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AHIP FINAL EXAM TEST ||VERIFIED EXAM!!|| MOST
RECENT EXAM ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ || NEWEST
EXAM!!!
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? - Answer-He may
sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis
treatments start.
Mr. Diaz continued working with his company and was
insured under his 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
wants to know how much he will have to pay. What should
you tell him? - Answer-Mr. Diaz will not pay any penalty
because he had continuous coverage under his
employer's plan.
Madeline Martinez was widowed several years ago. Her
husband worked for many years and contributed into the
,2|Page
Medicare system. He also left a substantial 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? - Answer-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.
Edward IP suffered from serious kidney disease. As a
result. Edward became eligible for Medicare coverage due
to end-stage renal disease (ESRD). A close relative
donated their kidney and Edward successfully underwent
transplant surgery 12 months ago. Edward is now age 50
and asks you if his Medicare coverage will continue, what
should you say? - Answer-Individuals eligible for Medicare
based on ESRD generally lose eligibility 36 months after
the month in which the individual receives a kidney
transplant unless they are eligible for Medicare on another
basis such as age or disability. Edward may, however,
remain enrolled in Part B but solely for coverage of
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immunosuppressive drugs if he has no other health care
coverage that would cover the drugs.
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? - Answer-She
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.
Mr. Capadona would like to purchase a Medicare
Advantage (MA) plan and a Medigap plan to pick up costs
not covered by that plan. What should you tell him? -
Answer-It is illegal for you to sell Mr. Capadona a Medigap
plan if he is enrolled in an MA plan, and besides, Medigap
only works with Original Medicare.
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? -
Answer-To obtain Part B coverage, she must pay a
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standard monthly premium, though it is higher for
individuals with higher incomes.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed
income. What could you tell Mrs. Park that might be of
assistance? - 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.
Shirly Thomas was enrolled in Medicaid during the Public
Health Emergency (PHE). This coverage has recently
been terminated due to the end of the PHE. While Shirley
was enrolled in Medicaid, she missed an opportunity to
enroll in Medicare and now wants Part B. Which of the
following statements best describes Shirley's ability to now
enroll in Medicare Part B? - Answer-Shirley is eligible for a
Special Enrollment Period (SEP) for up to six months after
the termination of her Medicaid coverage. Under this SEP,
Shirley can choose retroactive coverage back to the date
of termination from Medicaid or coverage beginning the
month after the month of enrollment.
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
AHIP FINAL EXAM TEST ||VERIFIED EXAM!!|| MOST
RECENT EXAM ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+ || NEWEST
EXAM!!!
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? - Answer-He may
sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis
treatments start.
Mr. Diaz continued working with his company and was
insured under his 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
wants to know how much he will have to pay. What should
you tell him? - Answer-Mr. Diaz will not pay any penalty
because he had continuous coverage under his
employer's plan.
Madeline Martinez was widowed several years ago. Her
husband worked for many years and contributed into the
,2|Page
Medicare system. He also left a substantial 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? - Answer-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.
Edward IP suffered from serious kidney disease. As a
result. Edward became eligible for Medicare coverage due
to end-stage renal disease (ESRD). A close relative
donated their kidney and Edward successfully underwent
transplant surgery 12 months ago. Edward is now age 50
and asks you if his Medicare coverage will continue, what
should you say? - Answer-Individuals eligible for Medicare
based on ESRD generally lose eligibility 36 months after
the month in which the individual receives a kidney
transplant unless they are eligible for Medicare on another
basis such as age or disability. Edward may, however,
remain enrolled in Part B but solely for coverage of
,3|Page
immunosuppressive drugs if he has no other health care
coverage that would cover the drugs.
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? - Answer-She
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.
Mr. Capadona would like to purchase a Medicare
Advantage (MA) plan and a Medigap plan to pick up costs
not covered by that plan. What should you tell him? -
Answer-It is illegal for you to sell Mr. Capadona a Medigap
plan if he is enrolled in an MA plan, and besides, Medigap
only works with Original Medicare.
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? -
Answer-To obtain Part B coverage, she must pay a
, 4|Page
standard monthly premium, though it is higher for
individuals with higher incomes.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed
income. What could you tell Mrs. Park that might be of
assistance? - 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.
Shirly Thomas was enrolled in Medicaid during the Public
Health Emergency (PHE). This coverage has recently
been terminated due to the end of the PHE. While Shirley
was enrolled in Medicaid, she missed an opportunity to
enroll in Medicare and now wants Part B. Which of the
following statements best describes Shirley's ability to now
enroll in Medicare Part B? - Answer-Shirley is eligible for a
Special Enrollment Period (SEP) for up to six months after
the termination of her Medicaid coverage. Under this SEP,
Shirley can choose retroactive coverage back to the date
of termination from Medicaid or coverage beginning the
month after the month of enrollment.
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
