AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hgxyw6
1. Mr. Capadona would like It is illegal for you to sell
a Medicare Advantage Medigap plan if he is
Medigap plan to pick up plan, and besides,
by that plan. What should Original Medicare.
you tell him?
2. Agent John Miller is Tell prospect Jerry Smith
Smith, a new prospect. sider adding a
enrolled in Medicare tion drug coverage policy
ry has also purchased a erage.
ment (Medigap) plan
for several years.
not provide drug
advise Agent John Miller
to proceed?
3. Mr. Wu is eligible for Mr. Wu may still qualify
limited financial Part D costs through his
qualify for the Part D low- cal Assistance Program
Where might he turn for (SPAP).
scription drug costs?
4. Mr. Vasquez is in good Under Original Medicare,
preparing a budget in deductible amount due
retirement when he turns of any inpatient hospital
understand the health converts into a per-day
be exposed to under through day 90. After day
to require hospitalization daily amount up to 60
ness. In general terms, after which he would be
him about his costs for costs.
services under Original
Medicare?
5. Mr. Moy will soon turn Medicare Supplemental
younger than his wife. help cover his Part A
Mr. Moy's wife has a deductible and Part
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hgxyw6
Medicare Advantage B coinsurance or
understand what Fee-for-Service (FFS)
plemental Insurance possibly some services
health care needs are not cover.
wife's needs. What could
you tell Mr. Moy?
6. Juan Perez, who is Juan is likely to be eligible
month, intends to work once he turns age 65 and
years at Smallcap, Medicare would become
has a workforce of 15 of his healthcare claims
fers employer-sponsored not have to continue to
erage. Juan is a comparable to those
contributed to the its employer-sponsored
over 20 years. Juan asks Juan is likely to be eligible
entitled to Medicare and once he turns age 65 and
that will impact his Medicare would become
healthcare coverage. of his healthcare claims
spond? continue to offer him
employer-sponsored
would become a
secondary payor.
7. Ms. Kumar plans to retire Medicare is a program
65 in a few months. She older and those under
health and will have disabilities, end-stage
when she retires. She is Lou Gehrig's disease so
her income will make it for Medicare.
to qualify for Medicare.
her to address her
concern?
8. Mrs. Ellis recently turned Part B primarily covers
after many years of work She will be paying a
begin receiving Social except for many
Security benefits. preventive and screening
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hgxyw6
Shortly thereafter Mrs. tests, generally will have
ter informing her that for these services, in
tomatically enrolled in deductible.
She wants to understand
What should you tell Mrs.
Ellis?
9. Mr. Singh would like drug Mr. Singh can enroll in a
does not want to be scription drug plan and
Advantage plan. What ered for Part A and Part B
should you tell him? Original Fee-for-Service
Medicare.
10. Mrs. Cook is an elderly She should contact her
has a low fixed income. agency to see if she
Mrs. Cook that might be eral programs that can
of assistance? costs for which she is
responsible.
11. Ms. Henderson believes To obtain Part B
ify for Medicare Coverage a standard monthly
65, without paying any higher for individuals
cause she has been with higher incomes.
and paying Medicare
you tell her?
12. Mr. Bauer is 49 years old, After receiving such
months ago he was 24 months, he will be
the Social Security in Medicare, regardless
been receiving disability of age.
wondering whether he
age under Medicare.
him?
13. Mr. Schmidt would like to Part A, which covers
tirement and has asked facility, hospice, and
you what is cov-
home health services
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hgxyw6
ered under Original Fee- and Part B, which covers
Medicare. What could vices such as those
you tell him? covered under Original
Medicare.
14. Anthony Boniface turned Anthony is eligible for a
was not receiving Social period (SEP) because he
road Retirement Benefits ment period due to the
birthday. He was erally declared disaster.
Medicare coverage and is Anthony to enroll in Part
mium-free Part A. Before after the end of the
in Medicare, his entire Anthony may enroll in
ed by a hurricane causing at any time and his Part A
ing and severe wind retroactive for up to 6
government declared this months.
disaster which has
this period Anthony's
period expired. Anthony
can now obtain Medicare
should you say?
15. Ms. Lewis has aggressive Medicare covers hospice
would like to know if will be available for her.
hospice services in case
What should you tell her?
16. Edward suffered from Individuals eligible for
ease. As a result, Edward ESRD generally lose
for Medicare coverage after the month in which
renal disease (ESRD). A ceives a kidney
nated their kidney and igible for Medicare on
fully underwent age or disability. Edward
months ago. Edward is main enrolled in Part B
now age 50 and but solely for cover-
Study online at
https://quizlet.com/_hgxyw6
1. Mr. Capadona would like It is illegal for you to sell
a Medicare Advantage Medigap plan if he is
Medigap plan to pick up plan, and besides,
by that plan. What should Original Medicare.
you tell him?
2. Agent John Miller is Tell prospect Jerry Smith
Smith, a new prospect. sider adding a
enrolled in Medicare tion drug coverage policy
ry has also purchased a erage.
ment (Medigap) plan
for several years.
not provide drug
advise Agent John Miller
to proceed?
3. Mr. Wu is eligible for Mr. Wu may still qualify
limited financial Part D costs through his
qualify for the Part D low- cal Assistance Program
Where might he turn for (SPAP).
scription drug costs?
4. Mr. Vasquez is in good Under Original Medicare,
preparing a budget in deductible amount due
retirement when he turns of any inpatient hospital
understand the health converts into a per-day
be exposed to under through day 90. After day
to require hospitalization daily amount up to 60
ness. In general terms, after which he would be
him about his costs for costs.
services under Original
Medicare?
5. Mr. Moy will soon turn Medicare Supplemental
younger than his wife. help cover his Part A
Mr. Moy's wife has a deductible and Part
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hgxyw6
Medicare Advantage B coinsurance or
understand what Fee-for-Service (FFS)
plemental Insurance possibly some services
health care needs are not cover.
wife's needs. What could
you tell Mr. Moy?
6. Juan Perez, who is Juan is likely to be eligible
month, intends to work once he turns age 65 and
years at Smallcap, Medicare would become
has a workforce of 15 of his healthcare claims
fers employer-sponsored not have to continue to
erage. Juan is a comparable to those
contributed to the its employer-sponsored
over 20 years. Juan asks Juan is likely to be eligible
entitled to Medicare and once he turns age 65 and
that will impact his Medicare would become
healthcare coverage. of his healthcare claims
spond? continue to offer him
employer-sponsored
would become a
secondary payor.
7. Ms. Kumar plans to retire Medicare is a program
65 in a few months. She older and those under
health and will have disabilities, end-stage
when she retires. She is Lou Gehrig's disease so
her income will make it for Medicare.
to qualify for Medicare.
her to address her
concern?
8. Mrs. Ellis recently turned Part B primarily covers
after many years of work She will be paying a
begin receiving Social except for many
Security benefits. preventive and screening
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hgxyw6
Shortly thereafter Mrs. tests, generally will have
ter informing her that for these services, in
tomatically enrolled in deductible.
She wants to understand
What should you tell Mrs.
Ellis?
9. Mr. Singh would like drug Mr. Singh can enroll in a
does not want to be scription drug plan and
Advantage plan. What ered for Part A and Part B
should you tell him? Original Fee-for-Service
Medicare.
10. Mrs. Cook is an elderly She should contact her
has a low fixed income. agency to see if she
Mrs. Cook that might be eral programs that can
of assistance? costs for which she is
responsible.
11. Ms. Henderson believes To obtain Part B
ify for Medicare Coverage a standard monthly
65, without paying any higher for individuals
cause she has been with higher incomes.
and paying Medicare
you tell her?
12. Mr. Bauer is 49 years old, After receiving such
months ago he was 24 months, he will be
the Social Security in Medicare, regardless
been receiving disability of age.
wondering whether he
age under Medicare.
him?
13. Mr. Schmidt would like to Part A, which covers
tirement and has asked facility, hospice, and
you what is cov-
home health services
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hgxyw6
ered under Original Fee- and Part B, which covers
Medicare. What could vices such as those
you tell him? covered under Original
Medicare.
14. Anthony Boniface turned Anthony is eligible for a
was not receiving Social period (SEP) because he
road Retirement Benefits ment period due to the
birthday. He was erally declared disaster.
Medicare coverage and is Anthony to enroll in Part
mium-free Part A. Before after the end of the
in Medicare, his entire Anthony may enroll in
ed by a hurricane causing at any time and his Part A
ing and severe wind retroactive for up to 6
government declared this months.
disaster which has
this period Anthony's
period expired. Anthony
can now obtain Medicare
should you say?
15. Ms. Lewis has aggressive Medicare covers hospice
would like to know if will be available for her.
hospice services in case
What should you tell her?
16. Edward suffered from Individuals eligible for
ease. As a result, Edward ESRD generally lose
for Medicare coverage after the month in which
renal disease (ESRD). A ceives a kidney
nated their kidney and igible for Medicare on
fully underwent age or disability. Edward
months ago. Edward is main enrolled in Part B
now age 50 and but solely for cover-
