AHIP CWA EXAM MODULE 1-5,
NONDISCRIMINATION, FWA, COMPLIANCE
ACTUAL EXAM 100 QUESTIONS AND CORRECT
DETAILED ANSWERS (100% CORRECT AND
VERIFIED ANSWERS) |AGRADE
Terms in this set (100)
Anita Magri will turn age You are sorry to disappoint Anita but a Medigap Part
65 in August 2020. Anita F plan is no longer available to those who turn age 65
intends to enroll in after January 1,2020. Anita might instead consider
Original Medicare Part A other Medigap plans that offer foreign travel benefits
and Part B. She would also but do not cover the Part B deductible.
like to enroll in a Medicare
Supplement (Medigap)
plan. Anita's older
neighbor Mel has told her
about the 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?
,Mr. Moy's wife has a Medicare Supplemental Insurance would help cover
Medicare Advantage plan, his Part A and Part B cost sharing in Original Fee-for-
but he wants to Service (FFS) Medicare as well as possibly some
understand what services that Medicare does not cover.
coverage Medicare
Supplemental Insurance
provides since his health
care needs are different
from his wife's needs. What
could you tell Mr. Moy?
Mrs. Paterson is Medigap plans help beneficiaries cover coinsurance,
concerned about the co-payments, and/or deductibles for medically
deductibles and co- necessary services.
payments associated with
Original Medicare. What
can you tell her about
Medigap as an option to
address this concern?
Mrs. Quinn recently turned Part B primarily covers physician services. She will be
66 and decided after paying a monthly premium and, with the exception of
many years of work to many preventive and screening tests, generally will
begin receiving Social have 20% coinsurance for these services, in addition
Security benefits. Shortly to an annual deductible.
thereafter Mrs. Quinn
received a letter informing
her that she has been
automatically enrolled in
Medicare Part B. She
wants to understand what
this means. What should
you tell Mrs. Quinn?
,Mr. Bauer is 49 years old, After receiving such disability payments for 24
but eighteen months ago months, he will be automatically enrolled in Medicare,
he was declared disabled regardless of age.
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?
What impact, if any, will The Part B deductible will no longer be covered for
recent regulatory changes individuals newly eligible for Medicare starting
have upon Medigap January 1, 2020.
plans?
Ms. Moore plans to retire Medicare is a program for people age 65 or older and
when she turns 65 in a few those under age 65 with certain disabilities, end-stage
months. She is in excellent renal disease, and Lou Gehrig's disease so she will be
health and will have eligible for Medicare.
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?
, Mr. Xi will soon turn age Beneficiaries under Original Medicare have no cost-
65 and has come to you sharing for most preventive services which include
for advice as to what immunizations such as annual flu shots.
services are provided
under Original Medicare.
What should you tell Mr. Xi
that best describes the
health coverage provided
to Medicare beneficiaries?
Madeline Martinez was You should tell Madeline that she will be able to
widowed several years enroll in Medicare Part A without paying monthly
ago. Her husband worked premiums due to her husband's long work record and
for many years and participation in the Medicare system. You should also
contributed into the tell Madeline that she will pay Part B premiums at
Medicare system. He also more than the standard lowest rate but less than the
left a substantial estate highest rate due her substantial income.
which provides Madeline
with an annual income of
approximately $130,000.
Madeline, who has only
worked part-time for the
last three years, will soon
turn age 65 and hopes to
enroll in Original
Medicare. She comes to
you for advice. What
should you tell her?
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