Exam (elaborations)
AHIP 2021 EXAM 100% Correct Question And Answers( With Complete Solution Rated A)
- Course
- Institution
AHIP 2021 EXAM 100% Correct Question And Answers( With Complete Solution Rated A)
[Show more]
Seller
Follow
AdvancedLevelExpert
Reviews received
Content preview
AHIP 2021 EXAM 100% Correct Question And AnswersMrs. Quinn recently turned 66 and decided after many years of work to begin receiving Social Security
benefits. Shortly thereafter Mrs. Quinn received a letter informing her that she has been automatically
enrolled in Medicare Part B. She wants to understand what this means. What shouldyou tell Mrs. Quinn? -
Part B primarily covers physician services. She will be paying a monthly premium and, with the exception of
many preventive and screening tests, generally will have 20%coinsurance for these services, in addition to
an annual deductible.
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know
which of the following services Original Medicare will cover if the appropriate criteria are met? What could
you tell her? - Original Medicare covers ambulance services.
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 for those who did not sign upfor Part B when
first eligible and wants to know how much he will have to pay. What should you tellhim? - Mr. Diaz will not
pay any penalty because he had continuous coverage under his employer's plan.
Anita Magri will turn age 65 in August 2020. Anita intends to enroll in Original Medicare Part A andPart B.
She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita's older neighbor Mel has told
her about the Medigap Part F plan in which he is enrolled. It not only provides foreign travel emergency
benefits but also covers his Medicare Part B deductible. Anita comes to you for advice. What should you tell
her? - You are sorry to disappoint Anita but a Medigap Part F plan is no longer available to those who turn
age 65 after January 1,2020. Anita might instead consider other Medigap plans that offer foreign travel
benefits but do not cover the Part B deductible.
Mr. Moy'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. Moy? - Medicare Supplemental Insurance would help cover his Part A and Part B cost
sharing in Original Fee-for-Service (FFS) Medicare as well as possibly some services thatMedicare does not
cover.
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social Security
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 for24
months, he will be automatically enrolled in Medicare, regardless of age.
Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original Fee-for-
Service (FFS) Medicare? What could you tell him? - Part A, which covers hospital, skilled nursing facility,
hospice, and home health services and Part B, which covers professional servicessuch as those provided
by a doctor are covered under Original Medicare.
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 concern? - Medicare is a program for people
age 65 or older and those under age 65 with certain disabilities,end-stage renal disease, and Lou Gehrig's
disease so she will be eligible for Medicare.
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being successfully treated
for that condition. However, she and her physicians feel that after her lengthy hospital stay she will need a
month or two of nursing and rehabilitative care. What should you tell them about Original Medicare's
coverage of care in a skilled nursing facility? - Medicare will cover Mrs. Shield'sskilled nursing services
provided during the first 20 days of her stay, after which she would have a copay until she has been in the
facility for 100 days.
Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided underOriginal
Medicare. What should you tell Mr. Xi that best describes the health coverage provided to Medicare
beneficiaries? - Beneficiaries under Original Medicare have no cost-sharing for most preventive services
which include immunizations such as annual flu shots.
Mrs. Geisler's neighbor told her she should look at her Part D options during the annual Medicare
enrollment period because features of Part D might have changed. Mrs. Geisler can't remember what Part D
is so she called you to ask what her neighbor was talking about. What could you tell her? - Part D covers
prescription drugs and she should look at her premiums, formulary, and cost-sharing among other factors
to see if they have changed.
What impact, if any, will recent regulatory changes have upon Medigap plans? - The Part B deductible will
no longer be covered for individuals newly eligible for Medicare starting January 1,2020.
, Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify for the Part Dlow-
income subsidy. Where might he turn for help with his prescription drug costs? - Mr. Wu may still qualify for
help in paying Part D costs through his State Pharmaceutical Assistance Program.
Madeline Martinez was widowed several years ago. Her husband worked for many years and contributed
into the Medicare system. He also left a substantial estate which provides Madeline with an annual income of
approximately $130,000. Madeline, who has only worked part-time for the last three years, will soon turn
age 65 and hopes to enroll in Original Medicare. She comes to you for advice. What should you tell her? - You
should tell Madeline that she will be able to enroll inMedicare Part A without paying monthly premiums due
to her husband's long work record and participation in the Medicare system. You should also tell Madeline
that she will pay Part B premiums at more than the standard lowest rate but less than the highest rate due
her substantial income.
Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently enrolled in Medicare Parts A
and B. Jerry has also purchased a Medicare Supplement (Medigap) plan which he has had for several years.
However, the plan does not provide drug benefits. How would you adviseAgent John Miller to proceed? - Tell
prospect Jerry Smith that he should consider adding a standalone Part D prescription drug coverage policy to
his present coverage.
Mrs. Paterson is concerned about the deductibles and co-payments associated with Original Medicare.
What can you tell her about Medigap as an option to address this concern? - Medigapplans help
beneficiaries cover coinsurance, co-payments, and/or deductibles for medically necessary services
Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) andwill 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 after dialysis
treatments start.
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and paidtaxes
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 arecitizens and age 65 or
over 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.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller AdvancedLevelExpert. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78677 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now