AHIP Exam 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? - ANSWER Medicare is a program for people age 65 or older & those age under 65 with certain disabilities; ESRD, & ALS so she will be eligible for Medicare.Mrs. Chen will be 65 soon, has been a citizen for 12 years, has been employed full-time, & paid taxes during the entire period. She is concerned that she will not qualify for coverage under Part A because she was not born in the U.S. what should you tell her? - ANSWER Most people who are citizens & age 65 and older are covered under Part A by virtue of having paid Medicare taxes while working, though some may be covered as a result of paying monthly premiums.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 healthcare costs he might be exposed under Medicare if he were to require hospitalization as a result of an illness. What could you tell him about his costs for inpatient hospital services under OG Medicare? - ANSWER Under OG Medicare, there is a single deductible amount due for the first 60 days of any 1 / 2
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 up to 60 days over his lifetime, after which he would be responsible for all costs.Mrs. Park is an elderly retiree and has a low fixed income. Would could you tell Mrs. Park that may help her? - ANSWER She could contact her state Medicaid to see if she qualifies for one of several programs that can help with Medicare costs for which she is responsible.Mr. Schmidt would like to plan for retirement and has asked you what is covered under OG Medicare? What would you tell him? - ANSWER Part A covers hospital, SNF, hospice, & home health services & Part B, which covers professional services such as those provided by a doctor are covered under OG Medicare Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through massage therapy. She is concerned whether or not Medicare will cover these items. What should you tell her? - ANSWER Medicare does not cover massage therapy or in general glasses or dentures
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