2023-2024 NURSING 412 AHIP FINAL ACTUAL EXAM TEST QUESTIONS AND CORRECT ANSWERS ALREADY A GRADED Mrs. Pena is 66 years old, has coverage under an employer plan, and will retire next year. She heard she must enroll in Part B at the beginning of the year to ensureno gap in coverage. What can you tell her? ✓She may enroll at any time while she is covered under her employer plan, but she will have a special eight-month enrollment period after the last month on her employer plan that differs from the standard general enrollment period, during which she may enroll in Medicare Part B. Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employedfull 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 age 65 or over are covered under Part A by virtue of having paid Medicare taxes whileworking, though some may be covered as a result of paying monthly premiums. Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well,but it provides no drug coverage. She would like to keep the coverage she has butreplace her existing Medigap plan with one that provides drug coverage. What should you tell her? ✓✓Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could keep her Medigap policy and enroll in a Part D prescription drug plan. Mrs. West wears glasses and dentures and has enjoyed considerable pain relieffrom arthritis through massage therapy. She is concerned about whether or notMedicare will cover these items and services. What should you tell her? ✓✓Medicare does not cover massage therapy, or, in general, glasses or dentures. Mr. Patel is in good health and is preparing a budget in anticipation of his retirement when he turns 66. He wants to understand the health care costs he mightbe exposed to under Medicare if he were to require hospitalization as a result of anillness. In general terms, what could you tell him about his costs for inpatient hospital services under Original Medicare? ✓✓Under Original Medicare, there is a single deductible amount due for the first 60 days of any inpatient hospital stay, after which it converts into a per-day coinsurance amount through day 90. After day 90,he would pay a daily amount 2022 NURSING 412 AHIP FINAL EXAM TEST Questions and Answers 100%Correct/Verified 2022 NURSING 412 AHIP FINAL EXAM TEST Questions and Answers 100%Correct/Verified up to 60 days over his lifetime, after which he wouldbe responsible for all costs. 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 yearsand paying Medicare taxes. What should you tell her? ✓✓To obtain Part B coverage, she must pay a standard monthly premium, though it is higher for individuals with higher incomes. Mr. Davis is 52 years old and has recently been diagnosed with endstage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him? ✓He may sign-up for Medicare at any time however coverage usually begins on the fourth month afterdialysis treatments start. Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap, Incorporated. Smallcap has a workforce of15 employees and offers employer-sponsored healthcare coverage. Juan is a naturalized citizen and has 2022 NURSING 412 AHIP FINAL EXAM TEST Questions and Answers 100%Correct/Verified 2022 NURSING 412 AHIP FINAL EXAM TEST Questions and Answers 100%Correct/Verified contributed to the Medicare system for over 20 years. Juan asks you if he willbe entitled to Medicare and if he enrolls how that will impact his employer- sponsored healthcare coverage. How would you respond? ✓Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls Medicare would become the primary payor of his healthcare claims and Smallcap does not have to continue to offer him coverage comparable to those under age 65 under its employer-sponsored group health plan.