AHIP 2024 FINAL EXAM,PRACTICE EXAM AND
STUDYGUIDE NEWEST 2024-2025 ACTUAL
EXAM COMPLETE 250 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+||BRAND
NEW!
AHIP 2024 FINAL EXAM
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? - CORRECT
ANSWER-Medicare will cover a total of 190 days of inpatient
psychiatric care during Mr. Rainey's entire lifetime.
Mr. Davis is 52 years old and has recently been diagnosed with
end-stage renal disease (ESRD) and will soon begin dialysis. He
is wondering if he can obtain coverage under Medicare. What
should you tell him? - CORRECT ANSWER-He may sign-up
for Medicare at any time however coverage usually begins on
the fourth month after dialysis treatments start.
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Mr. Xi will soon turn age 65 and has come to you for advice as
to what services are provided under Original Medicare. What
should you tell Mr. Xi that best describes the health coverage
provided to Medicare beneficiaries? - CORRECT ANSWER-
Beneficiaries under Original Medicare have no cost-sharing for
most preventive services which include immunizations such as
annual flu shots.
Mr. Barker enjoys a comfortable retirement income. He recently
had surgery and expected that he would have certain services
and items covered by the plan with minimal out-of-pocket costs
because his MA-PD coverage has been very good. However,
when he received the bill, he was surprised to see large charges
in excess of his maximum out-of-pocket limit that included
some services and items he thought would be fully covered. He
called you to ask what he could do? What could you tell him? -
CORRECT ANSWER-You can offer to review the plans appeal
process to help him ask the plan to review the coverage decision.
Mrs. Lyons is in good health, uses a single prescription, and
lives independently in her own home. She is attracted by the
idea of maintaining control over a Medical Savings Account
(MSA) but is not sure if the plan associated with the account
will fit her needs. What specific piece of information about a
Medicare MSA plan would it be important for her to know, prior
to enrolling in such a plan? - CORRECT ANSWER-All MSAs
cover Part A and Part B benefits, but not Part D prescription
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drug benefits, which could be obtained by also enrolling in a
separate prescription drug plan.
Mr. Kelly wants to know whether he is eligible to sign up for a
Private fee-for-service (PFFS) plan. What questions would you
need to ask to determine his eligibility? - CORRECT
ANSWER-You would need to ask Mr. Kelly if he is enrolled in
Part A and Part B and if he lives in the PFFS plan's service area.
Mrs. Chou likes a Private Fee-for-Service (PFFS) plan available
in her area that does not include drug coverage. She wants to
enroll in the plan and enroll in a stand-alone prescription drug
plan. What should you tell her? - CORRECT ANSWER-She
could enroll in a PFFS plan and a stand-alone Medicare
prescription drug plan.
Mrs. Velasquez cares for her frail elderly mother, Maria, who
lives in North Carolina. She is worried that without additional
support, her mother will need to go into a nursing home. Mrs.
Velasquez asks you if there is any Medicare plan that might
allow her mother to remain in the community rather than going
into a nursing home. How should you advise Mrs. Velasquez? -
CORRECT ANSWER-There are Programs of All-Inclusive
Care for the Elderly (PACE) for frail elderly beneficiaries
certified as needing a nursing home level of care but are able to
live safely in the community at the time of enrolment.
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Mrs. Wang wants to know generally how the benefits under
Original Medicare might compare to the benefits package of a
Medicare Advantage Plan before she starts looking at specific
plans. What could you tell her? - CORRECT ANSWER-
Medicare Advantage Plans may offer extra benefits that Original
Medicare does not offer such as vision, hearing, and dental
services. It must include a maximum out-of-pocket limit on Part
A and Part B services.
Mr. Romero is 64, retiring soon, and considering enrollment in
his employer-sponsored retiree group health plan that includes
drug coverage with nominal copays. He heard about a neighbor's
MA-PD plan that you represent and because he takes numerous
prescription drugs, he is considering signing up for it. What
should you tell him? - CORRECT ANSWER-He should
compare the benefits in his employer-sponsored retiree group
health plan with the benefits in his neighbor's MA-PD plan to
determine which one will provide sufficient coverage for his
prescription needs.
Hank's Fish Store, Inc. is a small company with just 15
employees located in Florida. Hank, the store owner, has
provided excellent health benefits to the store's workforce.
William, one of the store's long-time employees, will soon be
reaching age 65 and eligible for Medicare. William is in good
health. He intends to remain an active full-time employee,
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