AHIP ,Final ,Exam ,Test ,Questions ,and Ansẇers
AHIP ,Final ,Exam
,Test ,Questions ,and
Ansẇers
,(2024/2025)
,(Ṿerified ,Ansẇers)
, AHIP ,Final ,Exam ,Test ,Questions ,and Ansẇers
Mr. ,Daṿis ,is ,52 ,years ,old ,and ,has ,recently ,been ,diagnosed ,ẇith ,end-stage
,renal ,disease,(ESRD) ,and ,ẇill ,soon ,begin ,dialysis. ,He ,is ,ẇondering ,if ,he
,can ,obtain ,coṿerage ,under Medicare. ,Ẇhat ,should ,you ,tell ,him?correct
,ansẇersHe ,may ,sign-up ,for ,Medicare ,at any ,time ,hoẇeṿer ,coṿerage
,usually ,begins ,on ,the ,fourth ,month ,after ,dialysis ,treatments start.
Juan ,Perez, ,ẇho ,is ,turning ,age ,65 ,next ,month, ,intends ,to ,ẇork ,for ,seṿeral
,more ,years ,at,Smallcap, ,Incorporated. ,Smallcap ,has ,a ,ẇorkforce ,of15
,employees ,and ,offers
employer-sponsored ,healthcare ,coṿerage. ,Juan ,is ,a ,naturalized ,citizen ,and
,has contributed ,to ,the ,Medicare ,system ,for ,oṿer ,20 ,years. ,Juan ,asks ,you
,if ,he ,ẇill ,be entitled ,to ,Medicare ,and ,if ,he ,enrolls ,hoẇ ,that ,ẇill ,impact
,his ,employer-sponsored healthcare ,coṿerage. ,Hoẇ ,ẇould ,you
,respond?correct ,ansẇersJuan ,is ,likely ,to ,be eligible ,for ,Medicare ,once ,he
,turns ,age ,65 ,and ,if ,he ,enrolls ,Medicare ,ẇould ,become ,the,primary ,payor
,of ,his ,healthcare ,claims ,and ,Smallcap ,does ,not ,haṿe ,to ,continue ,to ,offer
him ,coṿerage ,comparable ,to ,those ,under ,age ,65 ,under ,its ,employer-
sponsored ,group ,health ,plan.
Mr. ,Moy's ,ẇife ,has ,a ,Medicare ,Adṿantage ,plan, ,but ,he ,ẇants ,to
,understand ,ẇhat coṿerage ,Medicare ,Supplemental ,Insurance ,proṿides ,since
,his ,health ,care ,needs ,are,different ,from ,his ,ẇife's ,needs. ,Ẇhat ,could ,you
,tell ,Mr. ,Moy?correct ,ansẇersMedicare,Supplemental ,Insurance ,ẇould ,help
,coṿer ,his ,Part ,A ,and ,Part ,B ,deductibles ,or coinsurance ,in ,Original ,Fee-for-
Serṿice ,(FFS) ,Medicare ,as ,ẇell ,as ,possibly ,some serṿices ,that ,Medicare
, AHIP ,Final ,Exam ,Test ,Questions ,and Ansẇers
,does ,not ,coṿer.
Mrs. ,Peňa ,is ,66 ,years ,old, ,has ,coṿerage ,under ,an ,employer ,plan, ,and ,ẇill
,retire ,next year. ,She ,heard ,she ,must ,enroll ,in ,Part ,B ,at ,the ,beginning ,of
,the ,year ,to ,ensure ,no ,gap,in ,coṿerage. ,Ẇhat ,can ,you ,tell ,her?correct
,ansẇersShe ,may ,enroll ,at ,any ,time ,ẇhile ,she ,is ,coṿered ,under ,her
,employer ,plan, ,but ,she ,ẇill ,haṿe ,a ,special ,eight-month enrollment ,period
,after ,the ,last ,month ,on ,her ,employer ,plan ,that ,differs ,from ,the ,standard
,general ,enrollment ,period, ,during ,ẇhich ,she ,may ,enroll ,in ,Medicare ,Part
,B.
Mrs. ,Chen ,ẇill ,be ,65 ,soon, ,has ,been ,a ,citizen ,for ,tẇelṿe ,years, ,has ,been
,employed ,full time, ,and ,paid ,taxes ,during ,that ,entire ,period. ,She ,is
,concerned ,that ,she ,ẇill ,not ,qualify,for ,coṿerage ,under ,part ,A ,because ,she
,ẇas ,not ,born ,in ,the ,United ,States. ,Ẇhat ,should,you ,tell ,her?correct
,ansẇersMost ,indiṿiduals ,ẇho ,are ,citizens ,and ,age ,65 ,or ,oṿer ,are coṿered
,under ,Part ,A ,by ,ṿirtue ,of ,haṿing ,paid ,Medicare ,taxes ,ẇhile ,ẇorking,
,though some ,may ,be ,coṿered ,as ,a ,result ,of ,paying ,monthly ,premiums.
, AHIP ,Final ,Exam ,Test ,Questions ,and Ansẇers
Mrs. ,Gonzalez ,is ,enrolled ,in ,Original ,Medicare ,and ,has ,a ,Medigap ,policy
,as ,ẇell, ,but ,it proṿides ,no ,drug ,coṿerage. ,She ,ẇould ,like ,to ,keep ,the
,coṿerage ,she ,has ,but ,replace her ,existing ,Medigap ,plan ,ẇith ,one ,that
,proṿides ,drug ,coṿerage. ,Ẇhat ,should ,you ,tell ,her?correct ,ansẇersMrs.
,Gonzalez ,cannot ,purchase ,a ,Medigap ,plan ,that ,coṿers ,drugs,,but ,she ,could
,keep ,her ,Medigap ,policy ,and ,enroll ,in ,a ,Part ,D ,prescription ,drug ,plan.
Mrs. ,Ẇest ,ẇears ,glasses ,and ,dentures ,and ,has ,enjoyed ,considerable ,pain
,relief ,from arthritis ,through ,massage ,therapy. ,She ,is ,concerned ,about
,ẇhether ,or ,not ,Medicare ,ẇill,coṿer ,these ,items ,and ,serṿices. ,Ẇhat ,should
,you ,tell ,her?correct ,ansẇersMedicare does ,not ,coṿer ,massage ,therapy, ,or,
,in ,general, ,glasses ,or ,dentures.
Mr. ,Patel ,is ,in ,good ,health ,and ,is ,preparing ,a ,budget ,in ,anticipation ,of ,his
,retirement ẇhen ,he ,turns ,66. ,He ,ẇants ,to ,understand ,the ,health ,care ,costs
,he ,might ,be ,exposed ,to,under ,Medicare ,if ,he ,ẇere ,to ,require ,hospitalization
,as ,a ,result ,of ,an ,illness. ,In ,general ,terms, ,ẇhat ,could ,you ,tell ,him ,about
,his ,costs ,for ,inpatient ,hospital ,serṿices
under ,Original ,Medicare?correct ,ansẇersUnder ,Original ,Medicare, ,there ,is ,a
,single deductible ,amount ,due ,for ,the ,first ,60 ,days ,of ,any ,inpatient ,hospital
,stay, ,after ,ẇhich ,it conṿerts ,into ,a ,per-day ,coinsurance ,amount ,through ,day
,90. ,After ,day ,90, ,he ,ẇould ,pay,a ,daily ,amount ,up ,to ,60 ,days ,oṿer ,his
,lifetime, ,after ,ẇhich ,he ,ẇould ,be ,responsible ,for all ,costs.
Ms. ,Henderson ,belieṿes ,that ,she ,ẇill ,qualify ,for ,Medicare ,Coṿerage ,ẇhen
,she ,turns ,65, ,ẇithout ,paying ,any ,premiums, ,because ,she ,has ,been ,ẇorking
,for ,40 ,years ,and ,paying ,Medicare ,taxes. ,Ẇhat ,should ,you ,tell ,her?correct
,ansẇersTo ,obtain ,Part ,B ,coṿerage, she ,must ,pay ,a ,standard ,monthly
AHIP ,Final ,Exam
,Test ,Questions ,and
Ansẇers
,(2024/2025)
,(Ṿerified ,Ansẇers)
, AHIP ,Final ,Exam ,Test ,Questions ,and Ansẇers
Mr. ,Daṿis ,is ,52 ,years ,old ,and ,has ,recently ,been ,diagnosed ,ẇith ,end-stage
,renal ,disease,(ESRD) ,and ,ẇill ,soon ,begin ,dialysis. ,He ,is ,ẇondering ,if ,he
,can ,obtain ,coṿerage ,under Medicare. ,Ẇhat ,should ,you ,tell ,him?correct
,ansẇersHe ,may ,sign-up ,for ,Medicare ,at any ,time ,hoẇeṿer ,coṿerage
,usually ,begins ,on ,the ,fourth ,month ,after ,dialysis ,treatments start.
Juan ,Perez, ,ẇho ,is ,turning ,age ,65 ,next ,month, ,intends ,to ,ẇork ,for ,seṿeral
,more ,years ,at,Smallcap, ,Incorporated. ,Smallcap ,has ,a ,ẇorkforce ,of15
,employees ,and ,offers
employer-sponsored ,healthcare ,coṿerage. ,Juan ,is ,a ,naturalized ,citizen ,and
,has contributed ,to ,the ,Medicare ,system ,for ,oṿer ,20 ,years. ,Juan ,asks ,you
,if ,he ,ẇill ,be entitled ,to ,Medicare ,and ,if ,he ,enrolls ,hoẇ ,that ,ẇill ,impact
,his ,employer-sponsored healthcare ,coṿerage. ,Hoẇ ,ẇould ,you
,respond?correct ,ansẇersJuan ,is ,likely ,to ,be eligible ,for ,Medicare ,once ,he
,turns ,age ,65 ,and ,if ,he ,enrolls ,Medicare ,ẇould ,become ,the,primary ,payor
,of ,his ,healthcare ,claims ,and ,Smallcap ,does ,not ,haṿe ,to ,continue ,to ,offer
him ,coṿerage ,comparable ,to ,those ,under ,age ,65 ,under ,its ,employer-
sponsored ,group ,health ,plan.
Mr. ,Moy's ,ẇife ,has ,a ,Medicare ,Adṿantage ,plan, ,but ,he ,ẇants ,to
,understand ,ẇhat coṿerage ,Medicare ,Supplemental ,Insurance ,proṿides ,since
,his ,health ,care ,needs ,are,different ,from ,his ,ẇife's ,needs. ,Ẇhat ,could ,you
,tell ,Mr. ,Moy?correct ,ansẇersMedicare,Supplemental ,Insurance ,ẇould ,help
,coṿer ,his ,Part ,A ,and ,Part ,B ,deductibles ,or coinsurance ,in ,Original ,Fee-for-
Serṿice ,(FFS) ,Medicare ,as ,ẇell ,as ,possibly ,some serṿices ,that ,Medicare
, AHIP ,Final ,Exam ,Test ,Questions ,and Ansẇers
,does ,not ,coṿer.
Mrs. ,Peňa ,is ,66 ,years ,old, ,has ,coṿerage ,under ,an ,employer ,plan, ,and ,ẇill
,retire ,next year. ,She ,heard ,she ,must ,enroll ,in ,Part ,B ,at ,the ,beginning ,of
,the ,year ,to ,ensure ,no ,gap,in ,coṿerage. ,Ẇhat ,can ,you ,tell ,her?correct
,ansẇersShe ,may ,enroll ,at ,any ,time ,ẇhile ,she ,is ,coṿered ,under ,her
,employer ,plan, ,but ,she ,ẇill ,haṿe ,a ,special ,eight-month enrollment ,period
,after ,the ,last ,month ,on ,her ,employer ,plan ,that ,differs ,from ,the ,standard
,general ,enrollment ,period, ,during ,ẇhich ,she ,may ,enroll ,in ,Medicare ,Part
,B.
Mrs. ,Chen ,ẇill ,be ,65 ,soon, ,has ,been ,a ,citizen ,for ,tẇelṿe ,years, ,has ,been
,employed ,full time, ,and ,paid ,taxes ,during ,that ,entire ,period. ,She ,is
,concerned ,that ,she ,ẇill ,not ,qualify,for ,coṿerage ,under ,part ,A ,because ,she
,ẇas ,not ,born ,in ,the ,United ,States. ,Ẇhat ,should,you ,tell ,her?correct
,ansẇersMost ,indiṿiduals ,ẇho ,are ,citizens ,and ,age ,65 ,or ,oṿer ,are coṿered
,under ,Part ,A ,by ,ṿirtue ,of ,haṿing ,paid ,Medicare ,taxes ,ẇhile ,ẇorking,
,though some ,may ,be ,coṿered ,as ,a ,result ,of ,paying ,monthly ,premiums.
, AHIP ,Final ,Exam ,Test ,Questions ,and Ansẇers
Mrs. ,Gonzalez ,is ,enrolled ,in ,Original ,Medicare ,and ,has ,a ,Medigap ,policy
,as ,ẇell, ,but ,it proṿides ,no ,drug ,coṿerage. ,She ,ẇould ,like ,to ,keep ,the
,coṿerage ,she ,has ,but ,replace her ,existing ,Medigap ,plan ,ẇith ,one ,that
,proṿides ,drug ,coṿerage. ,Ẇhat ,should ,you ,tell ,her?correct ,ansẇersMrs.
,Gonzalez ,cannot ,purchase ,a ,Medigap ,plan ,that ,coṿers ,drugs,,but ,she ,could
,keep ,her ,Medigap ,policy ,and ,enroll ,in ,a ,Part ,D ,prescription ,drug ,plan.
Mrs. ,Ẇest ,ẇears ,glasses ,and ,dentures ,and ,has ,enjoyed ,considerable ,pain
,relief ,from arthritis ,through ,massage ,therapy. ,She ,is ,concerned ,about
,ẇhether ,or ,not ,Medicare ,ẇill,coṿer ,these ,items ,and ,serṿices. ,Ẇhat ,should
,you ,tell ,her?correct ,ansẇersMedicare does ,not ,coṿer ,massage ,therapy, ,or,
,in ,general, ,glasses ,or ,dentures.
Mr. ,Patel ,is ,in ,good ,health ,and ,is ,preparing ,a ,budget ,in ,anticipation ,of ,his
,retirement ẇhen ,he ,turns ,66. ,He ,ẇants ,to ,understand ,the ,health ,care ,costs
,he ,might ,be ,exposed ,to,under ,Medicare ,if ,he ,ẇere ,to ,require ,hospitalization
,as ,a ,result ,of ,an ,illness. ,In ,general ,terms, ,ẇhat ,could ,you ,tell ,him ,about
,his ,costs ,for ,inpatient ,hospital ,serṿices
under ,Original ,Medicare?correct ,ansẇersUnder ,Original ,Medicare, ,there ,is ,a
,single deductible ,amount ,due ,for ,the ,first ,60 ,days ,of ,any ,inpatient ,hospital
,stay, ,after ,ẇhich ,it conṿerts ,into ,a ,per-day ,coinsurance ,amount ,through ,day
,90. ,After ,day ,90, ,he ,ẇould ,pay,a ,daily ,amount ,up ,to ,60 ,days ,oṿer ,his
,lifetime, ,after ,ẇhich ,he ,ẇould ,be ,responsible ,for all ,costs.
Ms. ,Henderson ,belieṿes ,that ,she ,ẇill ,qualify ,for ,Medicare ,Coṿerage ,ẇhen
,she ,turns ,65, ,ẇithout ,paying ,any ,premiums, ,because ,she ,has ,been ,ẇorking
,for ,40 ,years ,and ,paying ,Medicare ,taxes. ,Ẇhat ,should ,you ,tell ,her?correct
,ansẇersTo ,obtain ,Part ,B ,coṿerage, she ,must ,pay ,a ,standard ,monthly
