Exam (elaborations)
2024 AHIP CERTIFICATION PART 1 EXAM WITH CORRECT ANSWERS
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2024 AHIP CERTIFICATION PART 1 EXAM WITH CORRECT ANSWERS
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2024 AHIP CERTIFICATION PART 1EXAM WITH CORRECT ANSWERS
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?
a. Medicare covers some screening tests that must be performed within the
first year after enrollment. Beyond that point expenses for screening tests
are the responsibility of the beneficiary.
b. Medicare covers 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.
c. Medicare covers all screening tests that have been approved by the FDA
on a frequency determined by the treating physician.
d. Medicare covers treatments for existing disease, injury and malformed
limbs or body parts. As such, it does not cover any screening tests and these
must be paid for by the beneficiary out of pocket. Incorrect - CORRECT-
ANSWERSb
Mrs. Turner is comparing her employer's retiree insurance to Original
Medicare and would like to know which of the following services Original
Medicare will cover if the appropriate criteria are met? What could you tell
her?
a. Original Medicare covers orthopedic shoes.
b. Original Medicare covers cosmetic surgery.
c. Original Medicare covers routine foot care.
d. Original Medicare covers ambulance services. - CORRECT-ANSWERSd
Mrs. Wolf wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through acupuncture. She is concerned about whether or
not Medicare will cover these items and services. What should you tell her?
a. Medicare covers 50% of the cost of these three services.
b. Medicare covers 80% of the cost of these three services.
c. Medicare does not cover acupuncture, or, in general, glasses or dentures.
d. Medicare covers glasses, but not dentures or acupuncture. - CORRECT-
ANSWERSc
, Mr. Singh would like drug coverage, but does not want to be enrolled into a
health plan. What should you tell him?
a. Mr. Singh will have to enroll in Medicaid if he wishes to obtain prescription
drug coverage through some means other than a Medicare Health Plan.
b. 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.
c. Part D prescription drug coverage can only be obtained by enrollment into
a Medicare Health Plan that also covers Part A and Part B services.
d. Mr. Singh must leave Original Medicare to receive drug coverage. -
CORRECT-ANSWERSb
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?
a. He generally would pay only a monthly premium. Medicare covers all
other costs.
b. He generally would pay only a per-prescription co-payment. Medicare
covers all other costs.
c. He generally would pay a monthly premium, annual deductible, and per-
prescription cost sharing.
d. He generally would pay only a monthly premium and deductible.
Medicare covers all other costs. - CORRECT-ANSWERSc
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?
a. Part D covers physician and non-physician practitioner services and the
deductible has not changed this year, but the physician charges may go up.
b. Part D covers hospital and home health services and the cost sharing has
changed this year.
c. 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.
d. Part D covers long-term care services and she shouldn't worry because
there has been no change in coverage. - CORRECT-ANSWERSc
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?
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