AHIP TRAINING Module 1 (2022/2023)
(Verified Answers)
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 US.
(Medicare Entitlement Part 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.
BAUER is 49 years old, but eighteen months ago was declared disabled by the SSA and has been
receiving disability payments. He is wonder whether he can obtain coverage under Medicare.
(Medicare Entitlement Part B) ✔✔After receiving such disability payments for 24 months, he
WILL BE AUTOMATICALLY enrolled in Medicare, regardless of age.
DAVIS is 49 years old and has been receiving disability benefits from SSA for 12 months. Can
you sell him a MA or Part D Rx policy?
(Medicare Entitlement Part B: Medicare Eligibility Part C/D) ✔✔NO, he can't purchase a MA or
Part D policy because he has NOT received SSA or RR disability benefits for 24 months.
, 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.
(Medicare Premiums for Part B) ✔✔In order to obtain Part B coverage, she must pay a
STANDARD MONTHLY premium , though it is HIGHER for individuals with higher income.
DIAZ continued working wit his company and was insured under his employer's group plan until
he reached 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.
(Medicare Premiums Part B) ✔✔Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan.
PENA 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.
(Medicare Premiums for Part B) ✔✔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.
KELLY is entitled to Part A, but is not yet enrolled in Part B. She is considering enrollment in a
Medicare health plan. What should you advise her to do before she will be able to enroll into a
Medicare health plan?
(Verified Answers)
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 US.
(Medicare Entitlement Part 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.
BAUER is 49 years old, but eighteen months ago was declared disabled by the SSA and has been
receiving disability payments. He is wonder whether he can obtain coverage under Medicare.
(Medicare Entitlement Part B) ✔✔After receiving such disability payments for 24 months, he
WILL BE AUTOMATICALLY enrolled in Medicare, regardless of age.
DAVIS is 49 years old and has been receiving disability benefits from SSA for 12 months. Can
you sell him a MA or Part D Rx policy?
(Medicare Entitlement Part B: Medicare Eligibility Part C/D) ✔✔NO, he can't purchase a MA or
Part D policy because he has NOT received SSA or RR disability benefits for 24 months.
, 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.
(Medicare Premiums for Part B) ✔✔In order to obtain Part B coverage, she must pay a
STANDARD MONTHLY premium , though it is HIGHER for individuals with higher income.
DIAZ continued working wit his company and was insured under his employer's group plan until
he reached 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.
(Medicare Premiums Part B) ✔✔Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan.
PENA 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.
(Medicare Premiums for Part B) ✔✔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.
KELLY is entitled to Part A, but is not yet enrolled in Part B. She is considering enrollment in a
Medicare health plan. What should you advise her to do before she will be able to enroll into a
Medicare health plan?
