2021 AHIP Medicare Training Module 1- Questions
And Answers
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? –
c. 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 for Medicare. Correct
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? - b. Part A, which covers hospital, skillednursing 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. Correct
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? - 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 aforgery
since it does not have her Social Security number on it. What should you tell her? - b. The card she received I
valid, the change has been made to protect Medicare beneficiaries from identitytheft, 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 couldyou tell her? - 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'sneeds. What could
you tell Mr.Meoni? - 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
, Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and paidtaxes
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? - d. Most individuals who are citizens and over
age 65 are covered under Part A by virtue of having paid Medicare taxes while working, though some may be
covered as a result of paying monthly premiums. Correct
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 obtaincoverage
under Medicare. What should you tell him? - a. After receiving such disability payments for 24 months, he
will be automatically enrolled in Medicare, regardless of age. Correct
Mr. Denton 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? -
a. He may sign-up for Medicare at any time however coverage usually beginson 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. Whatshould you tell her? -
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
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 upfor Part B when
first eligible and wants to know how much he will have to pay. What should you tellhim? - b. Mr. Diaz will not
pay any penalty because he had continuous coverage under his employer's plan. Correct
Mrs. Peňa is 66 years old, has coverage under an employer plan and will retire next year. She heardshe must
enroll in Part B at the beginning of the year to ensure no gap in coverage. What can you tell her? - 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
And Answers
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? –
c. 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 for Medicare. Correct
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? - b. Part A, which covers hospital, skillednursing 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. Correct
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? - 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 aforgery
since it does not have her Social Security number on it. What should you tell her? - b. The card she received I
valid, the change has been made to protect Medicare beneficiaries from identitytheft, 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 couldyou tell her? - 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'sneeds. What could
you tell Mr.Meoni? - 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
, Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and paidtaxes
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? - d. Most individuals who are citizens and over
age 65 are covered under Part A by virtue of having paid Medicare taxes while working, though some may be
covered as a result of paying monthly premiums. Correct
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 obtaincoverage
under Medicare. What should you tell him? - a. After receiving such disability payments for 24 months, he
will be automatically enrolled in Medicare, regardless of age. Correct
Mr. Denton 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? -
a. He may sign-up for Medicare at any time however coverage usually beginson 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. Whatshould you tell her? -
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
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 upfor Part B when
first eligible and wants to know how much he will have to pay. What should you tellhim? - b. Mr. Diaz will not
pay any penalty because he had continuous coverage under his employer's plan. Correct
Mrs. Peňa is 66 years old, has coverage under an employer plan and will retire next year. She heardshe must
enroll in Part B at the beginning of the year to ensure no gap in coverage. What can you tell her? - 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
