AHIP MODULE 1 EXAM 2024 WITH QUESTIONS
& CORRECT ANSWERS GRADED A+
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you
tell Mrs. Park that might be of assistance? - ANSWER-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.
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? -
ANSWER-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.
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? - ANSWER-c. Mr. Wu may still qualify for help in paying
Part D costs through his State Pharmaceutical Assistance Program. Correct
Shirly Thomas was enrolled in Medicaid during the Public Health Emergency
(PHE). This coverage has recently been terminated due to the end of the PHE.
While Shirley was enrolled in Medicaid, she missed an opportunity to enroll in
Medicare and now wants Part B. Which of the following statements best describes
Shirley's ability to now enroll in Medicare Part B? - ANSWER-Shirley is eligible
for a Special Enrollment Period (SEP) for up to six months after the termination of
her Medicaid coverage. Under this SEP, Shirley can choose retroactive coverage
back to the date of termination from Medicaid or coverage beginning the month
after the month of enrollment.
, 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? - ANSWER-c. In order to
obtain Part B coverage, she must pay a standard monthly premium, though it is
higher for individuals with higher incomes.
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? - ANSWER-C.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. Xi will soon turn age 65 and has come to you for advice as to what services are
provided under Original Medicare. What should you tell Mr. Xi that best describes
the health coverage provided to Medicare beneficiaries? - ANSWER-c.
Beneficiaries under Original Medicare have no cost-sharing for most preventive
services which include immunizations such as annual flu shots.
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? - ANSWER-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? - ANSWER-B .He may sign-
up for Medicare at any time however coverage usually begins on the fourth month
after dialysis treatments start.
& CORRECT ANSWERS GRADED A+
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you
tell Mrs. Park that might be of assistance? - ANSWER-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.
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? -
ANSWER-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.
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? - ANSWER-c. Mr. Wu may still qualify for help in paying
Part D costs through his State Pharmaceutical Assistance Program. Correct
Shirly Thomas was enrolled in Medicaid during the Public Health Emergency
(PHE). This coverage has recently been terminated due to the end of the PHE.
While Shirley was enrolled in Medicaid, she missed an opportunity to enroll in
Medicare and now wants Part B. Which of the following statements best describes
Shirley's ability to now enroll in Medicare Part B? - ANSWER-Shirley is eligible
for a Special Enrollment Period (SEP) for up to six months after the termination of
her Medicaid coverage. Under this SEP, Shirley can choose retroactive coverage
back to the date of termination from Medicaid or coverage beginning the month
after the month of enrollment.
, 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? - ANSWER-c. In order to
obtain Part B coverage, she must pay a standard monthly premium, though it is
higher for individuals with higher incomes.
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? - ANSWER-C.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. Xi will soon turn age 65 and has come to you for advice as to what services are
provided under Original Medicare. What should you tell Mr. Xi that best describes
the health coverage provided to Medicare beneficiaries? - ANSWER-c.
Beneficiaries under Original Medicare have no cost-sharing for most preventive
services which include immunizations such as annual flu shots.
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? - ANSWER-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? - ANSWER-B .He may sign-
up for Medicare at any time however coverage usually begins on the fourth month
after dialysis treatments start.
