AHIP TRAINING Module 1 2022/2023 with 100% correct answers
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AHIP
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CHEN will be 65 soon, has been a citizen for twelve years, has been employed full 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 US.
(Medicare Entitlement Part A)
Most individuals who are citizen...
ahip training module 1 20222023 with 100 correct answers
has been a citizen for twelve years
has been employed full time
and paid taxes during that entire period she is conc
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AHIP TRAINING Module 1
CHEN will be 65 soon, has been a citizen for twelve years, has been employed full 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 US.
(Medicare Entitlement Part A) correct answerMost individuals who are citizens and over age 65 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.
BAUER is 49 years old, but eighteen months ago was declared disabled by the SSA and has been
receiving disability payments. He is wonder whether he can obtain coverage under Medicare.
(Medicare Entitlement Part B) correct answerAfter receiving such disability payments for 24 months, he
WILL BE AUTOMATICALLY enrolled in Medicare, regardless of age.
DAVIS is 49 years old and has been receiving disability benefits from SSA for 12 months. Can you sell him
a MA or Part D Rx policy?
(Medicare Entitlement Part B: Medicare Eligibility Part C/D) correct answerNO, he can't purchase a MA
or Part D policy because he has NOT received SSA or RR disability benefits for 24 months.
HENDERSON believes that she will qualify for Medicare coverage when she turns 65, without paying any
premiums, because she has been working for 40 years and paying Medicare taxes.
(Medicare Premiums for Part B) correct answerIn order to obtain Part B coverage, she must pay a
STANDARD MONTHLY premium , though it is HIGHER for individuals with higher income.
DIAZ continued working wit his company and was insured under his employer's group plan until he
reached 68. He has heard that there is a premium penalty for those who did not sign up for Part B when
first eligible and wants to know how much he will have to pay.
(Medicare Premiums Part B) correct answerMr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan.
, 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 ensure no gap in coverage.
(Medicare Premiums for Part B) correct answerShe MAY enroll at any time while she is covered under
her employer plan, but she will have a special eight-month enrollment period that differs from the
standard general enrollment period, during which she may enroll in Medicare Part B.
KELLY is entitled to Part A, but is not yet enrolled in Part B. She is considering enrollment in a Medicare
health plan. What should you advise her to do before she will be able to enroll into a Medicare health
plan?
(Medicare Eligibility) correct answerIn order to joint a Medicare health plan, she also MUST enroll in Part
B
TOMA has a low, fixed income. What could you tell her that might be of assistance?
(help for individuals with Limited Income/Resources) correct answerShe should contact her state
Medicaid agency to see if she qualifies for one of several programs that can help with Medicare costs for
which she is responsible.
YU has limited income and resources so you have encouraged him to see if he qualifies for some type of
financial assistance. Mr. Yu is not sure it is worth the trouble to apply and wants to know what the
assistance could do for him if he qualifies.
(Limited Income/Resources) correct answerHe might qualify for help with Part D Rx costs and help
paying Part A and/or Part B premiums, deductibles, and/or cost sharing.
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 might be exposed to under Medicare if he were to require
hospitalization as a result of an illness. In general terms, what could you tell him about his costs for
inpatient hospital services under Original Medicare?
(Original Medicare covers) correct answerUnder Original Medicare, there is a single deductible amt. due
for the first 60 days of any inpatient hospital stay, after which it converts into a per day amt. through
day 90. After day 90, he would pay a daily amt. up to 60 days over his lifetime, after which he would be
RESPONSIBLE FOR ALL COSTS.
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