NR602 AHIP Review Questions and Answers Best
Exam Solution
Question 1
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?
a. Medicare covers all screening tests that have been approved by the FDA on a
frequency determined by the treating physician.
b. Medicare covers treatments for existing disease, injury, and malformed limbs or body
parts. As such, it does not cover any screening tests and these must be paid for by the
beneficiary out-of-pocket.
c. Medicare covers some screening tests that must be performed within the first year
after enrollment. Beyond that point expenses for screening tests are the responsibility of
the beneficiary.
d. Medicare covers the 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.
Source: Module 1, Slide - Medicare Part B Benefits - Preventive Services and Screenings
Question 2
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?
a.Part C, which always covers dental and vision services, is covered under Original Medicare.
b.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.
c.Part A, which covers long-term custodial care services, is covered under Original
Medicare. d.Part D, which covers prescription drug services, is covered under
NR602 AHIP Review Questions and Answers Best
Exam Solution
,NR602 AHIP Review Questions and Answers Best
Exam Solution
Original Medicare.
Source: Module 1, Slide - Overview of Medicare Benefits and Coverage - Parts A, B, C,
and Slide - Overview of Different Ways to Get Medicare
Question 3
Juan Perez, who is turning age 65 next month, intends to work for several more years at
Smallcap, Incorporated. Smallcap has a workforce of 15 employees and offers employer-
sponsored healthcare coverage. Juan is a naturalized citizen and has contributed to the
Medicare system for over 20 years. Juan asks you if he will be entitled to Medicare and if he
enrolls how that will impact his employer- sponsored healthcare coverage. How would you
respond?
a.Juan is likely to be ineligible for Medicare since he was born outside the United States and
has only contributed to the Medicare system for 20 years.
b. Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls Medicare
would become the primary payor of his healthcare claims but Smallcap must continue to offer
him coverage under its employer-sponsored group health plan and would become a secondary
payor.
c.Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls his
employer- sponsored coverage would continue to be the primary payor while Medicare
would be considered a secondary payor of his healthcare claims.
Incorrect: Medicare is the primary payor for individuals who have group health coverage
due to their continued employment with a small employer. A small group health plan is one
offered by a company with fewer than 20 employees.
d. Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls Medicare
would become the primary payor of his healthcare claims and Smallcap does not have to
continue to offer him coverage comparable to those under age 65 under its employer-
sponsored group health plan.
NR602 AHIP Review Questions and Answers Best
Exam Solution
,NR602 AHIP Review Questions and Answers Best
Exam Solution
Source: Module 1, Slide - Eligibility for Part A and Part B Benefits and Slide - Medicare for
Individuals Who Are Still Working - Small GHPs and Slide - Medicare Coordination with
Employer Group Health Plans
Question 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?
a.After receiving such disability payments for 24 months, he will be automatically enrolled in
Medicare, regardless of age.
b.Individuals who become eligible for such disability payments only have to wait 12 months
before they can apply for coverage under Medicare.
c.Individuals receiving such disability payments from the Social Security Administration
continue to receive those payments but only become eligible for Medicare upon reaching
age 65.
d.He became eligible for Medicare when his disability eligibility determination
was first made. Source: Module 1, Slide - Medicare Enrollment Part A & B
Question 5
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?
a.Medicare is a program for people who have incomes and assets below specific limits, so you
will have to find out her exact financial situation before telling her whether she can obtain
Medicare coverage.
b.Eligibility for Medicare is based on whether or not a person has ever been employed by
the federal government. If she or her husband were ever employed by the federal
NR602 AHIP Review Questions and Answers Best
Exam Solution
, NR602 AHIP Review Questions and Answers Best
Exam Solution
government, she can enroll in Medicare.
NR602 AHIP Review Questions and Answers Best
Exam Solution
Exam Solution
Question 1
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?
a. Medicare covers all screening tests that have been approved by the FDA on a
frequency determined by the treating physician.
b. Medicare covers treatments for existing disease, injury, and malformed limbs or body
parts. As such, it does not cover any screening tests and these must be paid for by the
beneficiary out-of-pocket.
c. Medicare covers some screening tests that must be performed within the first year
after enrollment. Beyond that point expenses for screening tests are the responsibility of
the beneficiary.
d. Medicare covers the 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.
Source: Module 1, Slide - Medicare Part B Benefits - Preventive Services and Screenings
Question 2
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?
a.Part C, which always covers dental and vision services, is covered under Original Medicare.
b.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.
c.Part A, which covers long-term custodial care services, is covered under Original
Medicare. d.Part D, which covers prescription drug services, is covered under
NR602 AHIP Review Questions and Answers Best
Exam Solution
,NR602 AHIP Review Questions and Answers Best
Exam Solution
Original Medicare.
Source: Module 1, Slide - Overview of Medicare Benefits and Coverage - Parts A, B, C,
and Slide - Overview of Different Ways to Get Medicare
Question 3
Juan Perez, who is turning age 65 next month, intends to work for several more years at
Smallcap, Incorporated. Smallcap has a workforce of 15 employees and offers employer-
sponsored healthcare coverage. Juan is a naturalized citizen and has contributed to the
Medicare system for over 20 years. Juan asks you if he will be entitled to Medicare and if he
enrolls how that will impact his employer- sponsored healthcare coverage. How would you
respond?
a.Juan is likely to be ineligible for Medicare since he was born outside the United States and
has only contributed to the Medicare system for 20 years.
b. Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls Medicare
would become the primary payor of his healthcare claims but Smallcap must continue to offer
him coverage under its employer-sponsored group health plan and would become a secondary
payor.
c.Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls his
employer- sponsored coverage would continue to be the primary payor while Medicare
would be considered a secondary payor of his healthcare claims.
Incorrect: Medicare is the primary payor for individuals who have group health coverage
due to their continued employment with a small employer. A small group health plan is one
offered by a company with fewer than 20 employees.
d. Juan is likely to be eligible for Medicare once he turns age 65 and if he enrolls Medicare
would become the primary payor of his healthcare claims and Smallcap does not have to
continue to offer him coverage comparable to those under age 65 under its employer-
sponsored group health plan.
NR602 AHIP Review Questions and Answers Best
Exam Solution
,NR602 AHIP Review Questions and Answers Best
Exam Solution
Source: Module 1, Slide - Eligibility for Part A and Part B Benefits and Slide - Medicare for
Individuals Who Are Still Working - Small GHPs and Slide - Medicare Coordination with
Employer Group Health Plans
Question 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?
a.After receiving such disability payments for 24 months, he will be automatically enrolled in
Medicare, regardless of age.
b.Individuals who become eligible for such disability payments only have to wait 12 months
before they can apply for coverage under Medicare.
c.Individuals receiving such disability payments from the Social Security Administration
continue to receive those payments but only become eligible for Medicare upon reaching
age 65.
d.He became eligible for Medicare when his disability eligibility determination
was first made. Source: Module 1, Slide - Medicare Enrollment Part A & B
Question 5
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?
a.Medicare is a program for people who have incomes and assets below specific limits, so you
will have to find out her exact financial situation before telling her whether she can obtain
Medicare coverage.
b.Eligibility for Medicare is based on whether or not a person has ever been employed by
the federal government. If she or her husband were ever employed by the federal
NR602 AHIP Review Questions and Answers Best
Exam Solution
, NR602 AHIP Review Questions and Answers Best
Exam Solution
government, she can enroll in Medicare.
NR602 AHIP Review Questions and Answers Best
Exam Solution
