Exam (elaborations)
AHIP TEST Exam questions with correct answers.
AHIP TEST Exam questions with correct answers.
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AHIP TEST Exam questions with correct
answers
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 |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.
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.
Mr. |Xi |will |soon |turn |age |65 |and |has |come |to |you |for |advice |as |to |what |services |are |provided |
under |Original |Medicare. |What |should |you |tell |Mr. |Xi |that |best |describes |the |health |coverage |
provided |to |Medicare |beneficiaries? |- |correct |answer-Beneficiaries |under |Original |Medicare |have |no
|cost-sharing |for |most |preventive |services |which |include |immunizations |such |as |annual |flu |shots.
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? |- |correct |answer-Tell |prospect |Jerry |Smith |that |he |should |
consider |adding |a |standalone |Part |D |prescription |drug |coverage |policy |to |his |present |coverage.
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 |coverage, |she |must |pay |a |standard |
monthly |premium, |though |it |is |higher |for |individuals |with |higher |incomes.
, 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.
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.
Mr. |Moy'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. |Moy? |- |correct |answer-Medicare |Supplemental |Insurance |would |
help |cover |his |Part |A |and |Part |B |deductibles |or |coinsurance |in |Original |Fee-for-Service |(FFS) |
Medicare |as |well |as |possibly |some |services |that |Medicare |does |not |cover.
Which |of |the |following |statement(s) |is/are |correct |about |a |Medicare |Savings |Account |(MSA) |Plans?
I. |MSAs |may |have |either |a |partial |network, |full |network, |or |no |network |of |providers.
II. |MSA |plans |cover |Part |A |and |Part |B |benefits |but |not |Part |D |prescription |drug |benefits.
III. |An |individual |who |is |enrolled |in |an |MSA |plan |is |responsible |for |a |minimal |deductible |of |$500 |
indexed |for |inflation.
IV. |Non-network |providers |must |accept |the |same |amount |that |Original |Medicare |would |pay |them |
as |payment |in |full. |- |correct |answer-I, |II, |and |IV |only
Juan |Hernandez |is |turning |65 |next |month, |Juan |legally |entered |the |United |States |over |twenty |
years |ago |but |is |not |a |citizen. |Since |his |entry |into |the |country, |Juan |has |worked |at |Smallcap |
Incorporated |and |contributed |to |the |Medicare |system. |Juan |suffers |from |diabetes. |He |will |soon |
retire |and |asks |you |if |he |can |enroll |in |a |Medicare |Advantage |plan |that |you |represent. |How |would
|you |respond? |- |correct |answer-Juan |is |eligible |to |enroll |in |a |Medicare |Advantage |as |long |as |he |is |
entitled |to |Part |A |and |enrolled |in |Part |B. |Juan |should |go |to |the |Social |Security |website |to |enroll |
in |Medicare |Part |A |and |B |if |he |has |not |done |so |already. |Once |he |is |enrolled, |he |can |choose |a |
Medicare |Advantage |plan.