AHIP Certification Modules 1–5 | 2024 Actual Test Questions and Answers – Solved and Graded A

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2024 AHIP
Module 1, 2, 3,
4, 5 (ACTUAL
TEST )
Questions and
Answers
(Solved)
2024 AHIP Module 1, 2, 3, 4, 5 (ACTUAL TEST ) Questions and Answers (Solved)



1. Mr., Moy’s, wife ,has ,a ,Medicare ,Advantage ,plan, ,but ,he ,wants ,to

,,understand ,what coverage ,Medicare ,Supplemental ,Insurance ,provides ,since
,his ,health ,care ,needs ,are,different ,from ,his ,wife's ,needs. ,What ,could ,you
,tell ,Mr. ,Moy?correct ,answersMedicare Supplemental ,Insurance ,would ,help
,cover ,his ,Part ,A ,and ,Part ,B ,deductibles ,or coinsurance ,in ,Original ,Fee-for-
Service ,(FFS) ,Medicare ,as ,well ,as ,possibly ,some services ,that ,Medicare

,does ,not ,cover.


2. Mrs. ,Peňa ,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?correct
,answersShe ,may ,enroll ,at ,any ,time ,while she ,is ,covered ,under ,her
,employer ,plan, ,but ,she ,will ,have ,a ,special ,eight-month enrollment ,period
,after ,the ,last ,month ,on ,her ,employer ,plan ,that ,differs ,from ,the standard
,general ,enrollment ,period, ,during ,which ,she ,may ,enroll ,in ,Medicare ,Part
,B.


3. 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?correct
,answersMost ,individuals ,who ,are ,citizens ,and ,age ,65 ,or ,over ,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.
4. Mrs. ,Gonzalez ,is ,enrolled ,in ,Original ,Medicare ,and ,has ,a ,Medigap
,policy
,as ,well, ,but ,it provides ,no ,drug ,coverage. ,She ,would ,like ,to ,keep ,the
,coverage ,she ,has ,but ,replace her ,existing ,Medigap ,plan ,with ,one ,that
,provides ,drug ,coverage. ,What ,should ,you ,tell her?correct ,answersMrs.

,,Gonzalez ,cannot ,purchase ,a ,Medigap ,plan ,that ,covers ,drugs, but ,she ,could
,keep ,her ,Medigap ,policy ,and ,enroll ,in ,a ,Part ,D ,prescription ,drug ,plan.


5. Mrs. ,West ,wears ,glasses ,and ,dentures ,and ,has ,enjoyed ,considerable ,pain
,relief ,from arthritis ,through ,massage ,therapy. ,She ,is ,concerned ,about
,whether ,or ,not ,Medicare ,will,cover ,these ,items ,and ,services. ,What ,should
,you ,tell ,her?correct ,answersMedicare does ,not ,cover ,massage ,therapy, ,or,
,in ,general, ,glasses ,or ,dentures.


6. 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 ,answersUnder ,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.


7. Ms. ,Henderson ,believes ,that ,she ,will ,qualify ,for ,Medicare ,Coverage
,when
,she ,turns ,65, without ,paying ,any ,premiums, ,because ,she ,has ,been ,working
,for ,40 ,years ,and ,paying Medicare ,taxes. ,What ,should ,you ,tell ,her?correct
,answersTo ,obtain ,Part ,B ,coverage, she ,must ,pay ,a ,standard ,monthly
,premium, ,though ,it ,is ,higher ,for ,individuals ,with ,higher,incomes.
8. Mr. ,Alonso ,receives ,some ,help ,paying ,for ,his ,two ,generic ,prescription
,drugs ,from ,his employer's ,retiree ,coverage, ,but ,he ,wants ,to ,compare ,it ,to
,a ,Part ,D ,prescription ,drug plan. ,He ,asks ,you ,what ,costs ,he ,would

, ,generally ,expect ,to ,encounter ,when ,enrolling into ,a ,standard ,MedicarePart
,D ,prescription ,drug ,plan. ,What ,should ,you ,tell ,him?correct answers ,He
,generally ,would ,pay ,a ,monthly ,premium, ,annual ,deductible, ,and ,per-
prescription ,cost-sharing.

9. Mr. ,Davis ,is ,52 ,years ,old ,and ,has ,recently ,been ,diagnosed ,with ,end-
stage
,renal ,disease,(ESRD) ,and ,will ,soon ,begin ,dialysis. ,He ,is ,wondering ,if ,he
,can ,obtain ,coverage ,under Medicare. ,What ,should ,you ,tell ,him?correct
,answersHe ,may ,sign-up ,for ,Medicare ,at any ,time ,however ,coverage
,usually ,begins ,on ,the ,fourth ,month ,after ,dialysis ,treatments start.


10. Juan ,Perez, ,who ,is ,turning ,age ,65 ,next ,month, ,intends ,to ,work ,for
,several
,more ,years ,at,Smallcap, ,Incorporated. ,Smallcap ,has ,a ,workforce ,of15
,employees ,and ,offers
employer-sponsored ,healthcare ,coverage. ,Juan ,is ,a ,naturalized ,citizen ,and
,has contributed ,to ,the ,Medicare ,system ,for ,over ,20 ,years. ,Juan ,asks ,you
,if ,he ,will ,be entitled ,to ,Medicare ,and ,if ,he ,enrolls ,how ,that ,will ,impact
,his ,employer-sponsored healthcare ,coverage. ,How ,would ,you
,respond?correct ,answersJuan ,is ,likely ,to ,be eligible ,for ,Medicare ,once ,he
,turns ,age ,65 ,and ,if ,he ,enrolls ,Medicare ,would ,become ,the,primary ,payor
,of ,his ,healthcare ,claims ,and ,Smallcap ,does ,not ,have ,to ,continue ,to ,offer
him ,coverage ,comparable ,to ,those ,under ,age ,65 ,under ,its ,employer-
sponsored ,group health ,plan.

11. Ms. ,Moore ,plans ,to ,retire ,when ,she ,turns ,65 ,in ,a ,few ,months. ,She ,is
,in
,excellent ,health and ,will ,have ,considerable ,income ,when ,she ,retires. ,She ,is
,concerned ,that ,her ,income will ,make ,it ,impossible ,for ,her ,to ,qualify ,for