Medicare AHIP 2022/2023 exam questions and answers

Medicare Parts A & B, Original Medicare Supplement Medicare Supplement, Medigap Advantage Medicare Advantage, MA, MAPD Part D Part of MAPD OR Stand-alone PDP Pre-Medicare Under 65, Individual and Family, Affordable Care Act (ACA or PPACA), Obamacare Ancillary Dental, Vision Veterans Administration (VA) Benefits Government program for Veterans Healthcare Tricare Insurance program for Career Military members Medicaid State Program to help with Healthcare costs for low-income individuals EGHP Employer Group Health Plan Eligibility Over the age of 65 Have been receiving Social Security Disability benefits for 24 months Have ALS Have ESRD Initial Enrollment Period starts three months before the month a customer turns 65, and ends three months after the month the customer turns 65 Special Enrollment Period Many reasons, usually based upon the loss of an EGHP based on current employment. Usually, this happens when a customer retires after age 65, and delayed their Part B because they did not want to pay their Part B premiums General Enrollment Period January 1 - March 31 of each year, Medicare effective date will be July 1st Medicare Card The Medicare card shows your Medicare Claim Number. For most people, the claim number has 9 numerals and 1 letter. There may also be a number or another letter after the first letter. Part A Premium $0 (for most customers) Part B Premium $104.90 (for most customers) Some populations will pay $121.80 Part A Covers •Inpatient care in hospital •Inpatient care in skilled nursing facility (SNF) •Hospice care •Home health care •Inpatient care in religious non-medical healthcare institution Part B Covers •Doctors' visits •Laboratory tests •Medical equipment •Outpatient care in hospital •Orthopedics and prosthetics •Mental healthcare •Ambulance and emergency services •Preventative Care Medigap A Medigap policy is private health insurance that helps supplement Original Medicare. This means it helps pay some of the health care costs that Original Medicare doesn't cover (like copayments, coinsurance, and deductibles). These are "gaps" in Medicare coverage.