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?
Choose one answ...
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
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?
Choose one a. Eligibility for Medicare is based on whether or not a person has
answer. ever been employed by the federal government. If she or her
husband were ever employed by the federal government, she can
enroll in Medicare.
b. Medicare is a program for people age 65 or older and those under
age 65 with certain disabilities, end stage renal disease or Lou
Gehrig’s disease, so she will be eligible for Medicare.
c. Medicare is a program for people who have incomes and assets
below specific limits, so you will have to find out her exact financial
situation before telling her whether she can obtain Medicare
coverage.
d. Medicare is a program for people of all ages with specific mental
health disabilities. Since she is in excellent health, she would not
qualify, but should instead look into her state’s Medicaid program if
she wants further coverage.
Source: Medicare Program Basics
2
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?
Choose one a. Part A, which covers hospital, skilled nursing facility, hospice and
answer. home health services and Part B, which covers professional services
such as those provided by a doctor are covered under Original
Medicare.
b. Part D, which covers prescription drug services, is covered under
Original Medicare.
c. Part A, which covers long term custodial care services, is covered
under Original Medicare.
d. Part C, which always covers dental and vision services, is covered
https://www.ahipmedicaretraining.com/mod/quiz/review.php?attempt=22887348 1/4
,9/25/2017 2018 Final Exam: Final Exam
37
Marks: 1 Ms. Lewis understands that Medicare prescription drug plans may use various methods to
control the use of specific drugs. She has heard about a technique called “step therapy”
and is wondering if you can explain what that is. What should you tell her?
Choose one a. Step therapy involves using one or more lower priced drugs before
answer. trying a more expensive drug when all are used to treat the same
condition.
b. Step therapy involves taking somewhat larger doses, but skipping
every other day, resulting in lower overall consumption of the drug.
c. Step therapy refers to incentives plans can provide to enrollees to
engage in regular walking in order to reduce their need for
medications treating heart and cholesterol problems.
d. Step therapy involves slow changes in the dosages of a given drug
in order to discover the correct amount.
27
Marks: 1 You have had a good meeting with Mr. Claggett and he has selected a Medicare
Advantage plan. He would like you to help him complete the enrollment application
because he wants to make sure he gets into the right plan. You offer to help, but you tell
him that you cannot do which of the following?
Choose one a. Help him fill out any portion of the enrollment form.
answer.
b. Help him correct any information on the enrollment form if he
makes a mistake.
c. Help him place a phone call to the plan sponsor’s enrollment
center.
d. Help him find the plan’s enrollment website on your laptop
computer.
8
Marks: 1 Ms. Hernandez has marketed several different types of insurance products in her home
state and has typically sought approval of her materials from her State Department of
Insurance. What would you advise her regarding seeking such approval for materials she
uses to market Medicare Advantage plans?
Choose one a. Materials need only be reviewed and approved by the company(s)
answer. she represents.
b. Materials for marketing Medicare health plans to individuals are
subject to Medicare’s uniform national requirements. They do not
need to be reviewed by the state, but the company she represents
must obtain approval from the Medicare agency (CMS) for any
materials she uses.
c. States often volunteer to review marketing materials on behalf of
the Medicare agency. She should check with her Department of
Insurance to see if such a review is available and would satisfy CMS
requirements.
d. Obtaining approval of her materials from the State Department of
Insurance is a good practice and she should continue it with
materials for the Medicare health plans she represents
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