AHIP FINAL EXAM LATEST VERSION 2023/2024 / AHIP FINAL TEST QUESTIONS AND VERIFIED SOLUTIONS RATED A+
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AHIP FINAL EXAM LATEST VERSION 2023/2024 / AHIP FINAL TEST QUESTIONS AND
VERIFIED SOLUTIONS RATED A+
AHIP FINAL EXAM LATEST VERSION 2023/2024 / AHIP FINAL TEST QUESTIONS AND
VERIFIED SOLUTIONS RATED A+
AHIP FINAL EXAM LATEST VERSION 2023/2024 / AHIP FINAL TEST QUESTIONS AND
VERIFIED SOLUTIO...
1. 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?
correct answersHe may sign-up for Medicare at any time however coverage usually begins on
the fourth month after dialysis treatments start.
2. Juan Perez, who is turning age 65 next month, intends to work for several more years
atSmallcap, Incorporated. Smallcap has a workforce of15 employees and offers
employer-sponsored healthcare coverage. Juan is a naturalized citizen and has
contributed to the Medicare system for over 20 years. Juan asks you if he will be
entitled to Medicare and if he enrolls how that will impact his employer- sponsored
healthcare coverage. How would you respond?
,correct answersJuan is likely to be eligible for Medicare once he turns age 65 and if he enrolls
Medicare would become theprimary payor of his healthcare claims and Smallcap does not have
to continue to offer him coverage comparable to those under age 65 under its employer-
sponsored group health plan.
3. 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
aredifferent from his wife's needs. What could you tell Mr. Moy?correct
answersMedicareSupplemental 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.
4. 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 gapin
coverage. What can you tell her?correct answersShe 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.
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 she will not
qualifyfor coverage under part A because she was not born in the United States. What
shouldyou tell her?correct answersMost individuals who are citizens and age 65 or over
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.
,6. Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well, but it
provides no drug coverage. She would like to keep the coverage she has but replace her
existing Medigap plan with one that provides drug coverage. What should you tell
her?correct answersMrs. 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.
7. Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from
arthritis through massage therapy. She is concerned about whether or not Medicare
willcover these items and services. What should you tell her?correct answersMedicare
does not cover massage therapy, or, in general, glasses or dentures.
8. 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
tounder 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 answersUnder 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
paya daily amount up to 60 days over his lifetime, after which he would be responsible
for all costs.
9. 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 answersTo obtain Part B coverage,
, she must pay a standard monthly premium, though it is higher for individuals with
higherincomes.
10. 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 MedicarePart D prescription drug plan. What should you tell
him?correctanswersHe generally would pay a monthly premium, annual deductible,
and per- prescription cost-sharing.
11. 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
addressher concern?
correct answersMedicare 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.
12. 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 answersBeneficiaries underOriginal Medicare have no cost-sharing for most preventive
services which include immunizations such as annual flu shots.
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