AHIP FINAL MEDICARE CERTIFICATION
COMPREHENSIVE STUDY GUIDE UPDATED
SOLVED QUESTIONS WITH COMPLETE
SOLUTION VERIFIED
⩥ Original Medicare covers ambulance services.
Answer: 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?
⩥ Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan.
Answer: 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?
⩥ You are sorry to disappoint Anita but a Medigap Part F plan is no
longer available to those who turn age 65 after January 1,2020. Anita
might instead consider other Medigap plans that offer foreign travel
benefits but do not cover the Part B deductible.
Answer: Anita Magri will turn age 65 in August 2020. Anita intends to
enroll in Original Medicare Part A and Part B. She would also like to
,enroll in a Medicare Supplement (Medigap) plan. Anita's older neighbor
Mel has told her about the Medigap Part F plan in which he is enrolled.
It not only provides foreign travel emergency benefits but also covers his
Medicare Part B deductible. Anita comes to you for advice. What should
you tell her?
⩥ Medicare Supplemental Insurance would help cover his Part A and
Part B cost sharing in Original Fee-for-Service (FFS) Medicare as well
as possibly some services that Medicare does not cover.
Answer: 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?
⩥ After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
Answer: Mr. Bauer is 49 years old, but eighteen months ago he was
declared disabled 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?
⩥ 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.
Answer: 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?
,⩥ Medicare is a program for people age 65 or older and those under age
65 with certain disabilities, end-stage renal disease, and Lou Gehrig's
disease so she will be eligible for Medicare.
Answer: 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 Medicare. What could you tell her to address her concern?
⩥ Medicare will cover Mrs. Shield's skilled nursing services provided
during the first 20 days of her stay, after which she would have a copay
until she has been in the facility for 100 days.
Answer: Mrs. Shields is covered by Original Medicare. She sustained a
hip fracture and is being successfully treated for that condition.
However, she and her physicians feel that after her lengthy hospital stay
she will need a month or two of nursing and rehabilitative care. What
should you tell them about Original Medicare's coverage of care in a
skilled nursing facility?
⩥ Beneficiaries under Original Medicare have no cost-sharing for most
preventive services which include immunizations such as annual flu
shots.
Answer: Mr. Xi will soon turn age 65 and has come to you for advice as
to what services are provided under Original Medicare. What should you
tell Mr. Xi that best describes the health coverage provided to Medicare
beneficiaries?
, ⩥ Part D covers prescription drugs and she should look at her premiums,
formulary, and cost-sharing among other factors to see if they have
changed.
Answer: Mrs. Geisler's neighbor told her she should look at her Part D
options during the annual Medicare enrollment period because features
of Part D might have changed. Mrs. Geisler can't remember what Part D
is so she called you to ask what her neighbor was talking about. What
could you tell her?
⩥ The Part B deductible will no longer be covered for individuals newly
eligible for Medicare starting January 1, 2020.
Answer: What impact, if any, will recent regulatory changes have upon
Medigap plans?
⩥ Mr. Wu may still qualify for help in paying Part D costs through his
State Pharmaceutical Assistance Program.
Answer: 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?
⩥ 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.
COMPREHENSIVE STUDY GUIDE UPDATED
SOLVED QUESTIONS WITH COMPLETE
SOLUTION VERIFIED
⩥ Original Medicare covers ambulance services.
Answer: 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?
⩥ Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan.
Answer: 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?
⩥ You are sorry to disappoint Anita but a Medigap Part F plan is no
longer available to those who turn age 65 after January 1,2020. Anita
might instead consider other Medigap plans that offer foreign travel
benefits but do not cover the Part B deductible.
Answer: Anita Magri will turn age 65 in August 2020. Anita intends to
enroll in Original Medicare Part A and Part B. She would also like to
,enroll in a Medicare Supplement (Medigap) plan. Anita's older neighbor
Mel has told her about the Medigap Part F plan in which he is enrolled.
It not only provides foreign travel emergency benefits but also covers his
Medicare Part B deductible. Anita comes to you for advice. What should
you tell her?
⩥ Medicare Supplemental Insurance would help cover his Part A and
Part B cost sharing in Original Fee-for-Service (FFS) Medicare as well
as possibly some services that Medicare does not cover.
Answer: 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?
⩥ After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
Answer: Mr. Bauer is 49 years old, but eighteen months ago he was
declared disabled 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?
⩥ 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.
Answer: 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?
,⩥ Medicare is a program for people age 65 or older and those under age
65 with certain disabilities, end-stage renal disease, and Lou Gehrig's
disease so she will be eligible for Medicare.
Answer: 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 Medicare. What could you tell her to address her concern?
⩥ Medicare will cover Mrs. Shield's skilled nursing services provided
during the first 20 days of her stay, after which she would have a copay
until she has been in the facility for 100 days.
Answer: Mrs. Shields is covered by Original Medicare. She sustained a
hip fracture and is being successfully treated for that condition.
However, she and her physicians feel that after her lengthy hospital stay
she will need a month or two of nursing and rehabilitative care. What
should you tell them about Original Medicare's coverage of care in a
skilled nursing facility?
⩥ Beneficiaries under Original Medicare have no cost-sharing for most
preventive services which include immunizations such as annual flu
shots.
Answer: Mr. Xi will soon turn age 65 and has come to you for advice as
to what services are provided under Original Medicare. What should you
tell Mr. Xi that best describes the health coverage provided to Medicare
beneficiaries?
, ⩥ Part D covers prescription drugs and she should look at her premiums,
formulary, and cost-sharing among other factors to see if they have
changed.
Answer: Mrs. Geisler's neighbor told her she should look at her Part D
options during the annual Medicare enrollment period because features
of Part D might have changed. Mrs. Geisler can't remember what Part D
is so she called you to ask what her neighbor was talking about. What
could you tell her?
⩥ The Part B deductible will no longer be covered for individuals newly
eligible for Medicare starting January 1, 2020.
Answer: What impact, if any, will recent regulatory changes have upon
Medigap plans?
⩥ Mr. Wu may still qualify for help in paying Part D costs through his
State Pharmaceutical Assistance Program.
Answer: 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?
⩥ 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.
