2022tahipttesttreviewtquestionsUploadstbythustletgrades
Question 1 t
Mr.tBuckthastseveraltfamilytmemberstwhotdiedtfromtdifferenttcancers.t HetwantsttotknowtiftMedicaretcoverstc
ancertscreening.t Whattshouldtyouttellthim?
a. MedicaretcoverstalltscreeningtteststthatthavetbeentapprovedtbytthetFDAtontatfrequencytdeterminedtbyt
thettreatingtphysician.
b. Medicaretcoversttreatmentstfortexistingtdisease,tinjury,tandtmalformedtlimbstortbodytparts.t Astsuch,tittdo
estnottcovertanytscreeningtteststandtthesetmusttbetpaidtfortbytthetbeneficiarytout-of-pocket.
c. Medicaretcoverstsometscreeningtteststthattmusttbetperformedtwithintthetfirsttyeartaftertenrollment.tBe
yondtthattpointtexpensestfortscreeningtteststaretthetresponsibilitytoftthetbeneficiary.
d. Medicaretcoverstthetperiodictperformancetoftatrangetoftscreeningtteststthattaretmeantttotprovidetearlytd
etectiontoftdisease.t Mr.tBucktwilltneedttotchecktspecifictteststbeforetobtainingtthemttotseetifttheytwilltbetcov
ered.
Source:tModulet1,tSlidet-tMedicaretParttBtBenefitst-tPreventivetServicestandtScreenings
Question 2 t
Mr.tSchmidttwouldtlikettotplantfortretirementtandthastaskedtyoutwhattistcoveredtundertOriginaltFee-for-
tServicet(FFS)tMedicare?t Whattcouldtyouttellthim?
a.ParttC,twhichtalwaystcoverstdentaltandtvisiontservices,tistcoveredtundertOriginaltMedicare.
b.ParttA,twhichtcoversthospital,tskilledtnursingtfacility,thospice,tandthomethealthtservicestandtParttB,twhicht
coverstprofessionaltservicestsuchtastthosetprovidedtbytatdoctortaretcoveredtundertOriginaltMedicare.
c.ParttA,twhichtcoverstlong-
termtcustodialtcaretservices,tistcoveredtundertOriginaltMedicare.td.ParttD,twhichtcoverstprescript
iontdrugtservices,tistcoveredtundertOriginaltMedicare.
Source:tModulet1,tSlidet-tOverviewtoftMedicaretBenefitstandtCoveraget-tPartstA,tB,tC,tandtSlidet-
tOverviewtoftDifferenttWaysttotGettMedicare
Question 3 t
JuantPerez,twhotistturningtaget65tnexttmonth,tintendsttotworktfortseveraltmoretyearstattSmallcap,tIncorpo
rated.tSmallcapthastatworkforcetoft15temployeestandtofferstemployer-
2022tahipttesttreviewtquestionsUploadstbythustletgrades
,2022tahipttesttreviewtquestionsUploadstbythustletgrades
sponsoredthealthcaretcoverage.tJuantistatnaturalizedtcitizentandthastcontributedttotthetMedicaretsystemtfo
rtovert20tyears.tJuantaskstyoutifthetwilltbetentitledttotMedicaretandtifthetenrollsthowtthattwilltimpactthistem
ployer-tsponsoredthealthcaretcoverage.tHowtwouldtyoutrespond?
a.JuantistlikelyttotbetineligibletfortMedicaretsincethetwastborntoutsidetthetUnitedtStatestandthastonlytcontribut
edttotthetMedicaretsystemtfort20tyears.
2022tahipttesttreviewtquestionsUploadstbythustletgrades
,2022tahipttesttreviewtquestionsUploadstbythustletgrades
b.tJuantistlikelyttotbeteligibletfortMedicaretoncethetturnstaget65tandtifthetenrollstMedicaretwouldtbecomett
hetprimarytpayortofthisthealthcaretclaimstbuttSmallcaptmusttcontinuettotofferthimtcoveragetundertitstempl
oyer-sponsoredtgroupthealthtplantandtwouldtbecometatsecondarytpayor.
c.JuantistlikelyttotbeteligibletfortMedicaretoncethetturnstaget65tandtifthetenrollsthistemployer-
sponsoredtcoveragetwouldtcontinuettotbetthetprimarytpayortwhiletMedicaretwouldtbetconsideredtatsecon
darytpayortofthisthealthcaretclaims.
Incorrect:tMedicaretistthetprimarytpayortfortindividualstwhothavetgroupthealthtcoveragetduettottheirtco
ntinuedtemploymenttwithtatsmalltemployer.tAtsmalltgroupthealthtplantistonetofferedtbytatcompanytwithtf
ewertthant20temployees.
d.tJuantistlikelyttotbeteligibletfortMedicaretoncethetturnstaget65tandtifthetenrollstMedicaretwouldtbecomett
hetprimarytpayortofthisthealthcaretclaimstandtSmallcaptdoestnotthavettotcontinuettotofferthimtcoveragetco
mparablettotthosetundertaget65tundertitstemployer-sponsoredtgroupthealthtplan.
Source:tModulet1,tSlidet-tEligibilitytfortParttAtandtParttBtBenefitstandtSlidet-
tMedicaretfortIndividualstWhotAretStilltWorkingt-tSmalltGHPstandtSlidet-
tMedicaretCoordinationtwithtEmployertGrouptHealthtPlans
Question 4 t
Mr.tBauertist49tyearstold,tbutteighteentmonthstagothetwastdeclaredtdisabledtbytthetSocialtSecuritytAd
ministrationtandthastbeentreceivingtdisabilitytpayments.tHetistwonderingtwhetherthetcantobtaintcove
ragetundertMedicare.t Whattshouldtyouttellthim?
a.Aftertreceivingtsuchtdisabilitytpaymentstfort24tmonths,thetwilltbetautomaticallytenrolledtintMedicare,treg
ardlesstoftage.
b.Individualstwhotbecometeligibletfortsuchtdisabilitytpaymentstonlythavettotwaitt12tmonthstbeforettheytcanta
pplytfortcoveragetundertMedicare.
c.IndividualstreceivingtsuchtdisabilitytpaymentstfromtthetSocialtSecuritytAdministrationtcontinuettotreceive
tthosetpaymentstbuttonlytbecometeligibletfortMedicaretupontreachingtaget65.
d.HetbecameteligibletfortMedicaretwhenthistdisabilityteligibilitytdeterminationtwastfirsttmade.tSo
urce:tModulet1,tSlidet-tMedicaretEnrollmenttParttAt&tB
Question 5 t
Ms.tMooretplansttotretiretwhentshetturnst65tintatfewtmonths.tShetistintexcellentthealthtandtwillthavetconsi
derabletincometwhentshetretires.tShetistconcernedtthatthertincometwilltmaketittimpossibletfortherttotqualif
ytfortMedicare.t Whattcouldtyouttelltherttotaddressthertconcern?
2022tahipttesttreviewtquestionsUploadstbythustletgrades
, 2022tahipttesttreviewtquestionsUploadstbythustletgrades
a.Medicaretistatprogramtfortpeopletwhothavetincomestandtassetstbelowtspecifictlimits,tsotyoutwillthavettotfi
ndtoutthertexacttfinancialtsituationtbeforettellingthertwhethertshetcantobtaintMedicaretcoverage.
b.EligibilitytfortMedicaretistbasedtontwhethertortnottatpersonthastevertbeentemployedtbytthetfederaltgo
vernment.tIftshetortherthusbandtweretevertemployedtbytthetfederaltgovernment,tshetcantenrolltintMedi
care.
2022tahipttesttreviewtquestionsUploadstbythustletgrades
Question 1 t
Mr.tBuckthastseveraltfamilytmemberstwhotdiedtfromtdifferenttcancers.t HetwantsttotknowtiftMedicaretcoverstc
ancertscreening.t Whattshouldtyouttellthim?
a. MedicaretcoverstalltscreeningtteststthatthavetbeentapprovedtbytthetFDAtontatfrequencytdeterminedtbyt
thettreatingtphysician.
b. Medicaretcoversttreatmentstfortexistingtdisease,tinjury,tandtmalformedtlimbstortbodytparts.t Astsuch,tittdo
estnottcovertanytscreeningtteststandtthesetmusttbetpaidtfortbytthetbeneficiarytout-of-pocket.
c. Medicaretcoverstsometscreeningtteststthattmusttbetperformedtwithintthetfirsttyeartaftertenrollment.tBe
yondtthattpointtexpensestfortscreeningtteststaretthetresponsibilitytoftthetbeneficiary.
d. Medicaretcoverstthetperiodictperformancetoftatrangetoftscreeningtteststthattaretmeantttotprovidetearlytd
etectiontoftdisease.t Mr.tBucktwilltneedttotchecktspecifictteststbeforetobtainingtthemttotseetifttheytwilltbetcov
ered.
Source:tModulet1,tSlidet-tMedicaretParttBtBenefitst-tPreventivetServicestandtScreenings
Question 2 t
Mr.tSchmidttwouldtlikettotplantfortretirementtandthastaskedtyoutwhattistcoveredtundertOriginaltFee-for-
tServicet(FFS)tMedicare?t Whattcouldtyouttellthim?
a.ParttC,twhichtalwaystcoverstdentaltandtvisiontservices,tistcoveredtundertOriginaltMedicare.
b.ParttA,twhichtcoversthospital,tskilledtnursingtfacility,thospice,tandthomethealthtservicestandtParttB,twhicht
coverstprofessionaltservicestsuchtastthosetprovidedtbytatdoctortaretcoveredtundertOriginaltMedicare.
c.ParttA,twhichtcoverstlong-
termtcustodialtcaretservices,tistcoveredtundertOriginaltMedicare.td.ParttD,twhichtcoverstprescript
iontdrugtservices,tistcoveredtundertOriginaltMedicare.
Source:tModulet1,tSlidet-tOverviewtoftMedicaretBenefitstandtCoveraget-tPartstA,tB,tC,tandtSlidet-
tOverviewtoftDifferenttWaysttotGettMedicare
Question 3 t
JuantPerez,twhotistturningtaget65tnexttmonth,tintendsttotworktfortseveraltmoretyearstattSmallcap,tIncorpo
rated.tSmallcapthastatworkforcetoft15temployeestandtofferstemployer-
2022tahipttesttreviewtquestionsUploadstbythustletgrades
,2022tahipttesttreviewtquestionsUploadstbythustletgrades
sponsoredthealthcaretcoverage.tJuantistatnaturalizedtcitizentandthastcontributedttotthetMedicaretsystemtfo
rtovert20tyears.tJuantaskstyoutifthetwilltbetentitledttotMedicaretandtifthetenrollsthowtthattwilltimpactthistem
ployer-tsponsoredthealthcaretcoverage.tHowtwouldtyoutrespond?
a.JuantistlikelyttotbetineligibletfortMedicaretsincethetwastborntoutsidetthetUnitedtStatestandthastonlytcontribut
edttotthetMedicaretsystemtfort20tyears.
2022tahipttesttreviewtquestionsUploadstbythustletgrades
,2022tahipttesttreviewtquestionsUploadstbythustletgrades
b.tJuantistlikelyttotbeteligibletfortMedicaretoncethetturnstaget65tandtifthetenrollstMedicaretwouldtbecomett
hetprimarytpayortofthisthealthcaretclaimstbuttSmallcaptmusttcontinuettotofferthimtcoveragetundertitstempl
oyer-sponsoredtgroupthealthtplantandtwouldtbecometatsecondarytpayor.
c.JuantistlikelyttotbeteligibletfortMedicaretoncethetturnstaget65tandtifthetenrollsthistemployer-
sponsoredtcoveragetwouldtcontinuettotbetthetprimarytpayortwhiletMedicaretwouldtbetconsideredtatsecon
darytpayortofthisthealthcaretclaims.
Incorrect:tMedicaretistthetprimarytpayortfortindividualstwhothavetgroupthealthtcoveragetduettottheirtco
ntinuedtemploymenttwithtatsmalltemployer.tAtsmalltgroupthealthtplantistonetofferedtbytatcompanytwithtf
ewertthant20temployees.
d.tJuantistlikelyttotbeteligibletfortMedicaretoncethetturnstaget65tandtifthetenrollstMedicaretwouldtbecomett
hetprimarytpayortofthisthealthcaretclaimstandtSmallcaptdoestnotthavettotcontinuettotofferthimtcoveragetco
mparablettotthosetundertaget65tundertitstemployer-sponsoredtgroupthealthtplan.
Source:tModulet1,tSlidet-tEligibilitytfortParttAtandtParttBtBenefitstandtSlidet-
tMedicaretfortIndividualstWhotAretStilltWorkingt-tSmalltGHPstandtSlidet-
tMedicaretCoordinationtwithtEmployertGrouptHealthtPlans
Question 4 t
Mr.tBauertist49tyearstold,tbutteighteentmonthstagothetwastdeclaredtdisabledtbytthetSocialtSecuritytAd
ministrationtandthastbeentreceivingtdisabilitytpayments.tHetistwonderingtwhetherthetcantobtaintcove
ragetundertMedicare.t Whattshouldtyouttellthim?
a.Aftertreceivingtsuchtdisabilitytpaymentstfort24tmonths,thetwilltbetautomaticallytenrolledtintMedicare,treg
ardlesstoftage.
b.Individualstwhotbecometeligibletfortsuchtdisabilitytpaymentstonlythavettotwaitt12tmonthstbeforettheytcanta
pplytfortcoveragetundertMedicare.
c.IndividualstreceivingtsuchtdisabilitytpaymentstfromtthetSocialtSecuritytAdministrationtcontinuettotreceive
tthosetpaymentstbuttonlytbecometeligibletfortMedicaretupontreachingtaget65.
d.HetbecameteligibletfortMedicaretwhenthistdisabilityteligibilitytdeterminationtwastfirsttmade.tSo
urce:tModulet1,tSlidet-tMedicaretEnrollmenttParttAt&tB
Question 5 t
Ms.tMooretplansttotretiretwhentshetturnst65tintatfewtmonths.tShetistintexcellentthealthtandtwillthavetconsi
derabletincometwhentshetretires.tShetistconcernedtthatthertincometwilltmaketittimpossibletfortherttotqualif
ytfortMedicare.t Whattcouldtyouttelltherttotaddressthertconcern?
2022tahipttesttreviewtquestionsUploadstbythustletgrades
, 2022tahipttesttreviewtquestionsUploadstbythustletgrades
a.Medicaretistatprogramtfortpeopletwhothavetincomestandtassetstbelowtspecifictlimits,tsotyoutwillthavettotfi
ndtoutthertexacttfinancialtsituationtbeforettellingthertwhethertshetcantobtaintMedicaretcoverage.
b.EligibilitytfortMedicaretistbasedtontwhethertortnottatpersonthastevertbeentemployedtbytthetfederaltgo
vernment.tIftshetortherthusbandtweretevertemployedtbytthetfederaltgovernment,tshetcantenrolltintMedi
care.
2022tahipttesttreviewtquestionsUploadstbythustletgrades
