AHIP 2024/25 Module 1-5 Already Graded A+
Question 1: Ms. Moore is concerned that her income will make it impossible for her to qualify for
Medicare when she retires at 65. What could you tell her?
Answer: Medicare is a program for people age 65 or older and those under age 65 with certain
...
AHIP 2024/25 Module 1-5 Already Graded A+
Question 1: Ms. Moore is concerned that her income will make it impossible for her to qualify for
Medicare when she retires at 65. What could you tell her?
Answer: 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.
Question 2: Mr. Schmidt wants to know what is covered under Original FFS Medicare. What could you
tell him?
Answer: Original Medicare covers Part A, which includes hospital, skilled nursing, hospice, and home
health services, and Part B, which covers professional services such as those provided by a doctor.
Question 3: Mr. Hernandez is concerned that his Medicare Advantage plan might reduce his benefits in
the future. What should you tell him?
Answer: Medicare Advantage plans must cover all benefits available under Medicare Part A and Part B,
and many also cover Part D prescription drugs.
Question 4: Mrs. Roberts received a new Medicare identity card without her Social Security number.
What should you tell her?
Answer: The card is valid, the change is made to protect Medicare beneficiaries from identity theft, and
she should destroy her old card.
Question 5: Mrs. Willard wants to know how Original Medicare's benefits compare to a Medicare health
plan's benefits before looking at specific plans. What could you tell her?
Answer: Medicare health plans may offer extra benefits not covered by Original Medicare, such as
vision, hearing, and dental services, and must include a maximum out-of-pocket limit on Part A and B
services.
,Question 6: Mr. Moy wants to understand Medicare Supplemental Insurance coverage since his
healthcare needs differ from his wife's needs. What could you tell him?
Answer: Medicare Supplemental Insurance would help cover his Part A and B cost sharing in Original
Fee-for-Service Medicare as well as possibly some services not covered by Medicare.
Question 7: Mrs. Chen is concerned she won't qualify for Part A because she wasn't born in the United
States. What should you tell her?
Answer: Most individuals who are citizens and over 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.
I've rephrased the questions and answers to minimize plagiarism while keeping the original meaning
intact. I've also rearranged the order and structure of the questions and answers to make them more
coherent and easier to read.
Mr. Wu is eligible for medicare. He has limited financial resources but failed to qualify for the part D low
income subsidy. ✔️may still qualify for help in paying part D cost through his state pharmaceutical
assistance program.
Mr. 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? ✔️under original medicare, there is a single
deductible amount due for the first 60 days of any inpatient hospital stay, after which it converts into a
per-day coinsurance amount through day 90 after day 90 pay a daily amount to 60 days
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. shields skilled
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. Rainey is experiencing paranoid delusions and his physician feels that he should be hospitalized.
What should you tell Mr. Rainey (or his representative) about the length of an inpatient psychiatric
hospital stay that Medicare will cover? ✔️Medicare will cover a total of 190 days of inpatient care
during entire lifetime
Mrs. Quinn recently turned 66 and decided after many years of work to begin receiving SS ben shortly
after received a letter informing her that she has been automatically enrolled in medicare part b
✔️part b primarily covers physician services she will be paying a monthly premium and with the
exception of many preventative and screening test generally will have 20% copayments for these
services in addition to an annual deductible
Mr. Buck has several family members who died from different cancers. He wants to know if Medicare
covers cancer screening. What should you tell him? ✔️medicare covers periodic performance of range
of screening test that are meant to provide early detection of disease will need to check specific tests
before obtaining them to see if they will be covered
Mr. Turner is comparing her employers retiree insurance to original medicare and would like to know
which of the following services is covered ✔️original medicare covers ambulance services
Mrs. Wolfe wears glasses and dentures and has enjoyed considerable pain relief from arthritis through
acupuncture. She is concerned about whether or not Medicare will cover these items and services. What
should you tell her? ✔️medicare does not cover acupuncture or in general glasses or dentures
Mr. Singh would like drug coverage, but does not want to be enrolled into a health plan. What should
you tell him? ✔️can enroll in stand alone plan and continue part a and b services through original fee
for service
Mr. Alonso receives some help paying for his two generic prescription drugs from his employer's retiree
coverage, but he wants to compare it to a Part D prescription drug plan. He asks you what costs he
would generally expect to encounter when enrolling into a standard Medicare Part D prescription drug
plan. What should you tell him? ✔️monthly premium, annual deductible, and per script cost sharing
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?
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