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Exam (elaborations)

AHIP 2024 final exam

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AHIP 2024 final exam

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AHIP 2024 final exam
Study online at
https://quizlet.com/_dfd6gz
1. Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance?: She should contact her
state Medicaid agency to see if she qualifies forprograms that can help with
Medicare costs for which she is responsible.
2. Madeline Martinez was widowed several years ago. Her husband worked
for many years and contributed into the Medicare system. He also left a
substan- tial estate which provides Madeline with an annual income of
approximately
$130,000. Madeline, who has only worked part-time for the last three years,
will soon turn age 65 and hopes to enroll in Original Medicare. She comes to
you for advice. What should you tell her?: You should tell Madeline that she
will be able to enroll in Medicare Part A without paying monthly premiums due to
her husband's long work record and participation in the Medicare system. You
should also tell Madeline that she will pay Part B premiums at more than the
standard lowest rate but less than the highest rate due her substantial income.
3. Mr. Bauer is 49 years old, but eighteen months ago he was declared dis-
abled by the Social Security Administration and has been receiving
disability payments. He is wondering whether he can obtain coverage under
Medicare. What should you tell him: After receiving such disability payments for
24 months, he will be automatically enrolled in Medicare, regardless of age.
4. Mr. Schmidt would like to plan for retirement and has asked you what is
covered under Original Fee-for-Service (FFS) Medicare? What could you tell
him?: Part A, which covers hospital, skilled nursing facility, hospice and home
health services and Part B, which covers professional services such as those
provided by a doctor are covered under Original Medicare.
5. Mrs. PeaH 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. What can you tell her?: She may 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.
6. Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is
cur- rently enrolled in Medicare Parts A and B. Jerry has also purchased a
Medicare Supplement (Medigap) plan which he has had for several years.
However, the plan does not provide drug benefits. How would you advise
Agent John Miller to proceed?: Tell prospect Jerry Smith that he should consider
adding a standalone Part D prescription drug coverage policy to his present
coverage.
7. Mr. Diaz continued working with his company and was insured under his
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, AHIP 2024 final exam
Study online at
https://quizlet.com/_dfd6gz
employer's group plan
until he reached age 68. He has heard that there is a
premium penalty for those who did not sign up for Part B when first eligible
and




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14

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