Exam (elaborations)
AHIP Test 2018
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Exam of 47 pages for the course EXXAM at EXXAM (AHIP Test 2018)
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Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled bythe 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
Mr. Davis is 49 years old and has been receiving disability benefits from the Social
Security Administration for 12 months. Can you sell him a Medicare Advantage or
Part D Prescription Drug policy?
No, he cannot purchase a Medicare Advantage or Part D policy because he has
not received Social Security or Railroad Retirement disability benefits for 24
months.
Ms. Henderson believes that she will qualify for Medicare coverage when she turns
65, without paying any premiums, because she has been working for 40 years and
paying Medicare taxes. What should you tell her?
In order to obtain Part B coverage, she must pay a standard monthly premium,
though it is higher for individuals with higher incomes
Mrs. Raskin is a widow who will attain aged 65 and enroll in Medicare in just a few
weeks. She concerned about having prescription drug coverage. Which of the
following statements provides the best advice?
Prescription drug coverage can be obtained by enrolling in a Medicare
Advantage plan that includes Part D coverage
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?
Medicare health plans must cover all benefits available under Medicare Part A and
Part B. Many also cover Part D prescription drugs
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 and those under age 65 with
certain disabilities, end stage renal disease or Lou Gehrig’s disease, so she will be
eligible for Medicare
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?
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. Meoni’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.Meoni?
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
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