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AHIP Medicare Training Module 1 Final Review Exam Questions And Answers
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AHIP Medicare Training Module 1 FinalReview Exam Questions And Answers
What impact, if any, have recent regulatory changes had upon Medigap
plans?
A. The Part A deductible is no longer covered under Medigap plans for
all enrollees starting January 1, 2020.
B. The Part A deductible is no longer covered for individuals newly
eligible for Medicare starting January 1, 2020.
C. The Part B deductible is no longer covered for individuals newly
eligible for Medicare starting January 1, 2020.
D. The Part B deductible is now covered for some newly eligible
individuals depending on their financial status. - - correct answer ✅C.
The Part B deductible is no longer covered for individuals newly eligible
for Medicare starting January 1, 2020.
Explanation: Starting January 1, 2020, Medigap plans sold to individuals
who are newly eligible to Medicare are no longer allowed to cover the
Part B deductible. If an individual already had one of the plans before
January 1, 2020, they can keep their plan. If an individual was eligible
for Medicare before January 1, 2020, but are not yet enrolled, he or she
may be able to purchase one of these plans.
Mrs. Geisler's neighbor told her she should look at her Part D options
during the annual Medicare enrollment period because features of Part
D might have changed. Mrs. Geisler can't remember what Part D is so
she called you to ask what her neighbor was talking about. What could
you tell her?
,AHIP Medicare Training Module 1 Final
Review Exam Questions And Answers
A. Part D covers hospital and home health services and the cost-sharing
has changed this year.
B. Part D covers physician and non-physician practitioner services and
the deductible has not changed this year, but the physician charges may
go up.
C. Part D covers prescription drugs and she should look at her
premiums, formulary, and cost-sharing among other factors to see if
they have changed.
D. Part D covers long-term care services and she shouldn't worry
because there has been no change in coverage. - - correct answer ✅C.
Part D covers prescription drugs and she should look at her premiums,
formulary, and cost-sharing among other factors to see if they have
changed.
Explanation: Part D provides prescription drug coverage. Premiums,
plan formularies, and cost-sharing, among other factors, may change
from one plan year to another.
Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition. However,
she and her physicians feel that after her lengthy hospital stay she will
need a month or two of nursing and rehabilitative care. What should
you tell them about Original Medicare's coverage of care in a skilled
nursing facility?
A. Medicare will cover an unlimited number of days in a skilled-nursing
facility, as long as a physician certifies that such care is needed.
, AHIP Medicare Training Module 1 Final
Review Exam Questions And Answers
B. Mrs. Shields will have to apply for Medicaid to have her skilled
nursing services covered because Medicare does not provide such a
benefit.
C. Once she has expended her liquid assets, Medicare will cover 80% of
Mrs. Shield's long-term care costs.
D. Medicare will cover Mrs. Shield's skilled nursing services provided
during the first 20 days of her stay, after which she would have a copay
until she has been in the f - - correct answer ✅D. Medicare will cover
Mrs. Shield's skilled nursing services provided during the first 20 days of
her stay, after which she would have a copay until she has been in the
facility for 100 days.
Explanation: Mrs. Shields has experienced a long hospital stay, over the
3-day time period to qualify for skilled nursing and rehabilitative care
benefits under Medicare.
Mr. Rainey is experiencing paranoid delusions and his physician feels
that he should be hospitalized. What should you tell Mr. Rainey (or his
representative) about the length of an inpatient psychiatric hospital stay
that Medicare will cover?
A. Medicare inpatient psychiatric coverage is limited to the same
number of days covered for typical inpatient stays.
B. Inpatient psychiatric services are not covered under Original
Medicare.
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