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Medicare Exam Questions and Answers: AHIP Test NUR COMMUNITY, Exams of Nursing

AHIP test NUR COMMUNITY Exam Questions and Answers 100%correct/certified latest update 2022/2023 GRADED A+

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2022/2023

Available from 07/23/2023

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AHIP test NUR COMMUNITY Exam
Questions and Answers
100%correct/certified latest update
2022/2023 GRADED A+
You would like to market an MA plan at a
neighborhood pharmacy. What should you keep
in mind to comply with the marketing
requirements for MA plans?
You must set up your table, make marketing
presentations, and accept enrollment
applications only in common areas outside of
where the patient waits for services from the
pharmacist.
Mr. Shultz was still working when he first
qualified for Medicare. At that time, he had
employer group coverage that was creditable.
During his initial Part D eligibility period, he
decided not to enroll because he was satisfied
with his drug coverage. It is now a year later
and Mr.
Shultz has lost his employer group coverage.
How would you advise him?
Mr. Schultz should enroll in a Part D plan
before he has a 63-day break in coverage in
order to avoid a premium penalty.
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Download Medicare Exam Questions and Answers: AHIP Test NUR COMMUNITY and more Exams Nursing in PDF only on Docsity!

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

You would like to market an MA plan at a

neighborhood pharmacy. What should you keep

in mind to comply with the marketing

requirements for MA plans?

You must set up your table, make marketing

presentations, and accept enrollment

applications only in common areas outside of

where the patient waits for services from the

pharmacist.

Mr. Shultz was still working when he first

qualified for Medicare. At that time, he had

employer group coverage that was creditable.

During his initial Part D eligibility period, he

decided not to enroll because he was satisfied

with his drug coverage. It is now a year later

and Mr.

Shultz has lost his employer group coverage.

How would you advise him?

Mr. Schultz should enroll in a Part D plan

before he has a 63-day break in coverage in

order to avoid a premium penalty.

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

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

AHIP test NUR COMMUNITY Exam

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

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 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

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

available through this program.

AHIP test NUR COMMUNITY Exam

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

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.

Mr. Bauer is 49 years old, but eighteen

months ago he was declared disabled by the

Social Security

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

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

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

ESRD if one is available in her area

Mr. Kumar is considering a Medicare

Advantage HMO and has questions about his

ability to access providers. What should you

tell him?

In most Medicare Advantage HMOs, Mr. Kumar

must obtain his services only from providers

who have a contractual relationship with the

plan (except in an emergency)

AHIP test NUR COMMUNITY Exam

Questions and Answers

100%correct/certified latest update

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

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?

Beneficiaries should check with their employer

or union group benefits administrator before

changing plans to avoid losing coverage they

want to keep

Mrs. Walters is enrolled in her state’s Medicaid

program in addition to Medicare. What should

she be aware of when considering enrollment

in a Medicare Health Plan? Medicaid will

coordinate benefits only with Medicaid

participating providers.

Mrs. Andrews asked how a Private Fee-for-

Service (PFFS) plan might affect her access to

services since she receives some assistance for

her health care costs from the State. What

should you tell her?

Medicaid may provide additional benefits, but

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

Questions and Answers

100%correct/certified latest update

2022/2023 GRADED A+

obtain his drug coverage through a stand-

alone Medicare prescription drug plan. What

should you tell him about this situation? He

could enroll in one of the MA plans that

include prescription drug coverage or a

Medigap plan and a stand-alone prescription

drug plan, but he cannot enroll in the MA-only

PPO plan and a stand-alone prescription drug

plan

AHIP test NUR COMMUNITY Exam

Questions and Answers