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AHIP MODULE 1 EXAM WITH COMPLETE QUESTIONS AND ACCURATE ANSWERS RATED A+
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AHIP MODULE 1 EXAM WITH COMPLETE QUESTIONS AND ACCURATE ANSWERS RATED A+
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AHIP MODULE 1 EXAM WITH COMPLETEQUESTIONS AND ACCURATE ANSWERS
RATED A+
Anita Magri will turn age 65 in August 2025. Anita intends to enroll
in Original Medicare Part A and Part B. She would also like to
enroll in a Medicare Supplement (Medigap) plan. Anita's older
neighbor Mel has told her about the Medigap Plan F in which he
is enrolled. It not only provides foreign travel emergency benefits
but also covers his Medicare Part B deductible. Anita comes to
you for advice. What should you tell her? Correct Answer You are
sorry to disappoint Anita but a Medigap F plan is no longer
available to those who turn age 65 after January 1,2025. Anita
might instead consider other Medigap plans that offer foreign
travel benefits but do not cover the Part B deductible.
Mrs. Duarte is enrolled in Original Medicare Parts A and B. She
has recently reviewed her Medicare Summary Notice (MSN) and
disagrees with a determination that partially denied one of her
claims for services. What advice would you give her? Correct
Answer Mrs. Duarte should file an appeal of this initial
determination within 120 days of the date she received the MSN
in the mail.
Bauer is 49 years old, but eighteen months ago he was declared
disabled by the SSA and has been receiving disability payments.
He is wondering whether he can obtain coverage under Medicare.
What should you tell him? Correct Answer After receiving such
disability payments for 24 months, he will be automatically
enrolled in Medicare, regardless of age.
Mr. Denton is 52 years old and has recently been diagnosed with
end-stage renal disease and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What
,should you tell him? Correct Answer He may sign-up for Medicare
at any time however coverage usually begins on the fourth month
after dialysis treatments start.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income.
What could you tell Mrs. Park that might be of assistance?
Correct Answer 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.
Mrs. Geisler's neighbor told her she should look at her Part D
options during the annual Medicare enrollment period because
features of Part D might have changed. Mrs. Geisler can't
remember what Part D is so she called you to ask what her
neighbor was talking about. What could you tell her? Correct
Answer Part D covers prescription drugs and she should look at
her premiums, formulary, and cost-sharing among other factors to
see if they have changed.
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 first eligible and wants to know how much he
will have to pay. What should you tell him? Correct Answer Mr.
Diaz will not pay any penalty because he had continuous
coverage under his employer's plan
Mr. Buck has several family members who died from different
cancers. He wants to know if Medicare covers cancer screening.
What should you tell him? Correct Answer Medicare covers the
periodic performance of a range of screening tests that are meant
to provide early detection of disease. Mr. Buck will need to check
specific tests before obtaining them to see if they will be covered.
,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? Correct
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 coinsurance amount through
day 90. After day 90, he would pay a daily amount up to 60 days
over his lifetime, after which he would be responsible for all costs.
Mrs. Peňa 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? Correct 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 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.
What impact, if any, have recent regulatory changes had upon
Medigap plans? Correct Answer The Part B deductible is no
longer covered for individuals newly eligible for Medicare starting
January 1, 2020.
Mr. Singh would like drug coverage but does not want to be
enrolled in a Medicare Advantage plan. What should you tell him?
Correct Answer Mr. Singh can enroll in a stand-alone prescription
drug plan and continue to be covered for Part A and Part B
services through Original Fee-for-Service Medicare.
Mrs. Paterson is concerned about the deductibles and co-
payments associated with Original Medicare. What can you tell
her about Medigap as an option to address this concern? Correct
, Answer Medigap plans help beneficiaries cover Original Medicare
benefits, but they coordinate with Original Medicare coverage.
Mrs. Quinn recently turned 66 and decided after many years of
work to begin receiving Social Security benefits. Shortly thereafter
Mrs. Quinn received a letter informing her that she has been
automatically enrolled in Medicare Part B. She wants to
understand what this means. What should you tell Mrs. Quinn?
Correct Answer Part B primarily covers physician services. She
will be paying a monthly premium and, with the exception of many
preventive and screening tests, generally will have 20%
coinsurance for these services, in addition to an annual
deductible.
Mr. Alonso receives some help paying for his two generic
prescription drugs from his employer's retiree coverage, but he
wants to compare it to a Part D prescription drug plan. He asks
you what costs he would generally expect to encounter when
enrolling into a standard Medicare Part D prescription drug plan.
What should you tell him? Correct Answer He generally would
pay a monthly premium, annual deductible, and per-prescription
cost-sharing.
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? Correct
Answer Mr. Wu may still qualify for help in paying Part D costs
through his State Pharmaceutical Assistance Program.
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? Correct Answer To obtain Part B
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