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AHIP 2021 Module Quizzes- (100 Questions & Answers)
AHIP 2021 Module Quizzes- (100 Questions & Answers)
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AHIP 2021 Module Quizzes- (100 Questions &Answers)
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? - -After receiving such disability payments for 24
months, he will be automatically enrolled in Medicare, regardless of age
-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? - -Part
D covers prescription drugs & she should look at her premiums, formulary, &
cost sharing among other factors to see if they have changed
-Mr. Davis is 52 years old and has recently been diagnosed with end-stage
renal diease (ESRD) and will soon begin dialysis. He is wondering if he can
obtain coverage under Medicare. What should you tell him? - -He may sign
up for Medicare at any time however coverage usually begins on the fourth
month after dialysis treatments start
-Mr. Xi will soon turn age 65 and has come to you for advice as to what
services are provided under Original Medicare. What should you tell Mr. Xi
that best describes the health coverage provided to Medicare beneficiaries? -
-Beneficiaries under Original Medicare have no cost-sharing for most
preventive services which inc. immunizations such as annual flu shots
-Madeline Martinez was widowed several years ago. Her husband worked for
many years and contributed into the Medicare system. He also left a
substantial estate which provides Madeline w/ an annual income of approx.
$130,000. Madeline, who has only worked part-time for the last 3 years, will
soon turn age 65 and hopes to enroll in Original Medicare. She comes to you
for advice. What should you tell her? - -You should tell Madeline that she will
be able to enroll in Medicare Part A w/out paying monthly premiums due to
her husband's long work record & participation in the Medicare system. You
should also tell Madeline that she will pay Part B premiums at more than the
standard lowest rate but less than the highest rate due to her substantial
income
-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? - -Medicare is a
program for people age 65 or older & those under age 65 w/ certain
,disabilities, end-stage renal disease, & Lou Gehrig's disease so she will be
eligible for Medicare
-Mrs. Quinn recently turned 66 and decided after __________ Social Security
benefits. Shortly thereafter, Mrs. Quinn received a letter informing her she
has been automatically enrolled in Medicare Part B. She wants to understand
what this means. What should you tell her? - -Part B primarily covers
physician services. She will be paying a monthly premium &, with the
exception of many preventive and screening tests, generally will have 20%
coinsurance for these services, in addition to an annual deductible
-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 w/
his prescription drug costs? - -He may still qualify for help in paying Part D
costs through his State Pharmaceutical Assistance Program
-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 him? - -
Medicare Supplemental Insurance would help cover his Part A & B cost
sharing in Original Fee-for-Service (FFS) Medicare as well as possibly some
services that Medicare does not cover
-Anita Magri will turn 65 in August 2020. Anita intends to enroll in Original
Medicare Part A & B. She would also like to enroll in a Medicare Supplement
(Medigap) plan. Anita's older neighbor Mel had told her about 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? - -You are sorry to disappoint her but a
Medigap Part F plan is no longer available to those who turn 65 after Jan. 1,
2020. Anita might instead consider other Medigap plans that offer foreign
travel benefits but do not cover the Part B deductible
-Mr. Singh would like drug coverage, but does not want to be enrolled in a
Medicare Advantage plan. What should you tell him? - -Mr. Singh can enroll
in a stand alone prescription drug plan & continue to be covered for Part A &
B services through Original Fee-for-Service Medicare
-Mrs. Turner is comparing her employer's retiree insurance to Original
Medicare and would like to know which of the following services Original
Medicare will cover if the appropriate criteria are met? What could you tell
her? - -Original Medicare covers ambulance services
-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 skill nursing services 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
-What impact, if any, will recent regulatory changes have upon Medigap
plans? - -The Part B deductible will no longer be covered for individuals
newly eligible for Medicare starting Jan. 1, 2020
-Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is
currently enrolled in Medicare Parts A & B. Jerry has also purchased a
Medicare Supplement (Medigap) plan which he has had for several years.
However, the plan does not provide drug benefits. How would you advise
Agent John Miller to proceed? - -Tell prospect Jerry Smith that he should
consider adding a standalone Part D prescription drug coverage policy to his
present coverage
-Mrs. 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 United States. What should you tell her? - -Most
individuals who are citizens & age 65 or over 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
-Juan Perez, who is turning 65 next month, intends to work for several more
years at Smallcap, Inc. Smallcap has a workforce of 15 employees & offers
employer sponsored healthcare coverage. Juan is a naturalized citizen & has
contributed to the Medicare system for over 20 years. Juans asks you if he
will be entitled to Medicare & if he enrolls how that impact his employer
sponsored healthcare coverage. How would you respond? - -Juan is likely to
be eligible for Medicare once he turns 65 & if he enrolls Medicare would
become the primary payor of his healthcare claims & Smallcap does not
have to continue to offer him coverage comparable to those under 65 under
its employer sponsored group health plan
-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? - -Part A, which covers hospital, skilled nursing facility, hospice, &
some home health services & part B, which covers professional services such
as those provided by a doctor are covered under Original Medicare
-Mr. Diaz continued working with his company and was insured under his
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
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