AHIP module 1 Versions 1-6 Complete study set with verified Answers

AHIP module 1 Versions 1-6
Complete study set with verified
answers

AHIP module 1 Version 1


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 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.
b. Most individuals who are citizens and over age 65 and wish to be covered
under Part A must enroll in a Medicare Health Plan.
c. Most individuals who are citizens and over age 65 and are covered under
Part A must pay a monthly premium for that coverage.
d. All individuals who are citizens and over age 65 will be covered under Part
A. Correct Answer- a. 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.

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? Correct Answer- d. After receiving such disability
payments for 24 months, he will be automatically enrolled in Medicare,
regardless of age.

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? Correct 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? Correct
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

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 up for Part B when first eligible
and wants to know how much he will have to pay. What should you tell him?
Correct Answer- 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 heard she must enroll in Part B at the beginning of the
year to ensure no gap in coverage. What can you tell her? Correct Answer- d.
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?
Correct Answer- 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?

Mrs. Park is an elderly retiree. She has a low, fixed income. What could you
tell Mrs. Park that might be of assistance? Correct Answer- d. 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. Wu is eligible for Medicare. He has limited financial resources but failed to
qualify for the Part D low-income subsidy. Where might he turn for help with
his prescription drug costs? Correct Answer- a. Mr. Wu may still qualify for
help in paying Part D costs through his State Pharmaceutical Assistance
Program. 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? Correct Answer-
d. 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

Mrs. Shields is covered by Original Medicare. She sustained a hip fracture
and is being successfully treated for that condition. However, she and her
physicians feel that after her lengthy hospital stay she will need a month or
two of nursing and rehabilitative care. What should you tell them about
Original Medicare's coverage of care in a skilled nursing facility? Correct
Answer- b. Medicare will cover Mrs. Shields' skilled nursing services provided
during the first 20 days of her stay, after which she would have a
coinsurance until she has been in the facility for 100 days. 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? Correct Answer- a. 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? Correct 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? Correct Answer- c. 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. Turner is comparing her employer's retiree insurance to Original
Medicare and would like to know which of the following services Original
Medicare will cover if the appropriate criteria are met? What could you tell
her? Correct Answer- a. Original Medicare covers ambulance services.
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?
Correct Answer- c. Medicare does not cover acupuncture, or, in general,
glasses or dentures. Correct