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Exam (elaborations)

MLS MISC AHIP first test.

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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. a. A Medicare Advantage Pres...

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  • November 7, 2024
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  • MLS MISC AHIP f
  • MLS MISC AHIP f
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MLS MISC AHIP first test.




Medicare Course Home
Course (2020 Final Exam)
Transcript



Final Exam - Attempt 1

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.

a. A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that com
benefits and Part D prescription drug coverage, a PFFS plan offering onl
benefits, or a PFFS plan in combination with a stand-alone prescription d

b. A stand-alone prescription drug plan in combination with a PFFS plan
Medigap Supplemental Insurance plan.
c. A PFFS plan offering only medical benefits or a PFFS Medigap Supple
Insurance plan.
d. A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that com
benefits and Part D prescription drug coverage, a PFFS plan offering only
benefits, or PFFS Medigap Supplemental Insurance plan.
Question2
Marks: 1

Mr. Wong is a single individual. He has had a successful business career and is now able to
retire with a comfortable income. Mr. Wong's taxable income is in excess of $100,000. Mr. Wong

,has health coverage through his employer but will sign-up Medicare Part A, Part B and Part D
when he leaves the workforce. How would you advise him as he budgets for Medicare
premiums?

Choose one answer.

a. Due to his participation in the workforce he will not have to pay prem
A and he will pay the lowest monthly premium rates for Part B and Par

b. Due to his participation in the workforce he will not have to pay prem
A and will pay reduced premiums for Part B and Part D.
c. Due to the provisions of MACRA, his Part B and D coverage will be
covered through a low-cost Medigap policy to supplement his Part A co
d. Due to his participation in the workforce he will not have to pay prem
A but he will pay higher premiums for Part B and Part D due to the amo
income.
Question3
Marks: 1

Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting him at severe
risk for pneumonia. Otherwise, he has no problems functioning. Which type of SNP is likely to
be most appropriate for him?

Choose one answer.

a. D-SNP


b. C-SNP
c. FIDE-SNP
d. I-SNP
Question4
Marks: 1

You nare ndoing na nsales npresentation nfor nMs. nDuarte nand nher nson. n Ms. nDuarte nhas
nsome ncognitive nimpairment nand nher nson ninforms nyou nthat nhe nhas npower nof nattorney
nto nmake nfinancial ndecisions nfor nher. n Can nhe nexecute nthe nenrollment nfor nher?


Choose none nanswer.

a. No, he cannot execute the enrollment for her. Only Ms. Duarte can sig
regardless of her mental capacities.

b. Yes, he can execute the enrollment for her. He can do so because he
immediate family member. No power of attorney is necessary.
c. Yes, he can execute the enrollment for her. A financial power of attorne

, d. No, he cannot execute the enrollment for her. He must have a legal au
under state law that explicitly allows him to make health care decisions fo
Question5
Marks: n1

Mr. nJacob nunderstands nthat nthere nis na nstandard nMedicare nPart nD nprescription ndrug
nbenefit, nbut nwhen nhe nlooks nat ninformation non nvarious nplans navailable nin nhis narea, nhe
nsees na nwide nrange nin nwhat nthey ncharge nfor ndeductibles, npremiums, nand ncost nsharing.
n How ncan nyou nexplain nthis nto nhim?


Choose none nanswer.

a. nThe nPart nD nstandard nmodel’s nimportance nis nthat nit nis nthe no
ntype nof nplan nlow-income nbeneficiaries ncan nenroll nand nstill nrece
nany nextra nhelp nfor nwhic nqualify.


b. nThe ngovernment nallows nPart nD nplans nto nadopt nany nbenefit nstructure nas
of ncovered ndrugs nmeets ntheir napproval.
c. nThe ngovernment nbases nits npayments nto nPart nD nplans non nthe nstandard n
For nPart nD nplans nto nreceive nthe nfull ngovernment npayment, nthey nmu
noffer nth
model, nhowever, nthey ncan ntake na nrisk nand nrevise ntheir nbenefit
nstructure nto natt nbeneficiaries.

d. nMedicare nPart nD ndrug nplans nmay nhave ndifferent nbenefit nstructures, nbut n
they nmust nall nbe nat nleast nas ngood nas nthe nstandard nmodel
nestablished nby nthe
Question6
Marks: n1

Mrs. nGeisler's nneighbor ntold nher nshe nshould nlook nat nher nPart nD noptions nduring nthe
nannual nMedicare nenrollment nperiod nbecause nfeatures nof nPart nD nmight nhave nchanged.
nMrs. nGeisler ncan't nremember nwhat nPart nD nis nso nshe ncalled nyou nto nask nwhat nher
nneighbor nwas ntalking nabout. nWhat ncould nyou ntell nher?


Choose none nanswer.

a. nPart nD ncovers nprescription ndrugs nand nshe nshould nlook nat nhe
npremium nand ncost-sharing namong nother nfactors nto nsee nif nthey
nhave nchanged.

b. nPart nD ncovers nlong-term ncare nservices nand nshe nshouldn’t nworry nbec
been nno nchange nin ncoverage.
c. nPart nD ncovers nhospital nand nhome nhealth nservices nand nthe ncost nshar
changed nthis nyear.
d. nPart nD ncovers nphysician nand nnon-physician npractitioner nservices nan
deductible nhas nnot nchanged nthis nyear, nbut nthe nphysician ncharges
nmay ngo
Question7
Marks: n1

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