AHIP Module 1 Exam Test 2024/2025| Distinction
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...
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 address
her concern? - ✔️✔️- Medicare is a program for people 65 or older and those under the
age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig's disease so
she will be eligible for Medicare.
Mr. Schmidt would like to plan for retirement and has asked you what is covered under
Original Fee-for-Service (FFS) Medicare? What could you tell him? - ✔️✔️- Part A,
which covers hospital, skilled nursing facility, hospice, and home health services and
Part B, which covers professional services such as those provided by a doctor are
covered under Original Medicare.
Mr. Hernandez is concerned that if he signs up for a Medicare Advantage plan, the
health plan may, at some time in the future, reduce his benefits below what is available
in Original Medicare. What should you tell him about his concern? - ✔️✔️- Medicare
Advantage plans must cover all benefits available under Medicare Part A and Part B.
Many also cover Part D prescription drugs.
Mrs. Roberts has just received a new Medicare identity card in the mail. She is
concerned that it is a forgery since it does not have her Social Security number on it.
What should you tell her? - ✔️✔️- The card she received is valid, the change has been
made to protect Medicare beneficiaries from identity theft, and she should now destroy
her old card.
, Mrs. Willard wants to know generally how the benefits under Original Medicare might
compare to the benefit package of a Medicare Health Plan before she starts looking at
specific plans. What could you tell her? - ✔️✔️- Medicare Health Plans may offer extra
benefits that Original Medicare does not offer such as vision, hearing, and dental
services and must include a maximum out-of-pocket limit on Part A and Part B services.
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? - ✔️✔️- Medicare
Supplemental Insurance would help cover his Part A and Part B cost sharing in Original
Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare does
not cover.
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 qualify for
coverage under Part A because she was not born in the US. What should you tell her? -
✔️✔️- 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.
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? - ✔️✔️- After receiving such
disability payments for 24 months, he will be automatically enrolled in Medicare,
regardless of age.
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