AHIP Medicare Training Module 1 Final
Review 2025/ A+ Guide Solution
What impact, if any, have recent regulatory changes had upon Medigap plans?
A. The Part A deductible is no longer covered under Medigap plans for all
enrollees starting January 1, 2020.
B. The Part A deductible is no longer covered for individuals newly eligible for
Medicare starting January 1, 2020.
C. The Part B deductible is no longer covered for individuals newly eligible for
Medicare starting January 1, 2020.
D. The Part B deductible is now covered for some newly eligible individuals
depending on their financial status. -correct-answer-C. The Part B deductible is no
longer covered for individuals newly eligible for Medicare starting January 1, 2020.
Explanation: Starting January 1, 2020, Medigap plans sold to individuals who are
newly eligible to Medicare are no longer allowed to cover the Part B deductible. If
an individual already had one of the plans before January 1, 2020, they can keep
their plan. If an individual was eligible for Medicare before January 1, 2020, but
are not yet enrolled, he or she may be able to purchase one of these plans.
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?
A. Mr. Wu may still qualify for help in paying Part D costs through his State
Pharmaceutical Assistance Program.
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B. Mr. Wu may still qualify for help in paying for Part D costs through the Federal
Pharmaceutical Assistance Program.
C. Mr. Wu has no alternative but to liquidate his remaining assets and apply for
coverage through his state's Medicaid program.
D. Mr. Wu may still qualify for help in paying for Part D costs through the local
Office of the Aging. -correct-answer-A. Mr. Wu may still qualify for help in paying
Part D costs through his State Pharmaceutical Assistance Program.
Explanation: A State Pharmaceutical Assistance Program may be able to provide
assistance with prescription drug costs for those who are of limited means but do
not qualify for the Part D low-income subsidy.
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare
and would like to know which of the following services Original Medicare will
cover if the appropriate criteria are met? What could you tell her?
A. Original Medicare covers routine dental care.
B. Original Medicare covers cosmetic surgery.
C. Original Medicare covers ambulance services.
D. Original Medicare covers routine long-term custodial care. -correct-answer-C.
Original Medicare covers ambulance services.
Explanation: Original Medicare does cover ambulance services.