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AHIP 2022 Terms in this set (327) 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 quali$7.99
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AHIP 2022 Terms in this set (327) 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 quali
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CGFO - Certified Government Finance Officer
AHIP 2022
Terms in this set (327)
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 te...
Ms. Moore plans to retire when she turns 65 Medicare is a program for people age 65 or older and those under age 65 with certain
in a few months. She is in excellent health disabilities, end stage renal disease or Lou Gehrig's disease, so she will be eligible for
and will have considerable income when she Medicare.
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?
Mr. Schmidt would like to plan for retirement Part A, which covers hospital, skilled nursing facility, hospice and home health services
and has asked you what is covered under and Part B, which covers professional services such as those provided by a doctor are
Original Fee-for-Service (FFS) Medicare? covered under Original Medicare.
What could you tell him?
Mr. Hernandez is concerned that if he signs Medicare health plans must cover all benefits available under Medicare Part A and Part
up for a Medicare Advantage plan, the B. Many also cover Part D prescription drugs.
health plan may, at some time in the future,
reduce his benefits below what is available in
Original Medicare. What should you tell him
about his concern?
Mrs. Raskin is a widow who will attain aged Prescription drug coverage can be obtained by enrolling in a Medicare Advantage
65 and enroll in Medicare in just a few plan that includes Part D coverage.
weeks. She concerned about having
prescription drug coverage. Which of the
following statements provides the best
advice?
Mrs. Willard wants to know generally how Medicare Health Plans may offer extra benefits that Original Medicare does not offer
the benefits under Original Medicare might such as vision, hearing, and dental services and must include a maximum out-of-pocket
compare to the benefit package of a limit on Part A and Part B services.
Medicare Health Plan before she starts
looking at specific plans. What could you tell
her?
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, 8/8/24, 2:16 AM
Mr. Meoni's wife has a Medicare Advantage Medicare Supplemental Insurance would help cover his Part A and Part B cost sharing
plan, but he wants to understand what in Original Fee-for-Service (FFS) Medicare as well as possibly some services that
coverage Medicare Supplemental Insurance Medicare does not cover.
provides since his health care needs are
different from his wife's needs. What could
you tell Mr.Meoni?
Mrs. Chen will be 65 soon, has been a citizen Most individuals who are citizens and over age 65 are covered under Part A by virtue of
for twelve years, has been employed full having paid
time, and paid taxes during that entire Medicare taxes while working, though some may be covered as a result of paying
period. She is concerned that she will not monthly premiums.
qualify for coverage under part A because
she was not born in the United States. What
should you tell her?
Mr. Bauer is 49 years old, but eighteen After receiving such disability payments for 24 months, he will be automatically
months ago he was declared disabled by the enrolled in Medicare, regardless of age.
Social Security Administration and has been
receiving disability payments. He is
wondering whether he can obtain coverage
under Medicare. What should you tell him?
Mr. Davis is 49 years old and has been No, he cannot purchase a Medicare Advantage or Part D policy because he has not
receiving disability benefits from the Social received Social Security or Railroad Retirement disability benefits for 24 months.
Security Administration for 12 months. Can
you sell him a Medicare Advantage or Part D
Prescription Drug policy?
Ms. Henderson believes that she will qualify In order to obtain Part B coverage, she must pay a standard monthly premium, though it
for Medicare coverage when she turns 65, is higher for
without paying any premiums, because she individuals with higher incomes.
has been working for 40 years and paying
Medicare taxes.
What should you tell her?
Mr. Diaz continued working with his Mr. Diaz will not pay any penalty because he had continuous coverage under his
company and was insured under his employer's plan.
employer's group plan until he reached age
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. What should
you tell him?
Mrs. Peňa is 66 years old, has coverage She may enroll at any time while she is covered under her employer plan, but she will
under an employer plan and will retire next have a special eight month enrollment period that differs from the standard general
year. She heard she must enroll in Part B at enrollment period, during which she may enroll in Medicare Part B.
the beginning
of the year to ensure no gap in coverage.
What can you tell her?
Mrs. Kelly is entitled to Part A, but is not yet In order to join a Medicare health plan, she also must enroll in Part B.
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?
2/14
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