Exam (elaborations)
AHIP MODULE 1 QUIZ QUESTIONS AND ANSWERS
- Course
- Institution
AHIP MODULE 1 QUIZ QUESTIONS AND ANSWERS
[Show more]
Content preview
AHIP MODULE 1 QUIZ QUESTIONS ANDANSWERS
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? - Answer-Medicare is a program for people 65 or older and those under
the age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig's disease
so she will be eligible for Medicare.
Mr. Schmidt would like to plan for retirement and has asked you what is covered under
Original Fee-for-Service (FFS) Medicare? What could you tell him? - Answer-Part A,
which covers hospital, skilled nursing facility, hospice, and home health services and
Part B, which covers professional services such as those provided by a doctor are
covered under Original Medicare.
Mr. Hernandez is concerned that if he signs up for a Medicare Advantage plan, the
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? - Answer-Medicare
Advantage plans must cover all benefits available under Medicare Part A and Part B.
Many also cover Part D prescription drugs.
Mrs. Roberts has just received a new Medicare identity card in the mail. She is
concerned that it is a forgery since it does not have her Social Security number on it.
What should you tell her? - Answer-The card she received is valid, the change has been
made to protect Medicare beneficiaries from identity theft, and she should now destroy
her old card.
Mrs. Willard wants to know generally how the benefits under Original Medicare might
compare to the benefit package of a Medicare Health Plan before she starts looking at
specific plans. What could you tell her? - Answer-Medicare Health Plans may offer extra
benefits that Original Medicare does not offer such as vision, hearing, and dental
services and must include a maximum out-of-pocket limit on Part A and Part B services.
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 Mr.Moy? - Answer-Medicare
Supplemental Insurance would help cover his Part A and Part B cost sharing in Original
Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare does
not cover.
Chen will be 65 soon, has been a citizen for twelve years, has been employed full time,
and paid taxes during that entire period. She is concerned that she will not qualify for
coverage under Part A because she was not born in the US. What should you tell her? -
, Answer-Most individuals who are citizens and over age 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.
Bauer is 49 years old, but eighteen months ago he was declared disabled by the SSA
and has been receiving disability payments. He is wondering whether he can obtain
coverage under Medicare. What should you tell him? - Answer-After receiving such
disability payments for 24 months, he will be automatically enrolled in Medicare,
regardless of age.
Mr. Denton is 52 years old and has recently been diagnosed with end-stage renal
disease and will soon begin dialysis. He is wondering if he can obtain coverage under
Medicare. What should you tell him? - Answer-He may sign-up for Medicare at any time
however coverage usually begins on the fourth month after dialysis treatments start.
Ms. Henderson believes that she will qualify for Medicare coverage when she turns 65,
w/o paying any premiums, because she has been working for 40 years and paying
Medicare taxes. What should you tell her? - Answer-In order to obtain Part B coverage,
she must pay a standard monthly premium, though it is higher for individuals with higher
incomes.
Mr. Diaz continued working with his company and was insured under his employer's
group plan until he reached 68 years old. 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. - Answer-Mr. Diaz will not pay any penalty because he had
continuous coverage under his employer's plan.
Mrs. Pena 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. - Answer-She may not enroll at any time while she is covered under her
employer plan, but she will have a special eight month enrollment period that differs
from the standard general enrollment period, during which she may enroll in Medicare
Part B.
Mrs. Kelly, age 65, is entitles to Part A, but is not yet 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? - Answer-In order to join a
Medicare plan, she also must enroll in Part B.
Mrs. Park is an elderly retiree. She has a low, fixed income. What could you tell Mrs.
Park that might be of assistance? - Answer-She should contact her state Medicaid
agency to see if she qualifies for one of several programs that can help with Medicare
costs for which she is responsible.
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 with his prescription
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller biggdreamer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79202 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now