AHIP Module 1 2024-2025 Newest Exam
Mr. Diaz continued working with his company and was insured under his
employer's group plan until he reached 68 years old. He has heard that there is a
premium penalty for those who did not sign up for Part B when first eligible and
wants to know how much he will have to pay. - Correct Answer-Mr. Diaz will not
pay any penalty because he had continuous coverage under his employer's plan.
Mrs. Pena 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. - Correct Answer-She may not 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, age 65, is entitles to Part A, but is not yet enrolled in Part B. She is
considering enrollment in a Medicare health plan. What should you advise her to
do before she will be able to enroll into a Medicare health plan? - Correct Answer-
In order to join a Medicare plan, she also must enroll in Part B.
Mrs. Park is an elderly retiree. She has a low, fixed income. What could you tell
Mrs. Park that might be of assistance? - Correct 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. Wu is eligible for Medicare. He has limited financial resources but failed to
qualify for the Part D low-income subsidy. Where might he turn for help with his
prescription drug costs? - Correct Answer-Mr. Wu may still qualify for help in
paying Part D costs through his State Pharmaceutical Assistance Program.
, 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? - Correct Answer-Under
Original Medicare, there is a single deductible amount due for the first 60 days of
any inpatient hospital stay, after which it converts into a per-day coinsurance
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. Chen will be 65 soon, has been a citizen for twelve years, has been employed
full time, and paid taxes during that entire period. She is concerned that she will
not qualify for coverage under part A because she was not born in the United
States. What should you tell her?
Choose one answer.
a. Most individuals who are citizens and over age 65 are covered under Part A by
virtue of having paid Medicare taxes while working, though some may be covered
as a result of paying monthly premiums.
b. Most individuals who are citizens and over age 65 and wish to be covered
under Part A must enroll in a Medicare Health Plan.
c. Most individuals who are citizens and over age 65 and are covered under Part
A must pay a monthly premium for that coverage.
d. All individuals who are citizens and over age 65 will be covered under Part A. -
Correct Answer-a. Most individuals who are citizens and over age 65 are covered
under Part A by virtue of having paid Medicare taxes while working, though some
may be covered as a result of paying monthly premiums.
Mr. Diaz continued working with his company and was insured under his
employer's group plan until he reached 68 years old. He has heard that there is a
premium penalty for those who did not sign up for Part B when first eligible and
wants to know how much he will have to pay. - Correct Answer-Mr. Diaz will not
pay any penalty because he had continuous coverage under his employer's plan.
Mrs. Pena 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. - Correct Answer-She may not 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, age 65, is entitles to Part A, but is not yet enrolled in Part B. She is
considering enrollment in a Medicare health plan. What should you advise her to
do before she will be able to enroll into a Medicare health plan? - Correct Answer-
In order to join a Medicare plan, she also must enroll in Part B.
Mrs. Park is an elderly retiree. She has a low, fixed income. What could you tell
Mrs. Park that might be of assistance? - Correct 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. Wu is eligible for Medicare. He has limited financial resources but failed to
qualify for the Part D low-income subsidy. Where might he turn for help with his
prescription drug costs? - Correct Answer-Mr. Wu may still qualify for help in
paying Part D costs through his State Pharmaceutical Assistance Program.
, 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? - Correct Answer-Under
Original Medicare, there is a single deductible amount due for the first 60 days of
any inpatient hospital stay, after which it converts into a per-day coinsurance
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. Chen will be 65 soon, has been a citizen for twelve years, has been employed
full time, and paid taxes during that entire period. She is concerned that she will
not qualify for coverage under part A because she was not born in the United
States. What should you tell her?
Choose one answer.
a. Most individuals who are citizens and over age 65 are covered under Part A by
virtue of having paid Medicare taxes while working, though some may be covered
as a result of paying monthly premiums.
b. Most individuals who are citizens and over age 65 and wish to be covered
under Part A must enroll in a Medicare Health Plan.
c. Most individuals who are citizens and over age 65 and are covered under Part
A must pay a monthly premium for that coverage.
d. All individuals who are citizens and over age 65 will be covered under Part A. -
Correct Answer-a. Most individuals who are citizens and over age 65 are covered
under Part A by virtue of having paid Medicare taxes while working, though some
may be covered as a result of paying monthly premiums.
