lOMoAR cPSD| 25973474
2023/2024 UPDATED AHIP STUDY GUIDE
QUESTIONS, ANSWERS AND ACCURATE
RATIONALE
• Mrs. Peña 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?
She may enroll at any time while she is covered under her employer plan,
but she will have a special eight-month enrollment period after the last
month on her employer plan that differs from the standard general
enrollment period, during which she may enroll in Medicare Part B.
• Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy
as well, but it provides no drug coverage. She would like to keep the
coverage she has but replace her existing Medigap plan with one that
provides drug coverage. What should you tell her?
Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but
she could keep her Medigap policy and enroll in a Part D prescription
drug plan.
• Mr. Davis 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?
He may sign-up for Medicare at any time however coverage usually
begins on the fourth month after dialysis treatments start.
,• Ms. Henderson believes that she will qualify for Medicare Coverage when
she turns 65, without paying any premiums, because she has been
AHIP Questions with Answers 100%Correct and verified rated
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, working for 40 years and paying Medicare taxes. What should you tell
her?
To obtain Part B coverage, she must pay a standard monthly premium,
though it is higher for individuals with higher incomes.
• Mr. Capadona would like to purchase a Medicare Advantage (MA) plan
and a Medigap plan to pick up costs not covered by that plan. What
should you tell him?
It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled
in an MA plan, and besides, Medigap only works with Original
Medicare.
• 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?
Medicare will cover a total of 190 days of inpatient psychiatric care
during Mr. Rainey’s entire lifetime.
AHIP Questions with Answers 100%Correct and verified rated
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2|Page
, • Mr. Moy'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. Moy?
Medicare Supplemental Insurance would help cover his Part A and Part B
deductibles or coinsurance in Original Fee-for-Service (FFS) Medicare as
well as possibly some services that Medicare does not cover.
• 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?
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.
• 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?
After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
AHIP Questions with Answers 100%Correct and verified rated
A+
3|Page
2023/2024 UPDATED AHIP STUDY GUIDE
QUESTIONS, ANSWERS AND ACCURATE
RATIONALE
• Mrs. Peña 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?
She may enroll at any time while she is covered under her employer plan,
but she will have a special eight-month enrollment period after the last
month on her employer plan that differs from the standard general
enrollment period, during which she may enroll in Medicare Part B.
• Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy
as well, but it provides no drug coverage. She would like to keep the
coverage she has but replace her existing Medigap plan with one that
provides drug coverage. What should you tell her?
Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but
she could keep her Medigap policy and enroll in a Part D prescription
drug plan.
• Mr. Davis 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?
He may sign-up for Medicare at any time however coverage usually
begins on the fourth month after dialysis treatments start.
,• Ms. Henderson believes that she will qualify for Medicare Coverage when
she turns 65, without paying any premiums, because she has been
AHIP Questions with Answers 100%Correct and verified rated
A+
1|Page
, working for 40 years and paying Medicare taxes. What should you tell
her?
To obtain Part B coverage, she must pay a standard monthly premium,
though it is higher for individuals with higher incomes.
• Mr. Capadona would like to purchase a Medicare Advantage (MA) plan
and a Medigap plan to pick up costs not covered by that plan. What
should you tell him?
It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled
in an MA plan, and besides, Medigap only works with Original
Medicare.
• 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?
Medicare will cover a total of 190 days of inpatient psychiatric care
during Mr. Rainey’s entire lifetime.
AHIP Questions with Answers 100%Correct and verified rated
A+
2|Page
, • Mr. Moy'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. Moy?
Medicare Supplemental Insurance would help cover his Part A and Part B
deductibles or coinsurance in Original Fee-for-Service (FFS) Medicare as
well as possibly some services that Medicare does not cover.
• 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?
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.
• 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?
After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
AHIP Questions with Answers 100%Correct and verified rated
A+
3|Page
