AHIP test NUR COMMUNITY Exam Questions and Answers 100%correct/certified latest update 2024
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Mrs. Raskin is a widow who will attain aged 65 and enroll in Medicare in just a few weeks. She concerned about having prescription drug coverage. Which of the following statements provides the best advice?
Prescription drug coverage can be obtained by enrolling in a Medicare Advantage plan that in...
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AHIP test NUR COMMUNITY Exam Questions
and Answers 100%correct/certified latest
update 2024
Mrs. Raskin is a widow who will attain aged 65 and enroll in
Medicare in just a few weeks. She concerned about having
prescription drug coverage. Which of the following statements
provides the best advice?
Prescription drug coverage can be obtained by enrolling in a
Medicare Advantage plan that includes Part D coverage
Mr. Hernandez is concerned that if he signs up for a Medicare
Advantage plan, the health plan may, at some time in the future,
reduce his benefits below what is available in Original Medicare.
What should you tell him about his concern?
Medicare health plans must cover all benefits available under
Medicare Part A and Part B. Many also cover Part D prescription
drugs
Ms. Moore plans to retire when she turns 65 in a few months. She
is in excellent health and will have considerable income when she
retires. She is concerned that her income will make it impossible
for her to qualify for Medicare. What could you tell her to address
her concern?
Medicare is a program for people age 65 or older and those under
age 65 with certain disabilities, end stage renal disease or Lou
Gehrig’s disease, so she will be eligible for Medicare
Mrs. Willard wants to know generally how the benefits under
Original Medicare might compare to the benefit package of a
,AHIP test NUR COMMUNITY Exam Questions
and Answers 100%correct/certified latest
update 2024
Medicare Health Plan before she starts looking at specific plans.
What could you tell her?
Medicare Health Plans may offer extra benefits that Original
Medicare does not offer such as vision, hearing, and dental
services and must include a maximum out-of-pocket limit on
Part A and Part B services
Mr. Meoni’s wife has a Medicare Advantage plan, but he wants
to understand what coverage Medicare Supplemental Insurance
provides since his health care needs are different from his
wife’s needs. What could you tell Mr.Meoni?
Medicare Supplemental Insurance would help cover his Part A
and Part B cost sharing in Original Fee-for-Service (FFS) Medicare
as well as possibly some services that Medicare does not cover
Mrs. Chen will be 65 soon, has been a citizen for twelve years,
has been employed full time, and paid taxes during that entire
period. She is concerned that she will not qualify for coverage
under part A because she was not born in the United States. What
should you tell her?
Most individuals who are citizens and over age 65 are covered
under Part A by virtue of having paid Medicare taxes while
working, though some may be covered as a result of paying
monthly premiums
Mr. Schmidt would like to plan for retirement and has asked you
what is covered under Original Fee-for-Service (FFS) Medicare?
What could you tell him?
,AHIP test NUR COMMUNITY Exam Questions
and Answers 100%correct/certified latest
update 2024
Part A, which covers hospital, skilled nursing facility, hospice and
home health services and Part B, which covers professional
services such as those provided by a doctor are covered under
Original Medicare
Mr. Lopez has heard that he can sign up for a product called
“Medicare Advantage” but is not sure about what type of plan
designs are available through this program. What should you tell
him about the types of health plans that are available through
the Medicare Advantage program?
They are Medicare health plans such as HMOs, PPOs, PFFS, SNPs, and
MSAs
Mr. Wells is trying to understand the difference between
Original Medicare and Medicare Advantage. What would be a
correct description?
Medicare Advantage is a way of covering all of the Original
Medicare benefits through private health insurance companies
During a sales presentation in Ms. Sullivan’s home, she tells you
that she has heard about a type of Medicare health plan known
as Private Fee-for-Service (PFFS). She wants to know if this
would be available to her. What should you tell her about PFFS
plans?
A PFFS plan is one of various types of Medicare Advantage plans
offered by private entities and she may enroll in one if it is
available in her area.
, AHIP test NUR COMMUNITY Exam Questions
and Answers 100%correct/certified latest
update 2024
Mr. Bauer is 49 years old, but eighteen months ago he was
declared disabled by the Social Security Administration and has
been receiving disability payments. He is wondering whether he
can obtain coverage under Medicare. What should you tell him?
After receiving such disability payments for 24 months, he
will be automatically enrolled in Medicare, regardless of age
Mr. Davis is 49 years old and has been receiving disability
benefits from the Social Security Administration for 12 months.
Can you sell him a Medicare Advantage or Part D Prescription
Drug policy?
No, he cannot purchase a Medicare Advantage or Part D policy
because he has not received Social Security or Railroad
Retirement disability benefits for 24 months.
Ms. Henderson believes that she will qualify for Medicare
coverage when she turns 65, without paying any premiums,
because she has been working for 40 years and paying Medicare
taxes. What should you tell her?
In order to obtain Part B coverage, she must pay a standard
monthly premium, though it is higher for individuals with
higher incomes
Mrs. Radford asks whether there are any special eligibility
requirements for Medicare Advantage. What should you
tell her?
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