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AHIP 2021 STUDY GUIDE

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AHIP 2021 STUDY GUIDE

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AHIP 2021 STUDY GUIDE
AHIP PRACTICE QUIZ QUESTIONS – MUST BE ENROLLED IN AHIP TO USE. DO NOT DISTRIBUTE.




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?

Choose one answer.

a. Medicare is a program for people who have incomes and assets below speci
her exact financial situation before telling her whether she can obtain Medicare

b. Medicare is a program for people age 65 or older and those under age 65 wi
renal disease and Lou Gehrig’s disease, so she will be eligible for Medicare.
c. Medicare is a program for people of all ages with specific mental health disab
health, she would not qualify, but should instead look into her state’s Medicaid
coverage.
d. Eligibility for Medicare is based on whether or not a person has ever been em
If she or her husband were ever employed by the federal government, she can

Source: Medicare Program Basics

Question2

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?

Choose one answer.

, a. Part C, which always covers dental and vision services, is covered under Ori

b. Part D, which covers prescription drug services, is covered under Original Me

c. Part A, which covers long term custodial care services, is covered under Orig

d. Part A, which covers hospital, skilled nursing facility, hospice and home heal
professional services such as those provided by a doctor are covered under Or

Source: Different Ways to Get Medicare

Question3

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?

Choose one answer.

a. Medicare health plans have the option of deciding, each year, what service
the health plan could eliminate some benefits covered by Medicare and he sh
in a Medicare health plan.

b. Medicare health plans must cover all benefits available under Medicare Pa
Part D prescription drugs.
c. Medicare health plans offer a menu of benefits, from which he may choose
coverage, he need only contact the plan and select other options.
d. He should not be concerned because Medicare health plans must cover al
expenses, which means that all of them provide substantially greater benefits
Part A and Part B.

Source: Different Ways to Get Medicare, continued

Question4

,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?

Choose one answer.

a. The card is indeed a forgery since newly issued Medicare cards will have both a beneficia
of birth imprinted on them.

b. The card she received I valid, the change has been made to protect Medicare beneficiaries
now destroy her old card.
c. The card is indeed a forgery since all identity cards are being phased-out in favor of a new
by the Social Security Administration.
d. The card she received is valid but she should keep her old card for at least two years and
health care.

Source: New Medicare Identification Cards

Question5

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?

Choose one answer.

a. Medicare Health Plans may offer extra benefits that Original Medicare does n
dental services and must include a maximum out-of-pocket limit on Part A and

b. All Medicare Health Plans offer cost-sharing that is lower than Original Medic
services, but the maximum out-of-pocket limit is higher than in Original Medicar
c. Medicare Health Plans are not permitted to offer any benefits beyond those a
program and must have the same maximum out-of-pocket limit on Part A and P

, d. Medicare Health Plans do not necessarily have to cover all of the Original Me
but must include a maximum out-of-pocket limit.

Source: Part C Medicare Health Plans

Question6

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?

Choose one answer.

a. Medicare Supplemental Insurance would help cover his Part A and Part B cost
(FFS) Medicare as well as possibly some services that Medicare does not cover.

b. Medicare Supplemental Insurance would cover his dental, vision and hearing s

c. Medicare Supplemental Insurance would cover his long-term care services.

d. Medicare Supplemental Insurance would cover all of his IRS approved health c
Original Fee-for-Service (FFS) Medicare.

Source: Medigap (Medicare Supplement Insurance)




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?

Choose one answer.

a. Most individuals who are citizens and over age 65 and wish to be covered und
Health Plan.

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