AHIP Exam questions and Answers Rated A+ New Update 2024
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AHIP
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AHIP
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through massage therapy. She is concerned about whether or not Medicare will cover these items and services. What should you tell her?
a. Medicare covers glasses, but not dentures or massage therapy.
b. M...
AHIP Exam questions and Answers Rated A+
New Update 2024
Mrs. West wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through massage therapy. She is concerned
about whether or not Medicare will cover these items and services.
What should you tell her?
a.Medicare covers glasses, but not dentures or massage therapy.
b.Medicare does not cover massage therapy, or, in general, glasses or
dentures.
Correct: Neither Medicare Part A nor Part B covers massage therapy,
dentures, or routine eye examinations to prescribe eyeglasses.
c.Medicare covers 80% of the cost of these three services.
d.Medicare covers 50% of the cost of these three services.
Feedback Source: Module 1, Slide - Not Covered by Medicare Part A & B
Mr. Capadona would like to purchase a Medicare Advantage (MA) plan
and a Medigap plan to pick up costs not covered by that plan. What
should you tell him?
a.Medigap plans that cover costs not paid for by an MA plan
are available only in Massachusetts, Minnesota, and
Wisconsin.
b.Medigap policies designed to cover costs not paid for by an MA plan
can be purchased, but only if the MA plan’s design is considered to be
the “defined standard benefit.”
c.Medigap plans are a form of Medicare Advantage, so purchasing
both would be redundant coverage.
d.It is illegal for you to sell Mr. Capadona a Medigap plan if he is
enrolled in an MA plan, and besides, Medigap only works with
Original Medicare.
Correct: The purpose of Medigap plans is to supplement Original
,AHIP Exam questions and Answers Rated A+
New Update 2024
Medicare benefits. Medigap plans do not work with Medicare
Advantage plans. It is illegal to sell a Medigap plan to someone
already in a Medicare Advantage health plan.
Feedback Source: Module 1, Slide - Medigap is NOT
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?
a. He became eligible for Medicare when his disability eligibility
determination was first made. b. After receiving such disability
payments for 24 months, he will be automatically enrolled in
Medicare, regardless of age.
Correct: Individuals with disabilities who are under age 65 are
automatically enrolled in Medicare Parts A and B the month after
they have received Social Security or Railroad Retirement
disability benefits for 24 months.
c. Individuals receiving such disability payments from the Social
Security Administration continue to receive those payments but only
become eligible for Medicare upon reaching age 65.
d. Individuals who become eligible for such disability payments only
have to wait 12 months before they can apply for coverage under
Medicare.
Feedback Source: Module 1, Slide - Medicare Enrollment Part A & B
Mrs. Peňa 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.
,AHIP Exam questions and Answers Rated A+
New Update 2024
What can you tell her?
a.She must wait at least 30 days after her employment terminates
before she may enroll in Medicare Part B.
, AHIP Exam questions and Answers Rated A+
New Update 2024
b.She may enroll at any time while she is covered under her employer
plan, but she will have a special eight-month enrollment period after
the last month on her employer plan that differs from the standard
general enrollment period, during which she may enroll in Medicare
Part B. Correct: As long as Mrs. Peňa is covered under her employer’s
plan, she can enroll in Part B at any time. If she retires, she will be able
to enroll in Part B during a special enrollment period that lasts 8
months following the last month of her employer coverage.
c.She may not enroll in Part B while covered under an employer
group health plan and must wait until the standard general
enrollment period after she retires.
d.She may only enroll in Part B during the general enrollment period
whether she is retired or not
Feedback Source: Module 1, Slide - Enrollment in Parts A & B After the
Initial Enrollment Period
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap
policy as well, but it provides no drug coverage. She would like to
keep the coverage she has but replace her existing Medigap plan with
one that provides drug coverage. What should you tell her?
a.Mrs. Gonzalez should purchase a K or L Medigap plan.
b.Mrs. Gonzalez can purchase a Medigap plan that covers drugs,
but it likely won’t offer coverage that is equivalent to that
provided under Part D.
c.Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs,
but she could keep her Medigap policy and enroll in a Part D
prescription drug plan.
Correct: Individuals who are enrolled in Medigap plans may only
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