HSA 3160 / AHIP questions with all the correct answers(Actual test 1
t t t t t t t t t t t
00% verified) LATEST 2022.
t t t
Mrs.tWesttwearstglassestandtdenturestandthastenjoyedtconsiderabletpaintrelieftfromtarthritistthro
ughtmassagettherapy.tShetistconcernedtabouttwhethertortnottMedicaretwilltcovertthesetitemstandt
services.tWhattshouldtyouttellther?
a. Medicaretcoverstglasses,tbuttnottdenturestortmassagettherapy.
b. Medicaretdoestnottcovertmassagettherapy,tor,tintgeneral,tglassestortdentures.
Correct:tNeithertMedicaretParttAtnortParttBtcoverstmassagettherapy,tdentures,tortroutineteyetexamin
ationsttotprescribeteyeglasses.
c. Medicaretcoverst80%toftthetcosttoftthesetthreetservices.
d. Medicaretcoverst50%toftthetcosttoftthesetthreetservices.
FeedbacktSource:tModulet1,tSlidet-tNottCoveredtbytMedicaretParttAt&tB
Mr.tCapadonatwouldtlikettotpurchasetatMedicaretAdvantaget(MA)tplantandtatMedigaptplanttotpicktupt
coststnottcoveredtbytthattplan.tWhattshouldtyouttellthim?
a. MedigaptplanstthattcovertcoststnottpaidtfortbytantMAtplantaretavailabletonlytintMassach
usetts,tMinnesota,tandtWisconsin.
b. MedigaptpoliciestdesignedttotcovertcoststnottpaidtfortbytantMAtplantcantbetpurchased,tbuttonlytiftthet
MAtplan’stdesigntistconsideredttotbetthet“definedtstandardtbenefit.”
c. MedigaptplanstaretatformtoftMedicaretAdvantage,tsotpurchasingtbothtwouldtbetredundanttcoverage.
d. IttistillegaltfortyouttotselltMr.tCapadonatatMedigaptplantifthetistenrolledtintantMAtplan,tandtbesides,tMe
digaptonlytworkstwithtOriginaltMedicare.
Correct:tThetpurposetoftMedigaptplanstisttotsupplementtOriginaltMedicaretbenefits.tMedigaptpla
nstdotnottworktwithtMedicaretAdvantagetplans.tIttistillegalttotselltatMedigaptplanttotsomeonetalrea
dytintatMedicaretAdvantagethealthtplan.
FeedbacktSource:tModulet1,tSlidet-tMedigaptistNOT
Mr.tBauertist49tyearstold,tbutteighteentmonthstagothetwastdeclaredtdisabledtbytthetSocialtSecurit
ytAdministrationtandthastbeentreceivingtdisabilitytpayments.tHetistwonderingtwhetherthetcantobta
intcoveragetundertMedicare.tWhattshouldtyouttellthim?
a.tHetbecameteligibletfortMedicaretwhenthistdisabilityteligibilitytdeterminationtwastfirsttmade.tb.tAf
tertreceivingtsuchtdisabilitytpaymentstfort24tmonths,thetwilltbetautomaticallytenrolledtintMedicare,
t regardlesst oftage.
,HSA 3160 / AHIP questions with all the correct answers(Actual test 1
t t t t t t t t t t t
00% verified) LATEST 2022.
t t t
Correct:tIndividualstwithtdisabilitiestwhotaretundertaget65taretautomaticallytenrolledtintMe
dicaretPartstAtandtBtthetmonthtafterttheythavetreceivedtSocialtSecuritytortRailroadtRetirem
enttdisabilitytbenefitstfort24tmonths.
c.tIndividualstreceivingtsuchtdisabilitytpaymentstfromtthetSocialtSecuritytAdministrationtcontinue
ttotreceivetthosetpaymentstbuttonlytbecometeligibletfortMedicaretupontreachingtaget65.
d.tIndividualstwhotbecometeligibletfortsuchtdisabilitytpaymentstonlythavettotwaitt12tmonthstbefo
rettheytcantapplytfortcoveragetundertMedicare.
FeedbacktSource:tModulet1,tSlidet-tMedicaretEnrollmenttParttAt&tB
Mrs.tPeňatist66tyearstold,thastcoveragetundertantemployertplan,tandtwilltretiretnexttyear.tShetheard
t shetmusttenrollt intParttBtattthetbeginningt oftthetyearttot ensuretnotgaptintcoverage.
Whattcantyouttellther?
a. Shetmusttwaittattleastt30tdaystafterthertemploymenttterminatestbeforetshetmaytenrolltintMedicaret
ParttB.
,HSA 3160 / AHIP questions with all the correct answers(Actual test 1
t t t t t t t t t t t
00% verified) LATEST 2022.
t t t
b. Shetmaytenrolltattanyttimetwhiletshetistcoveredtunderthertemployertplan,tbuttshetwillthavetatspecialteig
ht-
monthtenrollmenttperiodtaftertthetlasttmonthtonthertemployertplantthattdifferstfromtthetstandardtgeneral
tenrollmenttperiod,tduringtwhichtshetmaytenrolltintMedicaretParttB.tCorrect:tAstlongtastMrs.tPeňatistcovere
dtunderthertemployer’stplan,tshetcantenrolltintParttBtattanyttime.tIftshetretires,tshetwilltbetablettotenrolltintP
arttBtduringtatspecialtenrollmenttperiodtthattlastst8tmonthstfollowingtthetlasttmonthtofthertemployertcove
rage.
c. ShetmaytnottenrolltintParttBtwhiletcoveredtundertantemployertgroupthealthtplantandtmusttwaittuntiltt
hetstandardtgeneraltenrollmenttperiodtaftertshetretires.
d. ShetmaytonlytenrolltintParttBtduringtthetgeneraltenrollmenttperiodtwhethertshetistretiredtortnot
FeedbacktSource:tModulet1,tSlidet-tEnrollmenttintPartstAt&tBtAftertthetInitialtEnrollmenttPeriod
Mrs.tGonzaleztistenrolledtintOriginaltMedicaretandthastatMedigaptpolicytastwell,tbuttittprovidestnot
drugtcoverage.tShetwouldtlikettotkeeptthetcoveragetshethastbuttreplacethertexistingtMedigaptplant
withtonetthattprovidestdrugtcoverage.tWhattshouldtyouttellther?
a. Mrs.tGonzaleztshouldtpurchasetatKtortLtMedigaptplan.
b. Mrs.tGonzaleztcantpurchasetatMedigaptplantthattcoverstdrugs,tbuttittlikelytwon’ttoffertcoveragett
hattistequivalentttotthattprovidedtundertParttD.
c. Mrs.tGonzaleztcannottpurchasetatMedigaptplantthattcoverstdrugs,tbuttshetcouldtkeepthertMedigaptp
olicytandtenrolltintatParttDtprescriptiontdrugtplan.
Correct:tIndividualstwhotaretenrolledtintMedigaptplanstmaytonlytobtaintMedicaretdrugtcov
eraget(ParttD)tthroughtatstand-alonetprescriptiontdrugtplan.
d. MedigaptistatreplacementtfortOriginaltMedicaretandtshethastbeentpayingtfortdoubletcoverage.t
ShetshouldtsimplytdropthertMedigaptpolicy.
FeedbacktSource:tModulet1,tSlidet-tBeneficiariestwithtMedigaptPlanstwithtDrugtCoverage
Mrs.tParktistantelderlytretiree.tMrs.tParkthastatlowtfixedtincome.t WhattcouldtyouttelltMrs.tParktthatt
mighttbetoftassistance?
a. ShetshouldtnottsigntuptfortatMedicaretAdvantagetplan.
b. ShetshouldtonlytseekthelptfromtprivatetorganizationsttotcoverthertMedicaretcosts.
c. ShetcantapplyttotthetMedicaretagencytfortlowertpremiumstandtcost-sharing.
, HSA 3160 / AHIP questions with all the correct answers(Actual test 1
t t t t t t t t t t t
00% verified) LATEST 2022.
t t t
d. ShetshouldtcontactthertstatetMedicaidtagencyttotseetiftshetqualifiestfortonetoftseveraltprogramstt
hattcanthelptwithtMedicaretcoststfortwhichtshetistresponsible.
Correct:tMrs.tParktcantapplytfortprogramstthroughthertStatetMedicaidtofficetthattcouldtassisttwitht
hertMedicaretcosts,tsuchtastMedicaretSavingstPrograms,tParttDtlow-
incometsubsidies,tandtMedicaid.
FeedbacktSource:tModulet1,tSlidet-tHelptfortIndividualstwithtLimitedtIncome/Resources
Mr.tAlonsotreceivestsomethelptpayingtforthisttwotgenerictprescriptiontdrugstfromthistemployer’stret
ireetcoverage,tbutthetwantsttotcomparetitttotatParttDtprescriptiontdrugtplan.tHetaskstyoutwhattcostst
hetwouldtgenerallytexpectttotencountertwhentenrollingtintotatstandardtMedicaretParttDtprescriptio
ntdrugtplan.tWhattshouldtyouttellthim?
a. Hetgenerallytwouldtpaytonlytatper-prescriptiontco-payment.tMedicaretcoverstalltothertcosts.
b. Hetgenerallytwouldtpaytonlytatmonthlytpremium.tMedicaretcoverstalltothertcosts.
c. Hetgenerallytwouldtpaytonlytatmonthlytpremiumtandtdeductible.tMedicaretcoverstalltothertcosts.
d. Hetgenerallytwouldtpaytatmonthlytpremium,tannualtdeductible,tandtper-prescriptiontcost-tsharing.
t t t t t t t t t t t
00% verified) LATEST 2022.
t t t
Mrs.tWesttwearstglassestandtdenturestandthastenjoyedtconsiderabletpaintrelieftfromtarthritistthro
ughtmassagettherapy.tShetistconcernedtabouttwhethertortnottMedicaretwilltcovertthesetitemstandt
services.tWhattshouldtyouttellther?
a. Medicaretcoverstglasses,tbuttnottdenturestortmassagettherapy.
b. Medicaretdoestnottcovertmassagettherapy,tor,tintgeneral,tglassestortdentures.
Correct:tNeithertMedicaretParttAtnortParttBtcoverstmassagettherapy,tdentures,tortroutineteyetexamin
ationsttotprescribeteyeglasses.
c. Medicaretcoverst80%toftthetcosttoftthesetthreetservices.
d. Medicaretcoverst50%toftthetcosttoftthesetthreetservices.
FeedbacktSource:tModulet1,tSlidet-tNottCoveredtbytMedicaretParttAt&tB
Mr.tCapadonatwouldtlikettotpurchasetatMedicaretAdvantaget(MA)tplantandtatMedigaptplanttotpicktupt
coststnottcoveredtbytthattplan.tWhattshouldtyouttellthim?
a. MedigaptplanstthattcovertcoststnottpaidtfortbytantMAtplantaretavailabletonlytintMassach
usetts,tMinnesota,tandtWisconsin.
b. MedigaptpoliciestdesignedttotcovertcoststnottpaidtfortbytantMAtplantcantbetpurchased,tbuttonlytiftthet
MAtplan’stdesigntistconsideredttotbetthet“definedtstandardtbenefit.”
c. MedigaptplanstaretatformtoftMedicaretAdvantage,tsotpurchasingtbothtwouldtbetredundanttcoverage.
d. IttistillegaltfortyouttotselltMr.tCapadonatatMedigaptplantifthetistenrolledtintantMAtplan,tandtbesides,tMe
digaptonlytworkstwithtOriginaltMedicare.
Correct:tThetpurposetoftMedigaptplanstisttotsupplementtOriginaltMedicaretbenefits.tMedigaptpla
nstdotnottworktwithtMedicaretAdvantagetplans.tIttistillegalttotselltatMedigaptplanttotsomeonetalrea
dytintatMedicaretAdvantagethealthtplan.
FeedbacktSource:tModulet1,tSlidet-tMedigaptistNOT
Mr.tBauertist49tyearstold,tbutteighteentmonthstagothetwastdeclaredtdisabledtbytthetSocialtSecurit
ytAdministrationtandthastbeentreceivingtdisabilitytpayments.tHetistwonderingtwhetherthetcantobta
intcoveragetundertMedicare.tWhattshouldtyouttellthim?
a.tHetbecameteligibletfortMedicaretwhenthistdisabilityteligibilitytdeterminationtwastfirsttmade.tb.tAf
tertreceivingtsuchtdisabilitytpaymentstfort24tmonths,thetwilltbetautomaticallytenrolledtintMedicare,
t regardlesst oftage.
,HSA 3160 / AHIP questions with all the correct answers(Actual test 1
t t t t t t t t t t t
00% verified) LATEST 2022.
t t t
Correct:tIndividualstwithtdisabilitiestwhotaretundertaget65taretautomaticallytenrolledtintMe
dicaretPartstAtandtBtthetmonthtafterttheythavetreceivedtSocialtSecuritytortRailroadtRetirem
enttdisabilitytbenefitstfort24tmonths.
c.tIndividualstreceivingtsuchtdisabilitytpaymentstfromtthetSocialtSecuritytAdministrationtcontinue
ttotreceivetthosetpaymentstbuttonlytbecometeligibletfortMedicaretupontreachingtaget65.
d.tIndividualstwhotbecometeligibletfortsuchtdisabilitytpaymentstonlythavettotwaitt12tmonthstbefo
rettheytcantapplytfortcoveragetundertMedicare.
FeedbacktSource:tModulet1,tSlidet-tMedicaretEnrollmenttParttAt&tB
Mrs.tPeňatist66tyearstold,thastcoveragetundertantemployertplan,tandtwilltretiretnexttyear.tShetheard
t shetmusttenrollt intParttBtattthetbeginningt oftthetyearttot ensuretnotgaptintcoverage.
Whattcantyouttellther?
a. Shetmusttwaittattleastt30tdaystafterthertemploymenttterminatestbeforetshetmaytenrolltintMedicaret
ParttB.
,HSA 3160 / AHIP questions with all the correct answers(Actual test 1
t t t t t t t t t t t
00% verified) LATEST 2022.
t t t
b. Shetmaytenrolltattanyttimetwhiletshetistcoveredtunderthertemployertplan,tbuttshetwillthavetatspecialteig
ht-
monthtenrollmenttperiodtaftertthetlasttmonthtonthertemployertplantthattdifferstfromtthetstandardtgeneral
tenrollmenttperiod,tduringtwhichtshetmaytenrolltintMedicaretParttB.tCorrect:tAstlongtastMrs.tPeňatistcovere
dtunderthertemployer’stplan,tshetcantenrolltintParttBtattanyttime.tIftshetretires,tshetwilltbetablettotenrolltintP
arttBtduringtatspecialtenrollmenttperiodtthattlastst8tmonthstfollowingtthetlasttmonthtofthertemployertcove
rage.
c. ShetmaytnottenrolltintParttBtwhiletcoveredtundertantemployertgroupthealthtplantandtmusttwaittuntiltt
hetstandardtgeneraltenrollmenttperiodtaftertshetretires.
d. ShetmaytonlytenrolltintParttBtduringtthetgeneraltenrollmenttperiodtwhethertshetistretiredtortnot
FeedbacktSource:tModulet1,tSlidet-tEnrollmenttintPartstAt&tBtAftertthetInitialtEnrollmenttPeriod
Mrs.tGonzaleztistenrolledtintOriginaltMedicaretandthastatMedigaptpolicytastwell,tbuttittprovidestnot
drugtcoverage.tShetwouldtlikettotkeeptthetcoveragetshethastbuttreplacethertexistingtMedigaptplant
withtonetthattprovidestdrugtcoverage.tWhattshouldtyouttellther?
a. Mrs.tGonzaleztshouldtpurchasetatKtortLtMedigaptplan.
b. Mrs.tGonzaleztcantpurchasetatMedigaptplantthattcoverstdrugs,tbuttittlikelytwon’ttoffertcoveragett
hattistequivalentttotthattprovidedtundertParttD.
c. Mrs.tGonzaleztcannottpurchasetatMedigaptplantthattcoverstdrugs,tbuttshetcouldtkeepthertMedigaptp
olicytandtenrolltintatParttDtprescriptiontdrugtplan.
Correct:tIndividualstwhotaretenrolledtintMedigaptplanstmaytonlytobtaintMedicaretdrugtcov
eraget(ParttD)tthroughtatstand-alonetprescriptiontdrugtplan.
d. MedigaptistatreplacementtfortOriginaltMedicaretandtshethastbeentpayingtfortdoubletcoverage.t
ShetshouldtsimplytdropthertMedigaptpolicy.
FeedbacktSource:tModulet1,tSlidet-tBeneficiariestwithtMedigaptPlanstwithtDrugtCoverage
Mrs.tParktistantelderlytretiree.tMrs.tParkthastatlowtfixedtincome.t WhattcouldtyouttelltMrs.tParktthatt
mighttbetoftassistance?
a. ShetshouldtnottsigntuptfortatMedicaretAdvantagetplan.
b. ShetshouldtonlytseekthelptfromtprivatetorganizationsttotcoverthertMedicaretcosts.
c. ShetcantapplyttotthetMedicaretagencytfortlowertpremiumstandtcost-sharing.
, HSA 3160 / AHIP questions with all the correct answers(Actual test 1
t t t t t t t t t t t
00% verified) LATEST 2022.
t t t
d. ShetshouldtcontactthertstatetMedicaidtagencyttotseetiftshetqualifiestfortonetoftseveraltprogramstt
hattcanthelptwithtMedicaretcoststfortwhichtshetistresponsible.
Correct:tMrs.tParktcantapplytfortprogramstthroughthertStatetMedicaidtofficetthattcouldtassisttwitht
hertMedicaretcosts,tsuchtastMedicaretSavingstPrograms,tParttDtlow-
incometsubsidies,tandtMedicaid.
FeedbacktSource:tModulet1,tSlidet-tHelptfortIndividualstwithtLimitedtIncome/Resources
Mr.tAlonsotreceivestsomethelptpayingtforthisttwotgenerictprescriptiontdrugstfromthistemployer’stret
ireetcoverage,tbutthetwantsttotcomparetitttotatParttDtprescriptiontdrugtplan.tHetaskstyoutwhattcostst
hetwouldtgenerallytexpectttotencountertwhentenrollingtintotatstandardtMedicaretParttDtprescriptio
ntdrugtplan.tWhattshouldtyouttellthim?
a. Hetgenerallytwouldtpaytonlytatper-prescriptiontco-payment.tMedicaretcoverstalltothertcosts.
b. Hetgenerallytwouldtpaytonlytatmonthlytpremium.tMedicaretcoverstalltothertcosts.
c. Hetgenerallytwouldtpaytonlytatmonthlytpremiumtandtdeductible.tMedicaretcoverstalltothertcosts.
d. Hetgenerallytwouldtpaytatmonthlytpremium,tannualtdeductible,tandtper-prescriptiontcost-tsharing.
