AHIP 2026
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Preparation.pdf
Training
AHIP 2026
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Certification
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_ Medicare
Preparation.pdf
Training Study Guide & Exam Preparation.pdf
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AHIP 2026 Certification _ Medicare Training
AHIP 2026
Study
Certification
Guide & Exam
_ Medicare
Preparation.pdf
Training
AHIP 2026
Study
Certification
Guide & Exam
_ Medicare
Preparation.pdf
Training Study Guide & Exam Preparation.pdf
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Terms in this set (100)
Edward suffered from serious kidney disease. As a
result, Edward became eligible for Medicare
coverage due to end-stage renal disease (ESRD). A
close relative donated their kidney and Edward
successfully underwent transplant surgery 12 months
ago. Edward is now age 50 and asks you if his
Medicare coverage will continue, what should you
say?
Ms. Henderson believes that she will qualify for To obtain Part B coverage, she must pay a standard monthly premium,
Medicare Coverage when she turns 65, without though it is higher for individuals with higher incomes.
paying any premiums, because she has been working
for 40 years and paying Medicare taxes. What should
you tell her?
Ms. Lewis has aggressive cancer and would like to Medicare covers hospice services under Part A.
know if Medicare will cover hospice services in case
she needs them. What should you tell her?
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Mr. Capadona would like to purchase a Medicare It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled in
Advantage (MA) plan and a Medigap plan to pick up an MA plan, and besides, Medigap only works with Original Medicare.
costs not covered by that plan. What should you tell
him?
Mr. Vasquez is in good health and is preparing a Under Original Medicare, there is a single deductible amount due for the
budget in anticipation of his retirement when he turns first 60 days of any inpatient hospital stay, after which it converts into a per-
66. He wants to understand the health care costs he day amount through day 90. After day 90, he would pay a daily amount up
might be exposed to under Medicare if he were to to 60 days over his lifetime, after which he would be responsible for all
require hospitalization because of an illness. In costs
general terms, what could you tell him about his
costs for inpatient hospital services under Original
Medicare?
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Mrs. Foster is covered by Original Medicare. She Medicare will cover Mrs. Foster's skilled nursing services provided during
sustained a hip fracture and is being successfully the first 20 days of her stay, after which she would have a copay until she
treated for that condition. However, she and her has been in the facility for 100 days.
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?
Mr. Wu is eligible for Medicare. He has limited Mr. Wu may still qualify for help in paying Part D costs through his State
financial resources but failed to qualify for the Part D Pharmaceutical Assistance Program (SPAP).
low-income subsidy. Where might he turn for help
with his prescription drug costs?
Mr. Singh would like drug coverage but does not Mr. Singh can enroll in a stand-alone prescription drug plan and continue
want to be enrolled in a Medicare Advantage plan. to be covered for Part A and Part B services through Original Fee-for-
What should you tell him? Service Medicare.
Mr. Schmidt would like to plan for retirement and has Part A, which covers hospital, skilled nursing facility, hospice, and home
asked you what is covered under Original Fee-for- health services and Part B, which covers professional services such as those
Service (FFS) Medicare. What could you tell him? provided by a doctor are covered under Original Medicare.
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