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AHIP FINAL EXAM QUESTIONS AND VERIFIED ANSWERS/ A GRADE
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AHIP FINAL EXAM QUESTIONS AND VERIFIED ANSWERS/ A GRADE
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2022-2023 AHIP FINAL EXAM QUESTIONS AND VERIFIED ANSWERS/AGRADE 1. Edward IP suffered from serious kidney disease. As a result. Edward became eligible for Medicare coverage due to end -stage renal disease (ESRD). A close relative donated their kidney and Edward successfully underwent transplant surgery 12 months ago. Edwar d is now age 50 and asks you if his Medicare coverage will continue, what should you say?: Individuals eligible for Medicare based on ESRD generally lose eligibility 36 months after the month in which the individual receives a kidney transplant unless they are eligible for Medicare on another basis such as age or disability. Edward may, however, remain enrolled in Part B but solely for coverage of immunosuppressive drugs if he has no other health care coverage that would cover the drugs. 2. Mildred Savage enro lled in Allcare Medicare Advantage plan several years ago. Mildred recently learned that she is suffering from inoperable cancer and has just a few months to live. She would like to spend these final months in hospice care. Mildred's family asks you whethe r hospice benefits will be paid for under the Allcare Medicare Advantage plan. What should you say?: Mildred may remain enrolled in Allcare and make a hospice election. Hospice benefits will be paid for by Original Medicare under Part A and Allcare will co ntinue to pay for any non -hospice services . 3. 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 firs t eligible and wants to know how much he will have to pay. What should you tell him?: Mr. Diaz will not pay any penalty because he had continuous coverage under his employer's plan. 4. Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand w hat coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife's needs. What could you tell Mr. Moy?: Medicare Supplemental Insurance would help cover his Part A and Part B deductibles or coinsurance in Origin al Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare does not cover. 5. 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 s he 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 and age 65 or over are covered under Part A by virtue of having paid Medicare taxes while working, tho ugh some may be covered as a result of paying monthly premiums. 6. 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 obt ain 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. 7. Mr. Xi will soon turn age 65 and has come to you for advice as to what service s 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 include immunizat ions such as annual flu shots. 8. Mrs. PeHa is 66 years old, has coverage under an employer plan, and will retire next year. She heard she must enroll in Part B at the beginning of the year to ensure no gap in coverage. What can you tell her?: She may enroll at any time while she is covered under her employer plan, but she will have a special eight -month enrollment period after the last month on her employer plan that differs from the standard general enrollment period, during which she may enroll in Medicare Part B. 9. Mr. Davis is 52 years old and has recently been diagnosed with end -stage renal disease (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. 10. 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 provi des Madeline with an annual income of approximately $130,000. Madeline, who has only worked part -time for the last three 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 shou ld tell Madeline that she will be able to enroll in Medicare Part A without paying monthly premiums due to her husband's long work record and 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 her substantial income. 11. 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?: To obtain Part B coverage, she must pay a standard monthly premium, though it is higher for individuals with higher incomes. 12. To obtain Part B coverage, she must pay a standard monthly premium, though it is higher for individuals with higher incomes .: Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could keep her Medigap policy and enroll in a Part D prescription drug plan. 13. Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently enrolled in Medicare Parts A and 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 prosp ect Jerry Smith that he should consider adding a standalone Part D prescription drug coverage policy to his present coverage. 14. 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, and Lou Gehrig's disease so she will be eligible for Medicare. 15. Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a Medigap plan to pick up costs not covered by that plan. What should you tell him?: It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled in an MA plan, and besides, Medigap only works with Original Medicare. 16. Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs. Park that might be of assistance?: She should contact her state Medicaid agency to see if she qualifies for one of several programs that can help with Medicare costs for which she is responsible.The benefits of buying summaries with Stuvia:
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