AHIP Final Exam Review Test Questions and Answers 2023/2024
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?
Choose one answer.
a. Part D, which covers prescription drug services, is covered under Original Medicare. Incorrect
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. Correct
Correct: Original Medicare consists of Part A and Part B.
c. Part A, which covers long term custodial care services, is covered under Original Medicare.
Incorrect
d. Part C, which always covers dental and vision services, is covered under Original Medicare.
Incorrect
Source: Part 1, Slide – Overview of Medicare (Parts A, B, C, and D), Slide – Overview of Different
Ways to Get Medicare
Correct
Marks for this submission: 1/1.
Question2
Marks: 1
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?
Choose one answer.
a. Original Medicare covers cosmetic surgery. Incorrect
b. Original Medicare covers routine long-term custodial care. Incorrect
c. Original Medicare covers routine dental care. Incorrect
d. Original Medicare covers ambulance services. Correct
Correct: Original Medicare does cover ambulance services.
Source: Module 1, Slide - Other Part B Items and Services and Not Covered by Medicare Part A
&B
Correct
Marks for this submission: 1/1.
Question3
Marks: 1
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?
Choose one answer.
,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. Incorrect
b. Medicare is a program for people of all ages with specific mental health disabilities. Since she
is in excellent health, she would not qualify, but should instead look into her state’s Medicaid
program if she wants further coverage. Incorrect
c. Medicare is a program for people age 65 or older and those under age 65 with certain
disabilities, end-stage renal disease, and Lou Gehrig’s disease so she will be eligible for
Medicare. Correct
Correct: Individuals that meet these criteria may be eligible to participate in Medicare. It is not
based on income.
d. 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 government, she
can enroll in Medicare. Incorrect
Source: Module 1, Slide - Eligibility for Part A and Part B
Correct
Marks for this submission: 1/1.
Question4
Marks: 1
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?
Choose one answer.
a. Medicare Supplemental Insurance would help cover his Part A and Part B cost sharing in
Original Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare does not
cover. Correct
Correct: Medicare Supplement Insurance (Medigap) helps to cover Part A and Part B cost-
sharing in Original Medicare as well as possibly offering some services such as medical care
when a beneficiary travels outside the United States.
b. Medicare Supplemental Insurance would cover his dental, vision and hearing services only.
Incorrect
c. Medicare Supplemental Insurance would cover all of his IRS approved health care
expenditures not covered under Original Fee-for-Service (FFS) Medicare. Incorrect
d. Medicare Supplemental Insurance would cover his long-term care services. Incorrect
Source: Module 1, Slide - Medigap (Medicare Supplement Insurance)
Correct
Marks for this submission: 1/1.
Question5
Marks: 1
, Mrs. Geisler’s neighbor told her she should look at her Part D options during the annual
Medicare enrollment period because features of Part D might have changed. Mrs. Geisler can’t
remember what Part D is so she called you to ask what her neighbor was talking about. What
could you tell her?
Choose one answer.
a. Part D covers hospital and home health services and the cost sharing has changed this year.
Incorrect
b. Part D covers prescription drugs and she should look at her premiums, formulary, and cost-
sharing among other factors to see if they have changed. Correct
Correct: Part D provides prescription drug coverage. Premiums, plan formularies, and cost-
sharing, among other factors, may change from one plan year to another.
c. Part D covers physician and non-physician practitioner services and the deductible has not
changed this year, but the physician charges may go up. Incorrect
d. Part D covers long-term care services and she shouldn’t worry because there has been no
change in coverage. Incorrect
Source: Module 1, Slide - Original Medicare and Part D Prescription Drug Coverage
Correct
Marks for this submission: 1/1.
Question6
Marks: 1
Anita Magri will turn age 65 in August 2020. Anita intends to enroll in Original Medicare Part A
and Part B. She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita’s older
neighbor Mel has told her about the Medigap Part F plan in which he is enrolled. It not only
provides foreign travel emergency benefits but also covers his Medicare Part B deductible. Anita
comes to you for advice. What should you tell her?
Choose one answer.
a. You would be happy to help Anita enroll in a Medigap plan but before she can do so, she must
also enroll in a Medicare Part D prescription drug plan. Incorrect
b. You are sorry to disappoint Anita but a Medigap Part F plan is no longer available to those
who turn age 65 after January 1,2020. Anita might instead consider other Medigap plans that
offer foreign travel benefits but do not cover the Part B deductible. Correct
Correct: Individuals who attain age 65 on or after January 1, 2020 cannot purchase a Medigap
plan that pays the Part B deductible. Generally, these are plans C, F, or high deductible F. Anita
can still purchase a Medigap plan that provides foreign travel emergency benefits such as plan
G.
c. You would be happy to help Anita enroll in a Medigap Part F plan will provide foreign travel
benefits as a well as cover her Part B deductible. Incorrect
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?
Choose one answer.
a. Part D, which covers prescription drug services, is covered under Original Medicare. Incorrect
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. Correct
Correct: Original Medicare consists of Part A and Part B.
c. Part A, which covers long term custodial care services, is covered under Original Medicare.
Incorrect
d. Part C, which always covers dental and vision services, is covered under Original Medicare.
Incorrect
Source: Part 1, Slide – Overview of Medicare (Parts A, B, C, and D), Slide – Overview of Different
Ways to Get Medicare
Correct
Marks for this submission: 1/1.
Question2
Marks: 1
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?
Choose one answer.
a. Original Medicare covers cosmetic surgery. Incorrect
b. Original Medicare covers routine long-term custodial care. Incorrect
c. Original Medicare covers routine dental care. Incorrect
d. Original Medicare covers ambulance services. Correct
Correct: Original Medicare does cover ambulance services.
Source: Module 1, Slide - Other Part B Items and Services and Not Covered by Medicare Part A
&B
Correct
Marks for this submission: 1/1.
Question3
Marks: 1
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?
Choose one answer.
,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. Incorrect
b. Medicare is a program for people of all ages with specific mental health disabilities. Since she
is in excellent health, she would not qualify, but should instead look into her state’s Medicaid
program if she wants further coverage. Incorrect
c. Medicare is a program for people age 65 or older and those under age 65 with certain
disabilities, end-stage renal disease, and Lou Gehrig’s disease so she will be eligible for
Medicare. Correct
Correct: Individuals that meet these criteria may be eligible to participate in Medicare. It is not
based on income.
d. 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 government, she
can enroll in Medicare. Incorrect
Source: Module 1, Slide - Eligibility for Part A and Part B
Correct
Marks for this submission: 1/1.
Question4
Marks: 1
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?
Choose one answer.
a. Medicare Supplemental Insurance would help cover his Part A and Part B cost sharing in
Original Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare does not
cover. Correct
Correct: Medicare Supplement Insurance (Medigap) helps to cover Part A and Part B cost-
sharing in Original Medicare as well as possibly offering some services such as medical care
when a beneficiary travels outside the United States.
b. Medicare Supplemental Insurance would cover his dental, vision and hearing services only.
Incorrect
c. Medicare Supplemental Insurance would cover all of his IRS approved health care
expenditures not covered under Original Fee-for-Service (FFS) Medicare. Incorrect
d. Medicare Supplemental Insurance would cover his long-term care services. Incorrect
Source: Module 1, Slide - Medigap (Medicare Supplement Insurance)
Correct
Marks for this submission: 1/1.
Question5
Marks: 1
, Mrs. Geisler’s neighbor told her she should look at her Part D options during the annual
Medicare enrollment period because features of Part D might have changed. Mrs. Geisler can’t
remember what Part D is so she called you to ask what her neighbor was talking about. What
could you tell her?
Choose one answer.
a. Part D covers hospital and home health services and the cost sharing has changed this year.
Incorrect
b. Part D covers prescription drugs and she should look at her premiums, formulary, and cost-
sharing among other factors to see if they have changed. Correct
Correct: Part D provides prescription drug coverage. Premiums, plan formularies, and cost-
sharing, among other factors, may change from one plan year to another.
c. Part D covers physician and non-physician practitioner services and the deductible has not
changed this year, but the physician charges may go up. Incorrect
d. Part D covers long-term care services and she shouldn’t worry because there has been no
change in coverage. Incorrect
Source: Module 1, Slide - Original Medicare and Part D Prescription Drug Coverage
Correct
Marks for this submission: 1/1.
Question6
Marks: 1
Anita Magri will turn age 65 in August 2020. Anita intends to enroll in Original Medicare Part A
and Part B. She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita’s older
neighbor Mel has told her about the Medigap Part F plan in which he is enrolled. It not only
provides foreign travel emergency benefits but also covers his Medicare Part B deductible. Anita
comes to you for advice. What should you tell her?
Choose one answer.
a. You would be happy to help Anita enroll in a Medigap plan but before she can do so, she must
also enroll in a Medicare Part D prescription drug plan. Incorrect
b. You are sorry to disappoint Anita but a Medigap Part F plan is no longer available to those
who turn age 65 after January 1,2020. Anita might instead consider other Medigap plans that
offer foreign travel benefits but do not cover the Part B deductible. Correct
Correct: Individuals who attain age 65 on or after January 1, 2020 cannot purchase a Medigap
plan that pays the Part B deductible. Generally, these are plans C, F, or high deductible F. Anita
can still purchase a Medigap plan that provides foreign travel emergency benefits such as plan
G.
c. You would be happy to help Anita enroll in a Medigap Part F plan will provide foreign travel
benefits as a well as cover her Part B deductible. Incorrect
