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AHIP Medicare Training Exam Module 1 Final Review With Correct Solutions 2024
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AHIP Medicare Training Exam Module 1 Final Review With Correct Solutions 2024
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AHIP Medicare Training Exam Module 1Final Review With Correct Solutions 2024
What dimpact, dif dany, dhave drecent dregulatory dchanges dhad dupon dMedigap dplans?
A. dThe dPart dA ddeductible dis dno dlonger dcovered dunder dMedigap dplans dfor dall denrollees
dstarting dJanuary d1, d2020.
B. dThe dPart dA ddeductible dis dno dlonger dcovered dfor dindividuals dnewly deligible dfor
dMedicare dstarting dJanuary d1, d2020.
C. dThe dPart dB ddeductible dis dno dlonger dcovered dfor dindividuals dnewly deligible dfor
dMedicare dstarting dJanuary d1, d2020.
D. dThe dPart dB ddeductible dis dnow dcovered dfor dsome dnewly deligible dindividuals
ddepending don dtheir dfinancial dstatus. d- dcorrect danswer.C. dThe dPart dB ddeductible dis dno
dlonger dcovered dfor dindividuals dnewly deligible dfor dMedicare dstarting dJanuary d1, d2020.
Explanation: dStarting dJanuary d1, d2020, dMedigap dplans dsold dto dindividuals dwho dare
dnewly deligible dto dMedicare dare dno dlonger dallowed dto dcover dthe dPart dB ddeductible. dIf dan
dindividual dalready dhad done dof dthe dplans dbefore dJanuary d1, d2020, dthey dcan dkeep dtheir
dplan. dIf dan dindividual dwas deligible dfor dMedicare dbefore dJanuary d1, d2020, dbut dare dnot dyet
denrolled, dhe dor dshe dmay dbe dable dto dpurchase done dof dthese dplans.
Mrs. dGeisler's dneighbor dtold dher dshe dshould dlook dat dher dPart dD doptions dduring dthe
dannual dMedicare denrollment dperiod dbecause dfeatures dof dPart dD dmight dhave dchanged.
dMrs. dGeisler dcan't dremember dwhat dPart dD dis dso dshe dcalled dyou dto dask dwhat dher
dneighbor dwas dtalking dabout. dWhat dcould dyou dtell dher?
A. dPart dD dcovers dhospital dand dhome dhealth dservices dand dthe dcost-sharing dhas dchanged
dthis dyear. d
B. dPart dD dcovers dphysician dand dnon-physician dpractitioner dservices dand dthe ddeductible
dhas dnot dchanged dthis dyear, dbut dthe dphysician dcharges dmay dgo dup.
C. dPart dD dcovers dprescription ddrugs dand dshe dshould dlook dat dher dpremiums, dformulary,
dand dcost-sharing damong dother dfactors dto dsee dif dthey dhave dchanged.
D. dPart dD dcovers dlong-term dcare dservices dand dshe dshouldn't dworry dbecause dthere dhas
dbeen dno dchange din dcoverage. d- dcorrect danswer.C. dPart dD dcovers dprescription ddrugs
dand dshe dshould dlook dat dher dpremiums, dformulary, dand dcost-sharing damong dother
dfactors dto dsee dif dthey dhave dchanged.
Explanation: dPart dD dprovides dprescription ddrug dcoverage. dPremiums, dplan dformularies,
dand dcost-sharing, damong dother dfactors, dmay dchange dfrom done dplan dyear dto danother.
, Mrs. dShields dis dcovered dby dOriginal dMedicare. dShe dsustained da dhip dfracture dand dis
dbeing dsuccessfully dtreated dfor dthat dcondition. dHowever, dshe dand dher dphysicians dfeel
dthat dafter dher dlengthy dhospital dstay dshe dwill dneed da dmonth dor dtwo dof dnursing dand
drehabilitative dcare. dWhat dshould dyou dtell dthem dabout dOriginal dMedicare's dcoverage dof
dcare din da dskilled dnursing dfacility?
A. dMedicare dwill dcover dan dunlimited dnumber dof ddays din da dskilled-nursing dfacility, das dlong
das da dphysician dcertifies dthat dsuch dcare dis dneeded.
B. dMrs. dShields dwill dhave dto dapply dfor dMedicaid dto dhave dher dskilled dnursing dservices
dcovered dbecause dMedicare ddoes dnot dprovide dsuch da dbenefit.
C. dOnce dshe dhas dexpended dher dliquid dassets, dMedicare dwill dcover d80% dof dMrs.
dShield's dlong-term dcare dcosts.
D. dMedicare dwill dcover dMrs. dShield's dskilled dnursing dservices dprovided dduring dthe dfirst
d20 ddays dof dher dstay, dafter dwhich dshe dwould dhave da dcopay duntil dshe dhas dbeen din dthe df d-
dcorrect danswer.D. dMedicare dwill dcover dMrs. dShield's dskilled dnursing dservices dprovided
dduring dthe dfirst d20 ddays dof dher dstay, dafter dwhich dshe dwould dhave da dcopay duntil dshe dhas
dbeen din dthe dfacility dfor d100 ddays.
Explanation: dMrs. dShields dhas dexperienced da dlong dhospital dstay, dover dthe d3-day dtime
dperiod dto dqualify dfor dskilled dnursing dand drehabilitative dcare dbenefits dunder dMedicare.
Mr. dRainey dis dexperiencing dparanoid ddelusions dand dhis dphysician dfeels dthat dhe dshould
dbe dhospitalized. dWhat dshould dyou dtell dMr. dRainey d(or dhis drepresentative) dabout dthe
dlength dof dan dinpatient dpsychiatric dhospital dstay dthat dMedicare dwill dcover?
A. dMedicare dinpatient dpsychiatric dcoverage dis dlimited dto dthe dsame dnumber dof ddays
dcovered dfor dtypical dinpatient dstays.
B. dInpatient dpsychiatric dservices dare dnot dcovered dunder dOriginal dMedicare.
C. dMedicare dwill dcover da dtotal dof d190 ddays dof dinpatient dpsychiatric dcare dduring dMr.
dRainey's dentire dlifetime.
D. dMedicare dwill dcover, dat dits dallowable damount, das dmany dstays das dare dneeded
dthroughout dMr. dRainey's dlife, das dlong das dno dsingle dstay dexceeds d190 ddays. d- dcorrect
danswer.C. dMedicare dwill dcover da dtotal dof d190 ddays dof dinpatient dpsychiatric dcare dduring
dMr. dRainey's dentire dlifetime.
Explanation: dMedicare dPart dA dprovides dcoverage dfor dinpatient dpsychiatric dcare dfor dup dto
d190 dlifetime ddays.
Mr. dBuck dhas dseveral dfamily dmembers dwho ddied dfrom ddifferent dcancers. dHe dwants dto
dknow dif dMedicare dcovers dcancer dscreening. dWhat dshould dyou dtell dhim?
A. dMedicare dcovers dtreatments dfor dexisting ddisease, dinjury, dand dmalformed dlimbs dor
dbody dparts. dAs dsuch, dit ddoes dnot dcover dany dscreening dtests dand dthese dmust dbe dpaid
dfor dby dthe dbeneficiary dout-of-pocket.
B. dMedicare dcovers dall dscreening dtests dthat dhave dbeen dapproved dby dthe dFDA don da
dfrequency ddetermined dby dthe dtreating dphysician.
C. dMedicare dcovers dthe dperiodic dperformance dof da drange dof dscreening dtests dthat dare
dmeant dto dprovide dearly ddetection dof ddisease. dMr. dBuck dwill dneed dto dcheck dspecific dtests
dbefore dobtaining dthem dto dsee dif dthey dwill dbe dcovered. d
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