AHIP FINAL EXAM 2024/2025 VERIFIED QUESTIONS AND ANSWERS GRADED A+

AHIP FINAL EXAM 2024/202
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AHIP FINAL EXAM 2024/2025 VERIFIED
QUESTIONS AND ANSWERS GRADED A+



Mr. Davis is 52 years old and has recently been diagnosed with end-
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stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he c
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an obtain coverage under Medicare. What should you tell him?
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CORRECT ANSWERHe may sign- sw sw sw




up for Medicare at any time however coverage usually begins on the fourth mont
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h after dialysis treatments start.
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Juan Perez, who is turning age 65 next month, intends to work for several more
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years at Smallcap, Incorporated. Smallcap has a workforce of15 employees and
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offers employer- sw




sponsored healthcare coverage. Juan is a naturalized citizen and has contributed t
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o the Medicare system for over 20 years. Juan asks you if he will be entitled to
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Medicare and if he enrolls how that will impact his employer-
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sw sponsored healthcare coverage. How would you respond?
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CORRECT ANSWERJuan is likely to be eligible for Medicare once he turns ag
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e 65 and if he enrolls Medicare would become the primary payor of his healthc
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are claims and Smallcap does not have to continue to offer him coverage comp
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arable to those under age 65 under its employer-sponsored group health plan.
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Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand wha
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t coverage Medicare Supplemental Insurance provides since his health care need
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s are different from his wife's needs. What could you tell Mr. Moy?CORRECT
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,AHIP FINAL EXAM 2024/202
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ANSWERMedicare Supplemental Insurance would help cover his Part A and Par
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t B deductibles or coinsurance in Original Fee-for-
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Service (FFS) Medicare as well
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,AHIP FINAL EXAM 2024/202
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as possibly some services that Medicare does not cover.
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Mrs. Peňa is 66 years old, has coverage under an employer plan, and will retire
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next year. She heard she must enroll in Part B at the beginning of the year to e
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nsure no gap in coverage. What can you tell her?CORRECT ANSWERShe may
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swsw enroll at any time while she is covered under her employer plan, but she will h
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ave a special eight-
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month enrollment period after the last month on her employer plan that differs f
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rom the standard general enrollment period, during which she may enroll in M
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edicare Part B. sw sw




Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employ
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ed full time, and paid taxes during that entire period. She is concerned that she
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will not qualify for coverage under part A because she was not born in the Unite
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d States. What should you tell her?CORRECT ANSWERMost individuals who a
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re citizens and age 65 or over are covered under Part A by virtue of having pai
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d Medicare taxes while working, though some may be covered as a result of pa
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ying monthly premiums.
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, AHIP FINAL EXAM 2024/202
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Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as wel
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l, but it provides no drug coverage. She would like to keep the coverage she has
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w but replace her existing Medigap plan with one that provides drug coverage. W
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hat should you tell her?CORRECT ANSWERMrs. Gonzalez cannot purchase a
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Medigap plan that covers drugs, but she could keep her Medigap policy and enro
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ll in a Part D prescription drug plan.
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Mrs. West wears glasses and dentures and has enjoyed considerable pain relief fr
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om arthritis through massage therapy. She is concerned about whether or not Me
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dicare will cover these items and services. What should you tell her?CORRECT
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w ANSWERMedicare does not cover massage therapy, or, in general, glasses or sw sw sw sw sw sw sw swsw sw sw sw




dentures.



Mr. Patel is in good health and is preparing a budget in anticipation of his retire
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ment when he turns 66. He wants to understand the health care costs he might b
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e exposed to under Medicare if he were to require hospitalization as a result of
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an illness. In general terms, what could you tell him about his costs for inpatient
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w hospital services sw




under Original Medicare?CORRECT ANSWERUnder Original Medicare, there i
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s a single deductible amount due for the first 60 days of any inpatient hospital s
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tay, after which it converts into a per-
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day coinsurance amount through day 90. After day 90, he would pay a daily a
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mount up to 60 days over his lifetime, after which he would be responsible for
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all costs. sw




Ms. Henderson believes that she will qualify for Medicare Coverage when she t
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urns 65, without paying any premiums, because she has been working for 40 ye
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ars and paying Medicare taxes. What should you tell her?CORRECT ANSWE
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