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AHIP Module Quizzes 2022/20231. Mr. Bauer is 49 years old, but eighteen months ago he was declared
disabled by the Social Security Administration and has been receiving
dis- ability payments. He is wondering whether he can obtain coverage
under Medicare. What should you tell him >>> After receiving such
disability payments for 24 months, he will be automatically enrolled in
Medicare, regardless of age
2. 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 & she should look at
her premiums, formulary, & cost sharing among other factors to see if
they have changed
3. Mr. Davis is 52 years old and has recently been diagnosed with end-
stage renal diease (ESRD) and will 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
4. Mr. Xi will soon turn age 65 and has come to you for advice as to
what services are provided under Original 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 inc. immunizations such as annual flu shots
5. Madeline Martinez was widowed several years ago. Her husband
1 / 17
,worked for many years and contributed into the Medicare system. He also
left a substantial estate which provides Madeline w/ an annual income of
approx.
$130,000. Madeline, who has only worked part-time for the last 3 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 in Medicare Part A w/out paying monthly
premiums due to her husband's long work record & 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 to her substantial income
6. 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 & those under
age 65 w/ certain disabili-
2 / 17
,ties, end-stage renal disease, & Lou Gehrig's disease so she will be
eligible for Medicare
7. Mrs. Quinn recently turned 66 and decided after Social
Securi- ty benefits. Shortly thereafter, Mrs. Quinn received a letter
informing her she has been automatically enrolled in Medicare Part B. She
wants to understand what this means. What should you tell her >>> Part B
primarily covers physician services. She will be paying a monthly
premium &, with the exception of many preventive and screening
tests, generally will have 20% coinsurance for these services, in
addition to an annual deductible
8. Mr. Wu is eligible for Medicare. He has limited financial resources but
failed to qualify for the Part D low income subsidy. Where might he turn for
help w/ his prescription drug costs >>> He may still qualify for help in
paying Part D costs through his State Pharmaceutical Assistance Program
9. 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 him >>> - Medicare Supplemental Insurance would help
cover his Part A & B cost sharing in Original Fee-for-Service (FFS)
Medicare as well as possibly some services that Medicare does not
cover
10. Anita Magri will turn 65 in August 2020. Anita intends to enroll in
Original Medicare Part A & B. She would also like to enroll in a Medicare
Supplement (Medigap) plan. Anita's older neighbor Mel had told her about
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 her but a Medigap Part F plan is no longer available to
those who turn 65 after Jan. 1, 2020. Anita might instead consider
other Medigap plans that offer foreign travel benefits but do not cover
the Part B deductible
11. Mr. Singh would like drug coverage, but does not want to be enrolled
in a Medicare Advantage plan. What should you tell him >>> Mr.
3 / 17
, Singh can enroll in a stand alone prescription drug plan & continue to
be covered for Part A & B services through Original Fee-for-Service
Medicare
12. 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
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