100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
AHIP 2025 Updated Final Exam | Qs & As| 100% Correct| Grade A (Verified Answers) $10.99   Add to cart
Quickly navigate to
Preview
  2.  
  3. AHIP 2025
  4.  
  5. AHIP 2025

Exam (elaborations)

AHIP 2025 Updated Final Exam | Qs & As| 100% Correct| Grade A (Verified Answers)
 7 views  0 purchase
  • Course
  • AHIP 2025
  • Institution
  • AHIP 2025

AHIP 2025 Updated Final Exam | Qs & As| 100% Correct| Grade A (Verified Answers) Q: 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 th...

[Show more]

Preview 4 out of 32  pages

Document information

  • October 14, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

Subjects

  • ahip 2025
  • ahip 2025 updated final exam qs as 100 corre
  • ms gibson recently lost her employer group health
  • mrs velasquez cares for her frail elderly mother

Written for

  • AHIP 2025
  • AHIP 2025

Seller

avatar-seller
nurse_steph

Reviews received

Content preview

AHIPI2025IUpdatedIFinalIExamI|IQsI&IAs|I
100%ICorrect|IGradeIAI(VerifiedIAnswers)

Q:IMrs.IVelasquezIcaresIforIherIfrailIelderlyImother,IMaria,IwhoIlivesIinINorthICarolina.ISh
eIisIworriedIthatIwithoutIadditionalIsupport,IherImotherIwillIneedItoIgoIintoIaInursingIhome.I
Mrs.IVelasquezIasksIyouIifIthereIisIanyIMedicareIplanIthatImightIallowIherImotherItoIremainI
inItheIcommunityIratherIthanIgoingIintoIaInursingIhome.IHowIshouldIyouIadviseIMrs.IVelasq
uez?


Answer:
ThereIareIProgramsIofIAll-
InclusiveICareIforItheIElderlyI(PACE)IforIfrailIelderlyIbeneficiariesIcertifiedIasIneedingIaInurs
ingIhomeIlevelIofIcareIbutIareIableItoIliveIsafelyIinItheIcommunityIatItheItimeIofIenrolment.




Q:IWhichIofItheIfollowingIstatement(s)Iis/areIcorrectIaboutIaIMedicareISavingsIAccountI(M
SA)IPlans?
I.IMSAsImayIhaveIeitherIaIpartialInetwork,IfullInetwork,IorInoInetworkIofIproviders.
II.IMSAIplansIcoverIPartIAIandIPartIBIbenefitsIbutInotIPartIDIprescriptionIdrugIbenefits.
III.IAnIindividualIwhoIisIenrolledIinIanIMSAIplanIisIresponsibleIforIaIminimalIdeductibleIofI
$500IindexedIforIinflation.
IV.INon-
networkIprovidersImustIacceptItheIsameIamountIthatIOriginalIMedicareIwouldIpayIthemIasIpa
ymentIinIfull.


Answer:
I,III,IandIIVIonly




Q:IMrs.IChiIisIageI75IandIenjoysIaIcomfortableIbutInotIextremelyIhigh-
incomeIlevel.ISheIwishesItoIenrollIinIaIMAIMSAIplanIthatIsheIheardIaboutIfromIherIneighbor
.ISheIalsoIwantsItoIhaveIprescriptionIdrugIcoverageIsinceIherIdoctorIrecentlyIprescribedIsever
alIexpensiveImedications.ICurrently,IsheIisIenrolledIinIOriginalIMedicareIandIaIstandaloneIPar
tIDIplan.IHowIwouldIyouIadviseIMrs.IChi?

,Answer:
Mrs.IChiImayIenrollIinIaIMAIMSAIplanIandIremainIinIherIcurrentIstandaloneIPartIDIprescript
ionIdrugIplan.




Q:IMrs.ILyonsIisIinIgoodIhealth,IusesIaIsingleIprescription,IandIlivesIindependentlyIinIherIo
wnIhome.ISheIisIattractedIbyItheIideaIofImaintainingIcontrolIoverIaIMedicalISavingsIAccount
I(MSA)IbutIisInotIsureIifItheIplanIassociatedIwithItheIaccountIwillIfitIherIneeds.IWhatIspecifi
cIpieceIofIinformationIaboutIaIMedicareIMSAIplanIwouldIitIbeIimportantIforIherItoIknow,Ipri
orItoIenrollingIinIsuchIaIplan?


Answer:
AllIMSAsIcoverIPartIAIandIPartIBIbenefits,IbutInotIPartIDIprescriptionIdrugIbenefits,IwhichIc
ouldIbeIobtainedIbyIalsoIenrollingIinIaIseparateIprescriptionIdrugIplan.




Q:IMrs.IBurtonIisIaIretireeIwithIsubstantialIincome.ISheIisIenrolledIinIanIMA-
PDIplanIandIwasIdisappointedIwithItheIserviceIsheIreceivedIfromIherIprimaryIcareIphysicianI
becauseIsheIwasItoldIsheIwouldIhaveItoIwaitIfiveIweeksItoIgetIanIappointmentIwhenIsheIwasI
feelingIill.ISheIcalledIyouItoIaskIwhatIsheIcouldIdoIsoIsheIwouldInotIhaveItoIputIupIwithIsuc
hIpoorIaccessItoIcare.IWhatIcouldIyouItellIher?


Answer:
SheIcouldIfileIaIgrievanceIwithIherIplanItoIcomplainIaboutItheIlackIofItimelinessIinIgettingIan
Iappointment.




Q:IMrs.IRadfordIasksIwhetherIthereIareIanyIspecialIeligibilityIrequirementsIforIMedicareIAd
vantage.IWhatIshouldIyouItellIher?


Answer:
Mrs.IRadfordImustIbeIentitledItoIPartIAIandIenrolledIinIPartIBItoIenrollIinIMedicareIAdvanta
ge.

,Q:IMr.IKellyIwantsItoIknowIwhetherIheIisIeligibleItoIsignIupIforIaIprivateIfee-for-
serviceI(PFFS)Iplan.IWhatIquestionsIwouldIyouIneedItoIaskItoIdetermineIhisIeligibility?


Answer:
YouIwouldIneedItoIaskIMr.IKellyIifIheIisIentitledItoIPartIA,IenrolledIinIPartIB,IandIifIheIlives
IinItheIPFFSIplan'sIserviceIarea.




Q:IMr.IRomeroIisI64,IretiringIsoon,IandIconsideringIenrollmentIinIhisIemployer-
sponsoredIretireeIgroupIhealthIplanIthatIincludesIdrugIcoverageIwithInominalIcopays.IHeIhear
dIaboutIaIneighbor'sIMA-
PDIplanIthatIyouIrepresentIandIbecauseIheItakesInumerousIprescriptionIdrugs,IheIisIconsiderin
gIsigningIupIforIit.IWhatIshouldIyouItellIhim?


Answer:
HeIshouldIcompareItheIbenefitsIinIhisIemployer-
sponsoredIretireeIgroupIhealthIplanIwithItheIbenefitsIinIhisIneighbor'sIMA-
PDIplanItoIdetermineIwhichIoneIwillIprovideIsufficientIcoverageIforIhisIprescriptionIneeds.




Q:IMs.IGibsonIrecentlyIlostIherIemployerIgroupIhealthIandIdrugIcoverageIandInowIsheIwant
sItoIenrollIinIaIPPOIthatIdoesInotIincludeIdrugIcoverage.IWhatIshouldIyouItellIherIaboutIobtai
ningIdrugIcoverage?


Answer:
SheIcanIenrollIinItheIPPO,IbutIsheIwillInotIbeIableItoIpurchaseIaIstand-
aloneIMedicareIPartIDIprescriptionIdrugIplan.




Q:IDr.IElizabethIBrennanIdoesInotIcontractIwithItheIABCIPFFSIplanIbutIacceptsItheIplan'sIt
ermsIandIconditionsIforIpayment.IMaryIRodgersIseesIDr.IBrennanIforItreatment.IHowImuchI
mayIDr.IBrennanIcharge?

, Answer:
Dr.IBrennanIcanIchargeIMaryIRogersInoImoreIthanItheIcostIsharingIspecifiedIinItheIPFFSIpla
n'sItermsIandIconditionIofIpaymentIwhichImayIincludeIbalanceIbillingIupItoI15%ofItheIMedic
areIrate.




Q:IMrs.IKelly,IageI65,IisIentitledItoIPartIAIbutIhasInotIyetIenrolledIinIPartIB.ISheIisIconside
ringIenrollmentIinIaIMedicareIAdvantageIplanI(PartIC).IWhatIshouldIyouIadviseIherItoIdoIbef
oreIsheIcanIenrollIinIaIMedicareIAdvantageIplan?


Answer:
ToIjoinIaIMedicareIAdvantageIplan,IsheIalsoImustIenrollIinIPartIB.




Q:IMr.IWellsIisItryingItoIunderstandItheIdifferenceIbetweenIOriginalIMedicareIandIMedicare
IAdvantage.IWhatIwouldIbeItheIcorrectIdescription?


Answer:
MedicareIAdvantageIisIaIwayIofIcoveringIallItheIOriginalIMedicareIbenefitsIthroughIprivateIh
ealthIinsuranceIcompanies.




Q:IMr.ILombardiIisIinterestedIinIaIMedicareIAdvantageI(MA)IPPOIplanIthatIyouIrepresent.I
ItIisIoneIofIthreeIplansIoperatedIbyItheIsameIorganizationIinIMr.ILombardi'sIarea.ITheIMAIPP
OIplanIdoesInotIincludeIdrugIcoverage,IbutItheIotherItwoIplansIdo.IMr.ILombardiIlikesItheIPP
OIplanIthatIdoesInotIincludeIdrugIcoverageIandIintendsItoIobtainIhisIdrugIcoverageIthroughIaI
stand-aloneIMedicareIprescriptionIdrugIplan.IWhatIshouldIyouItellIhimIaboutIthisIsituation?


Answer:
HeIcouldIenrollIeitherIinIoneIofItheIMAIplansIthatIincludeIprescriptionIdrugIcoverageIorIOrigi
nalIMedicareIwithIaIMedigapIplanIandIstandaloneIPartIDIprescriptionIdrugIcoverage,IbutIheIc
annotIenrollIinItheIMA-onlyIPPOIplanIandIaIstand-aloneIprescriptionIdrugIplan.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 nurse_steph. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

78252 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.99
  • (0)
  Add to cart