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AHIP Medicare Training Module 1 Final Review Exam questions with correct answers
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AHIP Medicare Training Module 1 Final Review Exam questions with correct answers
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AHIP Medicare Training Module 1 FinalReview Exam questions with correct 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?
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.
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.
C. |Medicare |will |cover |a |total |of |190 |days |of |inpatient |psychiatric |care |during |Mr. |Rainey's |entire |
lifetime.
D. |Medicare |will |cover, |at |its |allowable |amount, |as |many |stays |as |are |needed |throughout |Mr. |
Rainey's |life, |as |long |as |no |single |stay |exceeds |190 |days. |- |correct |answer-C. |Medicare |will |cover |a
|total |of |190 |days |of |inpatient |psychiatric |care |during |Mr. |Rainey's |entire |lifetime.
Explanation: |Medicare |Part |A |provides |coverage |for |inpatient |psychiatric |care |for |up |to |190 |lifetime
|days.
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