AHIP 2021 Module Quizzes
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? -
After receiving suc...
AHIP 2021 Module Quizzes
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? -
✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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? - ✔✔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
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