AHIP Module 1
Question 1: Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and wants
to know which services Original Medicare will cover. What can you tell her?
Answer: Original Medicare covers ambulance services, among other things.
Question 2: Madeline Marti...
AHIP 2024-2025 Module 1
Question 1: Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and wants
to know which services Original Medicare will cover. What can you tell her?
Answer: Original Medicare covers ambulance services, among other things.
Question 2: Madeline Martinez is turning 65 and has a substantial income from her late husband's
estate. She wants to know how this will affect her Medicare enrollment. What should you tell her?
Answer: Madeline will pay Part B premiums at a rate higher than the standard lowest rate but lower
than the highest rate due to her substantial income.
Question 3: Juan Perez is turning 65 and working for Smallcap, Incorporated. He wants to know if he'll
be entitled to Medicare and how it will impact his employer-sponsored healthcare coverage. How would
you respond?
Answer: Juan will be eligible for Medicare once he turns 65, and if he enrolls, Medicare will become the
primary payer of his healthcare claims, and Smallcap won't have to continue offering him coverage
comparable to those under 65 under its employer-sponsored group health plan.
Question 4: Mr. Wu 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? What could you tell him?
Answer: Mr. Wu may still qualify for help in paying Part D costs through his State Pharmaceutical
Assistance Program.
Question 5: Mrs. Quinn received a letter informing her that she's been automatically enrolled in
Medicare Part B after turning 66. What should you tell her?
Answer: Part B primarily covers physician services, and she'll pay a monthly premium, with the
exception of many preventive and screening tests, generally having a 20% coinsurance.
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