Exam (elaborations)
AHIP 2025 FINAL EXAM UPDATED QUESTIONS AND VERIFIED ANSWERS, 100% GUARANTEED PASS ||NEW UPDATE
- Course
- Institution
AHIP 2025 FINAL EXAM UPDATED QUESTIONS AND VERIFIED ANSWERS, 100% GUARANTEED PASS ||NEW UPDATE
[Show more]
Content preview
1 AHIP 2025 FINAL EXAM UPDATED QUESTIONSAND VERIFIED ANSWERS, 100% GUARANTEED
PASS ||NEW UPDATE
Mrs. Shields is covered by Original Medicare. She sustained a hip
z z z z z z z z z z
fracture and is being successfully treated for that condition.
z z z z z z z z z
However, she and her physicians feel that after her lengthy
z z z z z z z z z z
hospital stay, she will need a month or two of nursing and
z z z z z z z z z z z z
rehabilitative care. What should you tell them about Original
z z z z z z z z z
Medicare's coverage of care in a skilled nursing facility?
z z z z z z z z z zzzz
ANS✅ Medicare will cover Mrs. Shield's skilled nursing
zz z z z z z z
services provided during the first 20 days of her stay, after which
z z z z z z z z z z z z
she would have a copay until she has been in the facility for 100
z z z z z z z z z z z z z z
days.
z
Mrs. West wears glasses and dentures and has enjoyed
z z z z z z z z
considerable pain relief from arthritis through massage therapy.
z z z z z z z z
She is concerned about whether or not Medicare will cover these
z z z z z z z z z z z
items and services. What should you tell her?
z z z z z z z z zzzz
ANS✅ Medicare does not cover massage therapy, or, in general,
zz z z z z z z z z
glasses or dentures.
z z z
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income.
z z z z z z z z z z z z
What could you tell Mrs. Park that might be of assistance?
z z z z z z z z z z z zzzz
,2 ANS✅ She should contact her state Medicaid agency to see if she
zz z z z z z z z z z z
qualifies for one of several programs that can help with Medicare
z z z z z z z z z z z
costs for which she is responsible.
z z z z z z
Mr. Alonso receives some help paying for his two generic
z z z z z z z z z
prescription drugs from his employer's retiree coverage, but he
z z z z z z z z z
wants to compare it to a Part D prescription drug plan. He asks you
z z z z z z z z z z z z z z
what costs he would generally expect to encounter when enrolling
z z z z z z z z z z
into a standard Medicare Part D prescription drug plan. What
z z z z z z z z z z
should you tell him?
z z z z zzzz
ANS✅ He generally would pay a monthly premium, annual
zz z z z z z z z
deductible, and per-prescription cost-sharing.
z z z z
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap
z z z z z z z z z z
policy as well, but it provides no drug coverage. She would like to
z z z z z z z z z z z z z
keep the coverage she has but replace her existing Medigap plan
z z z z z z z z z z z
with one that provides drug coverage. What should you tell her?
z z z z z z z z z z z zzzz
ANS✅ Mrs. Gonzalez cannot purchase a Medigap plan that
zz z z z z z z z
covers drugs, but she could keep her Medigap policy and enroll in
z z z z z z z z z z z z
a Part D prescription drug plan.
z z z z z z
Mr. Davis is 52 years old and has recently been diagnosed with
z z z z z z z z z z z
end-stage renal disease (ESRD) and will soon begin dialysis. He is
z z z z z z z z z z z
wondering if he can obtain coverage under Medicare. What should
z z z z z z z z z z
you tell him?
z z z zzzz
,3 ANS✅ He may sign-up for Medicare at any time however
zz z z z z z z z z
coverage usually begins on the fourth month after dialysis
z z z z z z z z z
treatments start.
z z
Mrs. Duarte is enrolled in Original Medicare Parts A and B. She
z z z z z z z z z z z
has recently reviewed her Medicare Summary Notice (MSN) and
z z z z z z z z z
disagrees with a determination that partially denied one of her
z z z z z z z z z z
claims for services. What advice would you give her?
z z z z z z z z z zzzz
ANS✅ Mrs. Duarte should file an appeal of this initial
zz z z z z z z z z
determination within 120 days of the date she received the MSN in
z z z z z z z z z z z z
the mail.
z z
Mrs. Geisler's neighbor told her she should look at her Part D
z z z z z z z z z z z
options during the annual Medicare enrollment period because the
z z z z z z z z z
features of Part D might have changed. Mrs. Geisler can't
z z z z z z z z z z
remember what Part D is so she called you to ask what her
z z z z z z z z z z z z z
neighbor was talking about. What could you tell her?
z z z z z z z z z zzz
z ANS✅ Part D covers prescription drugs and she should look at
zz z z z z z z z z z
z her premiums, formulary, and cost-sharing among other factors to
z z z z z z z z
z see if they have changed.
z z z z
Mr. Rainey is experiencing paranoid delusions and his physician
z z z z z z z z
feels that he should be hospitalized. What should you tell Mr.
z z z z z z z z z z z
Rainey (or his representative) about the length of an inpatient
z z z z z z z z z z
psychiatric hospital stay that Medicare will cover?
z z z z z z z zzzz
, 4 ANS✅ Medicare will cover a total of 190 days of inpatient
zz z z z z z z z z z
psychiatric care during Mr. Rainey's entire lifetime.
z z z z z z z
Mr. Xi will soon turn age 65 and has come to you for advice as to
z z z z z z z z z z z z z z z
what services are provided under Original Medicare. What should
z z z z z z z z z
you tell Mr. Xi that best describes the health coverage provided to
z z z z z z z z z z z z
Medicare beneficiaries?
z z zzzz
ANS✅ Beneficiaries under Original Medicare have no cost-
zz z z z z z z
sharing for most preventive services. z z z z
Mr. Singh would like drug coverage but does not want to be
z z z z z z z z z z z
enrolled in a Medicare Advantage plan. What should you tell him?
z
zzzz
z z z z z z z z z z
ANS✅ Mr. Singh can enroll in a stand-alone prescription drug
zz z z z z z z z z
plan and continue to be covered for Part A and Part B services
z z z z z z z z z z z z z
through Original Fee-for-Service Medicare.
z z z z
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has
z z z z z z z z z z z z z
been employed full time, and paid taxes during that entire period.
z z z z z z z z z z z
She is concerned that she will not qualify for coverage under part
z z z z z z z z z z z z
A because she was not born in the United States. What should you
z z z z z z z z z z z z z
tell her?
z z zzz
ANS✅ Most individuals who are citizens and age 65 or over are
zz z z z z z z z z z z
covered under Part A by virtue of having paid Medicare taxes
z z z z z z z z z z z
while working, though some may be covered as a result of paying
z z z z z z z z z z z z
monthly premiums.
z z
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 Ascorers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79316 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now