1|Page
AHIP EXAM REVIEW UNIT 1 TO 5 QUESTIONS WITH
DETAILED ANSWERS
Mrs. Peňa is 66 years old, has coverage under an
employer plan and will retire next year. She heard she
must enroll in Part B at the beginning
of the year to ensure no gap in coverage. What can you
tell her? - ANSWER-She may enroll at any time while she
is covered under her employer plan, but she will have a
special eight month enrollment period that differs from the
standard general enrollment period, during which she may
enroll in Medicare Part B.
Mrs. Kelly is entitled to Part A, but is not yet enrolled in
Part B. She is considering enrollment in a Medicare health
,2|Page
plan. What should you advise her to do before she will be
able to enroll into a Medicare health plan? - ANSWER-In
order to join a Medicare health plan, she also must enroll
in Part B.
Mrs. Park has a low, fixed income. What could you tell her
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. Yu has limited income and resources so you have
encouraged him to see if he qualifies for some type of
financial assistance. Mr. Yu is not sure it is worth the
trouble to apply and wants to know what the assistance
,3|Page
could do for him if he qualifies. What could you tell him? -
ANSWER-He might qualify for help with Part D
prescription drug costs and help paying Part A and/or Part
B premiums, deductibles, and/or cost sharing.
Mr. Patel is in good health and is preparing a budget in
anticipation of his retirement when he turns 66. He wants
to understand the health care costs he might be exposed
to under Medicare if he were to require hospitalization as a
result of an illness. In general terms, what could you tell
him about his costs for inpatient hospital services under
Original Medicare? - ANSWER-Under Original Medicare,
there is a single deductible amount due for the first 60
days of any inpatient
, 4|Page
hospital stay, after which it converts into a per-day amount
through day 90. After day 90, he would pay a daily
amount up to 60 days over his lifetime, after which he
would be responsible for all costs
Mrs. Shields is covered by Original Medicare. She
sustained a hip fracture and is being successfully treated
for that condition. However, she and her physicians feel
that after her lengthy hospital stay she will need a month
or two of nursing and rehabilitative care. What should you
tell them about Original Medicare's coverage of care in a
skilled nursing facility? - ANSWER-Medicare will cover
Mrs. Schmidt's skilled nursing services provided during the
first 20 days of her stay, after which she would have a
coinsurance until she has been in the facility for 100 days.
AHIP EXAM REVIEW UNIT 1 TO 5 QUESTIONS WITH
DETAILED ANSWERS
Mrs. Peňa is 66 years old, has coverage under an
employer plan and will retire next year. She heard she
must enroll in Part B at the beginning
of the year to ensure no gap in coverage. What can you
tell her? - ANSWER-She may enroll at any time while she
is covered under her employer plan, but she will have a
special eight month enrollment period that differs from the
standard general enrollment period, during which she may
enroll in Medicare Part B.
Mrs. Kelly is entitled to Part A, but is not yet enrolled in
Part B. She is considering enrollment in a Medicare health
,2|Page
plan. What should you advise her to do before she will be
able to enroll into a Medicare health plan? - ANSWER-In
order to join a Medicare health plan, she also must enroll
in Part B.
Mrs. Park has a low, fixed income. What could you tell her
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. Yu has limited income and resources so you have
encouraged him to see if he qualifies for some type of
financial assistance. Mr. Yu is not sure it is worth the
trouble to apply and wants to know what the assistance
,3|Page
could do for him if he qualifies. What could you tell him? -
ANSWER-He might qualify for help with Part D
prescription drug costs and help paying Part A and/or Part
B premiums, deductibles, and/or cost sharing.
Mr. Patel is in good health and is preparing a budget in
anticipation of his retirement when he turns 66. He wants
to understand the health care costs he might be exposed
to under Medicare if he were to require hospitalization as a
result of an illness. In general terms, what could you tell
him about his costs for inpatient hospital services under
Original Medicare? - ANSWER-Under Original Medicare,
there is a single deductible amount due for the first 60
days of any inpatient
, 4|Page
hospital stay, after which it converts into a per-day amount
through day 90. After day 90, he would pay a daily
amount up to 60 days over his lifetime, after which he
would be responsible for all costs
Mrs. Shields is covered by Original Medicare. She
sustained a hip fracture and is being successfully treated
for that condition. However, she and her physicians feel
that after her lengthy hospital stay she will need a month
or two of nursing and rehabilitative care. What should you
tell them about Original Medicare's coverage of care in a
skilled nursing facility? - ANSWER-Medicare will cover
Mrs. Schmidt's skilled nursing services provided during the
first 20 days of her stay, after which she would have a
coinsurance until she has been in the facility for 100 days.
