodic overall performance of a number screening checks which
are meant to provide early detection of ailment. Mr. Buck will need to check particular tests
before acquiring them to see if they may be included.
D. Medicare covers some screening exams that have to be carried out within the first yr after
enrollment. Beyond that factor expenses for screening checks are the responsibility of the
beneficiary. - ANSC. Medicare covers the periodic overall performance of a variety of
screening assessments which are supposed to offer early detection of sickness. Mr. Buck
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