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2024 AHIP Certification All New Qs & As for A++ Exam - Guaranteed Pass!

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1. Edward IP suffered from serious kidney disease. As a result. Edward be- came eligible for Medicare coverage due to end-stage renal disease (ESRD). A close relative donated their kidney and Edward successfully unde ...

1. Edward IP suffered from serious kidney disease. As a result. Edward be- came eligible for Medicare coverage due to end-stage renal disease (ESRD). A close relative donated their kidney and Edward successfully underwent transplant surgery 12 months ago. Edward is now age 50 and asks you if hisMedicare coverage will continue, what should you say? Answer: Individuals eligible forMedicare based on ESRD generally lose eligibility 36 months after the month in which the individual receives a kidney transplant unless they are eligible for Medicareon another basis such as age or disability.Edward may, however, remain enrolled inPart B butsolely for coverage of immunosuppressive drugsif he has no other healthcare coverage that would cover the drugs. 2. Mildred Savage enrolled in Allcare Medicare Advantage plan several years ago.Mildred recently learned thatshe is suffering from inoperable cancer andhas just a few months to live. She would like to spend these final months in hospice care. Mildred's family asks you whether hospice benefits will be paidfor under the Allcare Medicare Advantage plan.Whatshould you say? Answer: Mildredmay remain enrolled in Allcare and make a hospice election. Hospice benefits will be paid for by Original Medicare under Part A and Allcare will continue to pay for any non-hospice services. 3. Mr. Diaz continued working with his company and was insured under his employer's group plan until he reached age 68. He has heard that there is a premium penalty forthose who did notsign up for PartB when first eligible andwants to know how much he will have to pay. What should you tell him? Answer: Mr. Diaz will not pay any penalty because he had continuous coverage under his employer's plan. 4. Mr. Moy's wife has a Medicare Advantage plan, but he wants to under- stand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife's needs.What could you tell Mr.Moy? Answer: Medicare Supplemental Insurance would help cover his Part A and Part B deductibles or coinsurance in Original Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare does not cover.

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