Ahip Module 1 Questions And Correct Answers

AHIP MODULE 1 QUESTIONS AND
CORRECT ANSWERS
Mrs.uxChenuxwilluxbeux65uxsoon,uxhasuxbeenuxauxcitizenuxforuxtwelveuxyears,uxhasuxbeenux
employeduxfulluxtime,uxanduxpaiduxtaxesuxduringuxthatuxentireuxperiod.uxSheuxisuxconcern
eduxthatuxsheuxwilluxnotuxqualifyuxforuxcoverageuxunderuxpartuxAuxbecauseuxsheuxwasuxnot
uxbornuxinuxtheuxUniteduxStates.uxWhatuxshoulduxyouuxtelluxher?ux



Chooseuxoneuxanswer.
uxa.uxMostuxindividualsuxwhouxareuxcitizensuxanduxoveruxageux65uxareuxcovereduxunderuxP

artuxAuxbyuxvirtueuxofuxhavinguxpaiduxMedicareuxtaxesuxwhileuxworking,uxthoughuxsomeux
mayuxbeuxcovereduxasuxauxresultuxofuxpayinguxmonthlyuxpremiums.ux
uxb.uxMostuxindividualsuxwhouxareuxcitizensuxanduxoveruxageux65uxanduxwishuxtouxbeuxcove

reduxunderuxPartuxAuxmustuxenrolluxinuxauxMedicareuxHealthuxPlan.ux
uxc.uxMostuxindividualsuxwhouxareuxcitizensuxanduxoveruxageux65uxanduxareuxcovereduxund

eruxPartuxAuxmustuxpayuxauxmonthlyuxpremiumuxforuxthatuxcoverage.ux
uxd.uxAlluxindividualsuxwhouxareuxcitizensuxanduxoveruxageux65uxwilluxbeuxcovereduxunderux

PartuxA.ux-uxANSWERS-
a.uxMostuxindividualsuxwhouxareuxcitizensuxanduxoveruxageux65uxareuxcovereduxunderuxPa
rtuxAuxbyuxvirtueuxofuxhavinguxpaiduxMedicareuxtaxesuxwhileuxworking,uxthoughuxsomeuxm
ayuxbeuxcovereduxasuxauxresultuxofuxpayinguxmonthlyuxpremiums.

Mr.uxBaueruxisux49uxyearsuxold,uxbutuxeighteenuxmonthsuxagouxheuxwasuxdeclareduxdisabl
eduxbyuxtheuxSocialuxSecurityuxAdministrationuxanduxhasuxbeenuxreceivinguxdisabilityuxpa
yments.uxHeuxisuxwonderinguxwhetheruxheuxcanuxobtainuxcoverageuxunderuxMedicare.ux
Whatuxshoulduxyouuxtelluxhim?ux-uxANSWERS-
d.uxAfteruxreceivinguxsuchuxdisabilityuxpaymentsuxforux24uxmonths,uxheuxwilluxbeuxautoma
ticallyuxenrolleduxinuxMedicare,uxregardlessuxofuxage.

Mr.uxDentonuxisux52uxyearsuxolduxanduxhasuxrecentlyuxbeenuxdiagnoseduxwithuxend-
stageuxrenaluxdiseaseux(ESRD)uxanduxwilluxsoonuxbeginuxdialysis.uxHeuxisuxwonderinguxifu
xheuxcanuxobtainuxcoverageuxunderuxMedicare.uxWhatuxshoulduxyouuxtelluxhim?ux-

uxANSWERS-a.uxHeuxmayuxsign-

upuxforuxMedicareuxatuxanyuxtimeuxhoweveruxcoverageuxusuallyuxbeginsuxonuxtheuxfourthu
xmonthuxafteruxdialysisuxtreatmentsuxstart.uxCorrect



Ms.uxHendersonuxbelievesuxthatuxsheuxwilluxqualifyuxforuxMedicareuxcoverageuxwhenuxsh
euxturnsux65,uxwithoutuxpayinguxanyuxpremiums,uxbecauseuxsheuxhasuxbeenuxworkinguxfo
rux40uxyearsuxanduxpayinguxMedicareuxtaxes.uxWhatuxshoulduxyouuxtelluxher?ux-
uxANSWERS-

a.uxInuxorderuxtouxobtainuxPartuxBuxcoverage,uxsheuxmustuxpayuxauxstandarduxmonthlyuxpr
emium,uxthoughuxituxisuxhigheruxforuxindividualsuxwithuxhigheruxincomes.uxCorrect

Mr.uxDiazuxcontinueduxworkinguxwithuxhisuxcompanyuxanduxwasuxinsureduxunderuxhisuxe
mployer'suxgroupuxplanuxuntiluxheuxreacheduxageux68.uxHeuxhasuxhearduxthatuxthereuxisuxa
uxpremiumuxpenaltyuxforuxthoseuxwhouxdiduxnotuxsignuxupuxforuxPartuxBuxwhenuxfirstuxeligib

leuxanduxwantsuxtouxknowuxhowuxmuchuxheuxwilluxhaveuxtouxpay.uxWhatuxshoulduxyouuxtellu

, xhim?ux-uxANSWERS-
b.uxMr.uxDiazuxwilluxnotuxpayuxanyuxpenaltyuxbecauseuxheuxhaduxcontinuousuxcoverageuxu
nderuxhisuxemployer'suxplan.uxCorrect

Mrs.uxPeňauxisux66uxyearsuxold,uxhasuxcoverageuxunderuxanuxemployeruxplanuxanduxwilluxr
etireuxnextuxyear.uxSheuxhearduxsheuxmustuxenrolluxinuxPartuxBuxatuxtheuxbeginninguxofuxth
euxyearuxtouxensureuxnouxgapuxinuxcoverage.uxWhatuxcanuxyouuxtelluxher?ux-uxANSWERS-
d.uxSheuxmayuxenrolluxatuxanyuxtimeuxwhileuxsheuxisuxcovereduxunderuxheruxemployeruxpla
n,uxbutuxsheuxwilluxhaveuxauxspecialuxeight-
monthuxenrollmentuxperioduxthatuxdiffersuxfromuxtheuxstandarduxgeneraluxenrollmentuxper
iod,uxduringuxwhichuxsheuxmayuxenrolluxinuxMedicareuxPartuxB.uxCorrect

Mrs.uxKelly,uxageux65,uxisuxentitleduxtouxPartuxA,uxbutuxhasuxnotuxyetuxenrolleduxinuxPartuxB
.uxSheuxisuxconsideringuxenrollmentuxinuxauxMedicareuxhealthuxplanux(PartuxC).uxWhatuxsh
oulduxyouuxadviseuxheruxtouxdouxbeforeuxsheuxwilluxbeuxableuxtouxenrolluxintouxauxMedicare
uxhealthuxplan?ux-uxANSWERS-

Mrs.uxKelly,uxageux65,uxisuxentitleduxtouxPartuxA,uxbutuxhasuxnotuxyetuxenrolleduxinuxPartuxB
.uxSheuxisuxconsideringuxenrollmentuxinuxauxMedicareuxhealthuxplanux(PartuxC).uxWhatuxsh
oulduxyouuxadviseuxheruxtouxdouxbeforeuxsheuxwilluxbeuxableuxtouxenrolluxintouxauxMedicare
uxhealthuxplan?



Mrs.uxParkuxisuxanuxelderlyuxretiree.uxSheuxhasuxauxlow,uxfixeduxincome.uxWhatuxcoulduxyo
uuxtelluxMrs.uxParkuxthatuxmightuxbeuxofuxassistance?ux-uxANSWERS-
d.uxSheuxshoulduxcontactuxheruxstateuxMedicaiduxagencyuxtouxseeuxifuxsheuxqualifiesuxforux
oneuxofuxseveraluxprogramsuxthatuxcanuxhelpuxwithuxMedicareuxcostsuxforuxwhichuxsheuxis
uxresponsible.uxCorrect



Mr.uxWuuxisuxeligibleuxforuxMedicare.uxHeuxhasuxlimiteduxfinancialuxresourcesuxbutuxfailed
uxtouxqualifyuxforuxtheuxPartuxDuxlow-

incomeuxsubsidy.uxWhereuxmightuxheuxturnuxforuxhelpuxwithuxhisuxprescriptionuxdruguxcost
s?ux-uxANSWERS-
a.uxMr.uxWuuxmayuxstilluxqualifyuxforuxhelpuxinuxpayinguxPartuxDuxcostsuxthroughuxhisuxStat
euxPharmaceuticaluxAssistanceuxProgram.uxCorrect

Mr.uxPateluxisuxinuxgooduxhealthuxanduxisuxpreparinguxauxbudgetuxinuxanticipationuxofuxhisux
retirementuxwhenuxheuxturnsux66.uxHeuxwantsuxtouxunderstanduxtheuxhealthuxcareuxcostsu
xheuxmightuxbeuxexposeduxtouxunderuxMedicareuxifuxheuxwereuxtouxrequireuxhospitalizatio

nuxasuxauxresultuxofuxanuxillness.uxInuxgeneraluxterms,uxwhatuxcoulduxyouuxtelluxhimuxaboutu
xhisuxcostsuxforuxinpatientuxhospitaluxservicesuxunderuxOriginaluxMedicare?ux-

uxANSWERS-

d.uxUnderuxOriginaluxMedicare,uxthereuxisuxauxsingleuxdeductibleuxamountuxdueuxforuxtheu
xfirstux60uxdaysuxofuxanyuxinpatientuxhospitaluxstay,uxafteruxwhichuxituxconvertsuxintouxauxp

er-
dayuxcoinsuranceuxamountuxthroughuxdayux90.uxAfteruxdayux90,uxheuxwoulduxpayuxauxdail
yuxamountuxupuxtoux60uxdaysuxoveruxhisuxlifetime,uxafteruxwhichuxheuxwoulduxbeuxresponsi
bleuxforuxalluxcostsuxCorrect

Mrs.uxShieldsuxisuxcovereduxbyuxOriginaluxMedicare.uxSheuxsustaineduxauxhipuxfractureux
anduxisuxbeinguxsuccessfullyuxtreateduxforuxthatuxcondition.uxHowever,uxsheuxanduxheruxp
hysiciansuxfeeluxthatuxafteruxheruxlengthyuxhospitaluxstayuxsheuxwilluxneeduxauxmonthuxorux