Answer to Question 1
ANS: C
This elderly patient probably is eligible for benefits through Part C, the Medicare Advantage program, but often a patient needs help negotiating the system. The Medicare Advantage pro-gram incorporates private insurance plans into the Medicare program including HMO and PPO managed care models and private fee-for-service plans. In addition, Medicare Part D has been added to cover prescriptions. These plans receive payments from Medicare to provide Medicare benefits, including hospital, physician, and often, prescription drug benefits. Finding prescriptive coverage through an insurance plan is a better choice than eliminating medications, trying to get medications for free (which is only a short-term solution in most cases), and telling the client to find a way to pay for the medications when she does not have the resources.
Answer to Question 2
ANS: A
Primary care focuses on individuals. It is also provided by generalists, is dominated by health care professionals, and is not community focused.
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