2024 AHIP MEDICARE TRAINING
MODULE 1 FINAL REVIEW EXAM
WITH VALID ANSWERS
Mrs. Pena 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?
A. She may only enroll in Part B during the general enrollment period
whether she is retired or not.
b. She may not enroll in Part B while covered under an employer group
health plan and must wait until the standard general enrollment period after
she retires.
c. She must wait at least 30 days after her employment terminates before
she may enroll in Medicare Part B.
D. 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. -
CORRECT-ANSWERSD. 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.
Explanation: As long as Mrs. Pena is covered under her employer's plan, she
can enroll in Part B at any time. If she retires, she will be able to enroll in Part
B during a special enrollment period that lasts 8 months following the last
month of her employer coverage.
Mr. Singh would like drug coverage but does not want to be enrolled in a
Medicare Advantage plan. What should you tell him?
A. 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.
B. Mr. Singh must leave Original Medicare to receive drug coverage.
C. Part D prescription drug coverage can only be obtained by enrollment into
a Medicare Advantage plan that also covers Part A
and Part B services.
D. Mr. Singh will have to enroll in Medicaid if he wishes to obtain prescription
drug coverage through some means other than a
, Medicare Advantage plan. - CORRECT-ANSWERSA. 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.
Explanation: Prescription drug coverage is available to those who enroll in a
stand-alone Part D prescription drug plan and continue coverage under
Original Medicare Part A and Part B.
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?
A. She will need to pay no premiums for Part B as she qualifies for premium-
free coverage due to the number of quarters she
has worked.
B. 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.
C. Part B will cover her dental and vision needs.
D. She should disenroll if she does not want to pay the monthly premiums.
There is no disadvantage in doing so. - CORRECT-ANSWERSB. 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.
Explanation: Medicare Part B primarily covers physician services. Enrollees
pay a monthly premium based on their income level and have 20%
coinsurance cost-sharing with the exception of preventive benefits.
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?
A. Under Original Medicare, if the inpatient hospital service is provided by a
participating Medicare provider, the co-payment is
waived. Co-payments are only charged when a beneficiary opts to receive
care from a non-participating provider.
B. 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 cost - CORRECT-ANSWERSB. Under Original Medicare, there is a single
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