AHIP Module 1 With Complete Answers
Question 1: Mrs. Chen, a 65-year-old citizen who has been paying Medicare taxes for 12 years, is
concerned about qualifying for Part A coverage. What should you tell her?
Answer: Most individuals who are citizens and over 65 are covered under Part A by virt...
AHIP Module 1 With Complete Answers
Question 1: Mrs. Chen, a 65-year-old citizen who has been paying Medicare taxes for 12 years, is
concerned about qualifying for Part A coverage. 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.
Question 2: Mr. Bauer, 49 years old, was declared disabled and started receiving disability payments 18
months ago. Can he obtain coverage under Medicare?
Answer: After receiving disability payments for 24 months, he will be automatically enrolled in
Medicare, regardless of age.
Question 3: Mr. Denton, 52 years old, has been diagnosed with end-stage renal disease and will start
dialysis soon. Can he get coverage under Medicare?
Answer: He may sign up for Medicare at any time, but coverage usually begins on the fourth month after
dialysis treatments start.
Question 4: Ms. Henderson believes she'll qualify for Medicare coverage at 65 without paying premiums
due to her 40 years of work history. What should you tell her?
Answer: In order to obtain Part B coverage, she must pay a standard monthly premium, though it's
higher for individuals with higher incomes.
Question 5: Mr. Diaz continued working until age 68 and had employer-sponsored health insurance. If
he didn't sign up for Part B when first eligible, what penalty will he face?
Answer: He won't pay any penalty because he had continuous coverage under his employer's plan.
Question 6: Mrs. Peňa, 66 years old, has employer-sponsored health insurance and will retire next year.
What should she know about enrolling in Part B?
, Answer: She may enroll at any time while covered under her employer plan, but she'll have a special
eight-month enrollment period that differs from the standard general enrollment period.
Question 7: Mrs. Kelly, 65 years old, is entitled to Part A but hasn't enrolled in Part B yet. What should
you advise her to do before enrolling in a Medicare health plan (Part C)?
Answer: She needs to enroll in Part B before enrolling in a Medicare health plan (Part C).
Question 8: Mrs. Park, an elderly retiree with a low fixed income, needs assistance with Medicare costs.
What can you tell her?
Answer: She should contact her state Medicaid agency to see if she qualifies for one of several programs
that can help with Medicare costs.
Question 9: Mr. Wu is eligible for Medicare but didn't qualify for the Part D low-income subsidy. Where
might he turn for help with prescription drug costs?
Answer: He may still qualify for help in paying Part D costs through his State Pharmaceutical Assistance
Program.
Question 10: Mr. Patel is preparing for retirement and wants to understand his potential hospitalization
costs under Original Medicare. What can you tell him about his costs for inpatient hospital services?
Answer: Under Original Medicare, there's 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, he'd pay a daily amount up to 60 days over his lifetime.
Question 11: Mrs. Shields is being treated for a hip fracture and will need rehabilitation care in a skilled
nursing facility. What should you tell them about Original Medicare's coverage?
Answer: Medicare will cover Mrs. Shields' skilled nursing services provided during the first 20 days of her
stay, after which she'd have a coinsurance until she's been in the facility for 100 days.
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