AHIP TRAINING Module 1
Question 1: Mrs. Chen, a 65-year-old citizen who has been a US resident for 12 years, is concerned that
she won't qualify for Part A coverage because she wasn't born in the US. What can you tell her?
Answer: Most individuals who are citizens and over age 65 are covered ...
AHIP TRAINING Module 1
Question 1: Mrs. Chen, a 65-year-old citizen who has been a US resident for 12 years, is concerned that
she won't qualify for Part A coverage because she wasn't born in the US. What can 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, though some may be covered as a result of paying monthly
premiums.
Question 2: Mr. Bauer, a 49-year-old individual with a disability, wonders if he can obtain coverage
under Medicare. How long must he wait before he can enroll in Medicare?
Answer: He will be automatically enrolled in Medicare after receiving disability payments for 24 months.
Question 3: Mr. Davis, a 49-year-old individual with a disability, wants to purchase a Medicare
Advantage (MA) or Part D prescription drug plan. Can he do so?
Answer: No, he cannot purchase a MA or Part D plan because he has not received SSA or Railroad
Retirement Board disability benefits for 24 months.
Question 4: Mrs. Henderson believes she will qualify for Medicare coverage without paying premiums
because she has worked for 40 years and paid Medicare taxes. What can you tell her about Part B
premiums?
Answer: She will need to pay a standard monthly premium for Part B coverage, although it may be
higher for individuals with higher income.
Question 5: Mr. Diaz continues to work with his company and is insured under his employer's group plan
until he reaches age 68. What can you tell him about Part B premiums?
Answer: He will not pay any penalty because he had continuous coverage under his employer's plan.
, Question 6: Mrs. Peña is 66 years old and has an employer plan. She will retire next year and wants to
know when she can enroll in Part B. What can you tell her?
Answer: She may enroll at any time while she is covered under her employer plan, but she will have a
special eight-month enrollment period that differs from the standard general enrollment period.
Question 7: Mrs. Kelly is entitled to Part A but not yet enrolled in Part B and is considering enrollment in
a Medicare health plan. What should you advise her to do before enrolling in a Medicare health plan?
Answer: She must also enroll in Part B before enrolling in a Medicare health plan.
Question 8: Tomá has limited income and resources. What could you tell her that might be of
assistance?
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. Yu has limited income and resources and wonders what kind of financial assistance
might be available to him if he qualifies. What could you tell him?
Answer: He might qualify for help with Part D prescription drug costs and help paying Part A and/or Part
B premiums, deductibles, and/or cost sharing.
Question 10: Mr. Patel is preparing for retirement and wants to understand the healthcare costs he
might incur under Medicare if he requires hospitalization due to an illness. What can you tell him about
Original Medicare's coverage of inpatient hospital services?
Answer: 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 per-day amount through day 90.
RAINEY is experiencing paranoid delusions and his physician feels that he should be hospitalized. What
should you tell Mr. Rainey (or representative) about the length of an inpatient psychiatric hospital stay
that Medicare will cover?
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