AHIP Module Quizzes (Latest 2022/2023) (Verified
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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. Geisler's neighbor told her she should look at her Part D options during the annual Medicare
enrollment period because features of Part D might have changed. Mrs. Geisler can't remember what
Part D is so she called you to ask what her neighbor was talking about. What could you tell her? Correct
Answer: Part D covers prescription drugs & she should look at her premiums, formulary, & cost sharing
among other factors to see if they have changed
Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal diease (ESRD) and will
soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell
him? Correct Answer: He may sign up for Medicare at any time however coverage usually begins on the
fourth month after dialysis treatments start
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 inc. immunizations such as annual flu shots
Madeline Martinez was widowed several years ago. Her husband worked for many years and
contributed into the Medicare system. He also left a substantial estate which provides Madeline w/ an
annual income of approx. $130,000. Madeline, who has only worked part-time for the last 3 years, will
soon turn age 65 and hopes to enroll in Original Medicare. She comes to you for advice. What should
you tell her? Correct Answer: You should tell Madeline that she will be able to enroll in Medicare Part A
w/out paying monthly premiums due to her husband's long work record & participation in the Medicare
system. You should also tell Madeline that she will pay Part B premiums at more than the standard
lowest rate but less than the highest rate due to her substantial income
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? Correct Answer: Medicare is a
program for people age 65 or older & those under age 65 w/ certain disabilities, end-stage renal disease,
& Lou Gehrig's disease so she will be eligible for Medicare
Mrs. Quinn recently turned 66 and decided after __________ Social Security benefits. Shortly thereafter,
Mrs. Quinn received a letter informing her she has been automatically enrolled in Medicare Part B. She
wants to understand what this means. What should you tell her? Correct Answer: Part B primarily
covers physician services. She will be paying a monthly premium &, with the exception of many
, preventive and screening tests, generally will have 20% coinsurance for these services, in addition to an
annual deductible
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 w/ his prescription drug costs? Correct Answer: He may
still qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program
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 him? Correct Answer: Medicare Supplemental Insurance would help cover his Part A & B
cost sharing in Original Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare
does not cover
Anita Magri will turn 65 in August 2020. Anita intends to enroll in Original Medicare Part A & B. She
would also like to enroll in a Medicare Supplement (Medigap) plan. Anita's older neighbor Mel had told
her about Medigap Part F plan in which he is enrolled. It not only provides foreign travel emergency
benefits, but also covers his Medicare Part B deductible. Anita comes to you for advice. What should you
tell her? Correct Answer: You are sorry to disappoint her but a Medigap Part F plan is no longer
available to those who turn 65 after Jan. 1, 2020. Anita might instead consider other Medigap plans that
offer foreign travel benefits but do not cover the Part B deductible
Mr. Singh would like drug coverage, but does not want to be enrolled in a Medicare Advantage plan.
What should you tell him? Correct Answer: Mr. Singh can enroll in a stand alone prescription drug plan
& continue to be covered for Part A & B services through Original Fee-for-Service Medicare
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know
which of the following services Original Medicare will cover if the appropriate criteria are met? What
could you tell her? Correct Answer: Original Medicare covers ambulance services
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being successfully
treated for that condition. However, she and her physicians feel that after her lengthy hospital stay she
will need a month or two of nursing and rehabilitative care. What should you tell them about Original
Medicare's coverage of care in a skilled nursing facility? Correct Answer: Medicare will cover Mrs.
Shields skill nursing services during the first 20 days of her stay, after which she would have a copay until
she has been in the facility for 100 days
What impact, if any, will recent regulatory changes have upon Medigap plans? Correct Answer: The Part
B deductible will no longer be covered for individuals newly eligible for Medicare starting Jan. 1, 2020
Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently enrolled in Medicare
Parts A & 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
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 qualify for coverage under part A
because she was not born in the United States. What should you tell her? Correct Answer: Most
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