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Exam (elaborations)

AHIP Medicare Exam Study Questions and Answers

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  • 2025 AHIP
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  • 2025 AHIP

AHIP Medicare Exam Study Questions and Answers 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 with his prescription drug costs? - ANSWER--Mr. Wu may still qualify for help in paying Part ...

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  • October 31, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • 2025 AHIP
  • 2025 AHIP
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Emillect
©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




AHIP Medicare Exam Study Questions and

Answers


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 with his prescription drug costs? - ANSWER✔✔--Mr. Wu

may still qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program.


What impact, if any, will recent regulatory changes have upon Medigap plans? - ANSWER✔✔--The Part B

deductible will no longer be covered for individuals newly eligible for Medicare starting January 1, 2020


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? - ANSWER✔✔--Original Medicare covers ambulance services.


Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently enrolled in Medicare

Parts A and 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? - ANSWER✔✔--Tell prospect Jerry Smith that he should consider adding a standalone

Part D prescription drug coverage policy to his present coverage.




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, ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Mrs. Paterson is concerned about the deductibles and co-payments associated with Original Medicare.

What can you tell her about Medigap as an option to address this concern? - ANSWER✔✔--Medigap

plans help beneficiaries cover coinsurance, co-payments, and/or deductibles for medically necessary

services.


Anita Magri will turn age 65 in August 2020. Anita intends to enroll in Original Medicare Part A and Part

B. She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita's older neighbor Mel has

told her about the 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? - ANSWER✔✔--You are sorry to disappoint Anita but a Medigap Part F plan is no

longer available to those who turn age 65 after January 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? - ANSWER✔✔--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.


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? - ANSWER✔✔--Medicare will cover Mrs. Shield's

skilled nursing services provided 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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, ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




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? - ANSWER✔✔--After receiving such disability

payments for 24 months, he will be automatically enrolled in Medicare, regardless of age.


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? - ANSWER✔✔--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.


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? - ANSWER✔✔--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. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will

soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell

him? - ANSWER✔✔--He may sign-up for Medicare at any time however coverage usually begins on the

fourth month after dialysis treatments start.




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