Page |1
AHIP MEDICARE TRAINING 2021
Questions and Correct Answers/ Latest
Update / Already Graded
Ms. Jensen has heard about "Original Fee-for-Service Medicare" and
"Private Fee-for-Service" plans. She wants to know what the difference
is if any. What should you tell her?
Ans: PFFS plans are a type of Medicare Advantage plan offered
by private companies.
This year you decide to focus your efforts on marketing to employer
and union groups. Which of the following statements best describes
what you can and cannot do in order to stay in compliance?
Ans: You are not required to submit communication and
marketing materials specific only to those employer plans to
CMS at the time of use, but CMS may request and review copies
if employee complaints occur.
Agent Suma has recently had several clients request his assistance in
completing their paper enrollment form. What advice would you give
him?
Ans: Agent Suma is only permitted to fill out the applicant's
name and contact information. The applicant must fill in the
remaining information in order to protect his or her privacy.
All rights reserved © 2025/ 2026 |
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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?
Ans: 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.
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?
Ans: Original Medicare covers ambulance services.
Mr. Diaz continued working with his company and was insured under
his employer's group plan until he reached age 68. He has heard that
there is a premium penalty for those who did not sign up for Part B
when first eligible and wants to know how much he will have to pay.
What should you tell him?
All rights reserved © 2025/ 2026 |
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Ans: Mr. Diaz will not pay any penalty because he had
continuous coverage under his employer's plan.
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
Ans: 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. 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 Mr. Moy?
Ans: Medicare Supplemental Insurance would help cover his
Part A and Part B cost sharing in Original Fee-for-Service (FFS)
Medicare as well as possibly some services that Medicare does
not cover.
All rights reserved © 2025/ 2026 |
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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?
Ans: After receiving such disability payments for 24 months, he
will be automatically enrolled in Medicare, regardless of age.
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?
Ans: 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.
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?
Ans: Medicare is a program for people age 65 or older and
those under age 65 with certain disabilities, end -stage renal
disease, and Lou Gehrig's disease so she will be eligible f or
Medicare.
All rights reserved © 2025/ 2026 |
AHIP MEDICARE TRAINING 2021
Questions and Correct Answers/ Latest
Update / Already Graded
Ms. Jensen has heard about "Original Fee-for-Service Medicare" and
"Private Fee-for-Service" plans. She wants to know what the difference
is if any. What should you tell her?
Ans: PFFS plans are a type of Medicare Advantage plan offered
by private companies.
This year you decide to focus your efforts on marketing to employer
and union groups. Which of the following statements best describes
what you can and cannot do in order to stay in compliance?
Ans: You are not required to submit communication and
marketing materials specific only to those employer plans to
CMS at the time of use, but CMS may request and review copies
if employee complaints occur.
Agent Suma has recently had several clients request his assistance in
completing their paper enrollment form. What advice would you give
him?
Ans: Agent Suma is only permitted to fill out the applicant's
name and contact information. The applicant must fill in the
remaining information in order to protect his or her privacy.
All rights reserved © 2025/ 2026 |
, Page |2
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?
Ans: 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.
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?
Ans: Original Medicare covers ambulance services.
Mr. Diaz continued working with his company and was insured under
his employer's group plan until he reached age 68. He has heard that
there is a premium penalty for those who did not sign up for Part B
when first eligible and wants to know how much he will have to pay.
What should you tell him?
All rights reserved © 2025/ 2026 |
, Page |3
Ans: Mr. Diaz will not pay any penalty because he had
continuous coverage under his employer's plan.
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
Ans: 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. 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 Mr. Moy?
Ans: Medicare Supplemental Insurance would help cover his
Part A and Part B cost sharing in Original Fee-for-Service (FFS)
Medicare as well as possibly some services that Medicare does
not cover.
All rights reserved © 2025/ 2026 |
, Page |4
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?
Ans: After receiving such disability payments for 24 months, he
will be automatically enrolled in Medicare, regardless of age.
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?
Ans: 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.
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?
Ans: Medicare is a program for people age 65 or older and
those under age 65 with certain disabilities, end -stage renal
disease, and Lou Gehrig's disease so she will be eligible f or
Medicare.
All rights reserved © 2025/ 2026 |
