AHIP FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS
Mr. Hernandez is concerned that if he signs up for a Medicare
Advantage plan, the health plan may, at some time in the future,
reduce his benefits below what is available in Original Medicare. What
should you tell him about his concern? - ANSWER ->b. Medicare health
plans must cover all benefits available under Medicare Part A and Part
B. Many also cover Part D prescription drugs. Correct
Mrs. Roberts has just received a new Medicare identity card in the mail.
She is concerned that it is a forgery since it does not have her Social
Security number on it. What should you tell her? - ANSWER ->b. The
card she received I valid, the change has been made to protect
Medicare beneficiaries from identity theft, and she should now destroy
her old card. Correct
Mrs. Willard wants to know generally how the benefits under Original
Medicare might compare to the benefit package of a Medicare Health
Plan before she starts looking at specific plans. What could you tell her?
- ANSWER ->d. Medicare Health Plans may offer extra benefits that
Original Medicare does not offer such as vision, hearing, and dental
services and must include a maximum out-of-pocket limit on Part A and
Part B services. Correct
Mr. Meoni'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.Meoni? - ANSWER ->b. 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. Correct
Mr. Denton is 52 years old and has recently been diagnosed with
endstage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should you
tell him? - ANSWER ->a. He may sign-up for Medicare at any time
however coverage usually begins on the fourth month after dialysis
treatments start. Correct
Ms. Henderson believes that she will qualify for Medicare coverage
when she turns 65, without paying any premiums, because she has
been working for 40 years and paying Medicare taxes. What should you
tell her? - ANSWER ->a. In order to obtain Part B coverage, she must
pay a standard monthly premium, though it is higher for individuals
with higher incomes. Correct
Mrs. Peňa is 66 years old, has coverage under an employer plan and will
retire next year. She heard she must enroll in Part B at the beginning of
the year to ensure no gap in coverage. What can you tell her? -
ANSWER ->a. She may enroll at any time while she is covered under her
employer plan, but she will have a special eight-month enrollment
period that differs from the standard general enrollment period, during
which she may enroll in Medicare Part B. Correct
Mrs. Kelly, age 65, is entitled to Part A, but has not yet enrolled in Part
B. She is considering enrollment in a Medicare health plan (Part C).
What should you advise her to do before she will be able to enroll into
,a Medicare health plan? - ANSWER ->a. In order to join a Medicare
health plan, she also must enroll in Part B. Correct
Mrs. Park is an elderly retiree. She has a low, fixed income. What could
you tell Mrs. Park that might be of assistance? - ANSWER ->b. She
should contact her state Medicaid agency to see if she qualifies for one
of several programs that can help with Medicare costs for which she is
responsible. Correct
Mr. Patel is in good health and is preparing a budget in anticipation of
his retirement when he turns 66. He wants to understand the health
care costs he might be exposed to under Medicare if he were to require
hospitalization as a result of an illness. In general terms, what could you
tell him about his costs for inpatient hospital services under Original
Medicare? - ANSWER ->c. Under Original Medicare, there is a single
deductible amount due for the first 60 days of any inpatient hospital
stay, after which it converts into a per-day coinsurance amount through
day 90. After day 90, he would pay a daily amount up to 60 days over
his lifetime, after which he would be responsible for all costs Correct
Mr. Rainey is experiencing paranoid delusions and his physician feels
that he should be hospitalized. What should you tell Mr. Rainey (or his
representative) about the length of an inpatient psychiatric hospital
stay that Medicare will cover? - ANSWER ->c. Medicare will cover a
total of 190 days of inpatient psychiatric care during Mr. Rainey's entire
lifetime. Correct
Mrs. Quinn has recently turned 66 and decided after many years of
work to begin receiving Social Security benefits. Shortly thereafter Mrs.
Quinn and 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 ->a. 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% co-payments for these services, in
addition to an annual deductible. Correct
Mr. Buck has several family members who died from different cancers.
He wants to know if Medicare covers cancer screening. What should
you tell him? - ANSWER ->b. Medicare covers periodic performance of a
range of screening tests that are meant to provide early detection of
disease. Mr. Buck will need to check specific tests before obtaining
them to see if they will be covered. Correct
Mrs. Wolf wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through acupuncture. She is concerned about
whether or not Medicare will cover these items and services. What
should you tell her? - ANSWER ->a. Medicare does not cover
acupuncture, or, in general, glasses or dentures. Correct
Mr. Singh would like drug coverage, but does not want to be enrolled
into a health plan. What should you tell him? - ANSWER ->b. 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. Correct
Mr. Alonso receives some help paying for his two generic prescription
drugs from his employer's retiree coverage, but he wants to compare it
to a Part D prescription drug plan. He asks you what costs he would
generally expect to encounter when enrolling into a standard Medicare
Part D prescription drug plan. What should you tell him? - ANSWER ->d.
He generally would pay a monthly premium, annual deductible, and
per-prescription cost sharing. Correct
SOLUTIONS GUARANTEED PASS
Mr. Hernandez is concerned that if he signs up for a Medicare
Advantage plan, the health plan may, at some time in the future,
reduce his benefits below what is available in Original Medicare. What
should you tell him about his concern? - ANSWER ->b. Medicare health
plans must cover all benefits available under Medicare Part A and Part
B. Many also cover Part D prescription drugs. Correct
Mrs. Roberts has just received a new Medicare identity card in the mail.
She is concerned that it is a forgery since it does not have her Social
Security number on it. What should you tell her? - ANSWER ->b. The
card she received I valid, the change has been made to protect
Medicare beneficiaries from identity theft, and she should now destroy
her old card. Correct
Mrs. Willard wants to know generally how the benefits under Original
Medicare might compare to the benefit package of a Medicare Health
Plan before she starts looking at specific plans. What could you tell her?
- ANSWER ->d. Medicare Health Plans may offer extra benefits that
Original Medicare does not offer such as vision, hearing, and dental
services and must include a maximum out-of-pocket limit on Part A and
Part B services. Correct
Mr. Meoni'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.Meoni? - ANSWER ->b. 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. Correct
Mr. Denton is 52 years old and has recently been diagnosed with
endstage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should you
tell him? - ANSWER ->a. He may sign-up for Medicare at any time
however coverage usually begins on the fourth month after dialysis
treatments start. Correct
Ms. Henderson believes that she will qualify for Medicare coverage
when she turns 65, without paying any premiums, because she has
been working for 40 years and paying Medicare taxes. What should you
tell her? - ANSWER ->a. In order to obtain Part B coverage, she must
pay a standard monthly premium, though it is higher for individuals
with higher incomes. Correct
Mrs. Peňa is 66 years old, has coverage under an employer plan and will
retire next year. She heard she must enroll in Part B at the beginning of
the year to ensure no gap in coverage. What can you tell her? -
ANSWER ->a. She may enroll at any time while she is covered under her
employer plan, but she will have a special eight-month enrollment
period that differs from the standard general enrollment period, during
which she may enroll in Medicare Part B. Correct
Mrs. Kelly, age 65, is entitled to Part A, but has not yet enrolled in Part
B. She is considering enrollment in a Medicare health plan (Part C).
What should you advise her to do before she will be able to enroll into
,a Medicare health plan? - ANSWER ->a. In order to join a Medicare
health plan, she also must enroll in Part B. Correct
Mrs. Park is an elderly retiree. She has a low, fixed income. What could
you tell Mrs. Park that might be of assistance? - ANSWER ->b. She
should contact her state Medicaid agency to see if she qualifies for one
of several programs that can help with Medicare costs for which she is
responsible. Correct
Mr. Patel is in good health and is preparing a budget in anticipation of
his retirement when he turns 66. He wants to understand the health
care costs he might be exposed to under Medicare if he were to require
hospitalization as a result of an illness. In general terms, what could you
tell him about his costs for inpatient hospital services under Original
Medicare? - ANSWER ->c. Under Original Medicare, there is a single
deductible amount due for the first 60 days of any inpatient hospital
stay, after which it converts into a per-day coinsurance amount through
day 90. After day 90, he would pay a daily amount up to 60 days over
his lifetime, after which he would be responsible for all costs Correct
Mr. Rainey is experiencing paranoid delusions and his physician feels
that he should be hospitalized. What should you tell Mr. Rainey (or his
representative) about the length of an inpatient psychiatric hospital
stay that Medicare will cover? - ANSWER ->c. Medicare will cover a
total of 190 days of inpatient psychiatric care during Mr. Rainey's entire
lifetime. Correct
Mrs. Quinn has recently turned 66 and decided after many years of
work to begin receiving Social Security benefits. Shortly thereafter Mrs.
Quinn and 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 ->a. 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% co-payments for these services, in
addition to an annual deductible. Correct
Mr. Buck has several family members who died from different cancers.
He wants to know if Medicare covers cancer screening. What should
you tell him? - ANSWER ->b. Medicare covers periodic performance of a
range of screening tests that are meant to provide early detection of
disease. Mr. Buck will need to check specific tests before obtaining
them to see if they will be covered. Correct
Mrs. Wolf wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through acupuncture. She is concerned about
whether or not Medicare will cover these items and services. What
should you tell her? - ANSWER ->a. Medicare does not cover
acupuncture, or, in general, glasses or dentures. Correct
Mr. Singh would like drug coverage, but does not want to be enrolled
into a health plan. What should you tell him? - ANSWER ->b. 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. Correct
Mr. Alonso receives some help paying for his two generic prescription
drugs from his employer's retiree coverage, but he wants to compare it
to a Part D prescription drug plan. He asks you what costs he would
generally expect to encounter when enrolling into a standard Medicare
Part D prescription drug plan. What should you tell him? - ANSWER ->d.
He generally would pay a monthly premium, annual deductible, and
per-prescription cost sharing. Correct
