AHIP Module 1 Graded A
Question 1: Ms. Moore, who's planning to retire soon, is concerned that her income will make it
impossible for her to qualify for Medicare. What should you tell her?
Answer: Medicare is a program for people 65 or older, regardless of income level.
Question 2: Mr. Schm...
Question 1: Ms. Moore, who's planning to retire soon, is concerned that her income will make it
impossible for her to qualify for Medicare. What should you tell her?
Answer: Medicare is a program for people 65 or older, regardless of income level.
Question 2: Mr. Schmidt wants to know what's covered under Original Fee-for-Service (FFS) Medicare.
What can you tell him?
Answer: Original Medicare covers Part A (hospital, skilled nursing facility, hospice, and home health
services) and Part B (professional services, such as doctor visits).
Question 3: Mr. Hernandez is worried that a Medicare Advantage plan might reduce his benefits below
Original Medicare levels. What should you tell him?
Answer: Medicare Advantage plans must cover all benefits available under Medicare Part A and Part B,
and many also cover Part D prescription drugs.
Question 4: Mrs. Roberts received a new Medicare ID card without her Social Security number. What
should you tell her?
Answer: The new card is valid and has been updated to protect against identity theft; she should destroy
her old card.
Question 5: Mrs. Willard wants to know how Original Medicare compares to a Medicare Health Plan's
benefits package. What can you tell her?
Answer: Medicare Health Plans may offer extra benefits like vision, hearing, and dental services not
covered by Original Medicare, but must include a maximum out-of-pocket limit on Part A and Part B
services.
, Question 6: Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what Medicare
Supplemental Insurance provides. What can you tell him?
Answer: Medicare Supplemental Insurance covers Part A and Part B cost sharing in Original FFS
Medicare and may also cover services not covered by Medicare.
Question 7: Chen will be 65 soon and is concerned about qualifying for Part A coverage despite being a
US citizen. 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.
Question 8: Mr. Bauer was declared disabled 18 months ago and has been receiving disability payments.
Can he obtain coverage under Medicare? What should you tell him?
Answer: He will be automatically enrolled in Medicare after receiving disability payments for 24 months,
regardless of age.
Question 9: Mr. Denton has end-stage renal disease and will start dialysis soon. Can he obtain coverage
under Medicare? What should you tell him?
Answer: He can sign up for Medicare at any time, with coverage usually starting on the fourth month
after dialysis treatments begin.
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 drug costs? ✔️Mr. Wu may still
qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program.
Mr. Patel is in good health and is preparing a budget in anticipation of his retirement when he turns 66.
He wants to understand the health care costs he might be exposed to under Medicare if he were to
require hospitalization as a result of an illness. In general terms, what could you tell him about his costs
for inpatient hospital services under Original Medicare? ✔️Under Original Medicare, there is a single
deductible amount due for the first 60 days of any inpatient hospital stay, after which it converts into a
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