AHIP 2027 MODULE 1 EXAM
QUESTIONS AND VERIFIED
SOLUTIONS|VERIFIED & ALREADY
GRADED A+
Most Studied | Updated
WESTERN GOVERNOR’S UNIVERSITY
2027 VERSION
QUESTIONS & ANSWERS
#Bright_minds #stuvia@2026
, QUESTIONS & ANSWERS
Mary Alice is covered by Original Medicare Parts A and B. During her initial enrollment
period she purchased a standard Medigap Plan A policy from you because of its relatively
low cost. After speaking to her friend Stan, she asks whether any of the following are "core
benefits" covered in her plan?
I. Coverage for Part A hospital coinsurance amount
II. Coverage for 365 additional days during an insured's lifetime after Medicare benefits end
III. Coverage for 3 pints of blood
IV. Coverage for the Part B deductible. ANSWER - I, II, and III only
Mr. Bell 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.
Mrs. Andrews 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?. ANSWER - Original Medicare
covers ambulance services.
Kevin Birch enrolled in Original Medicare (Parts A and B). Mr. Birch has been receiving
rehabilitation services in a skilled nursing facility. He calls you to say that he has just
received a notice that Medicare will no longer cover his stay and he still cannot walk
properly. He thinks they are ending his services too soon. What do you tell him?.
ANSWER - He should follow the directions on the notice to file a fast appeal. Mr. Birch
should file it by noon of the calendar day following receipt of the provider's notice of
termination of services.
Mr. Ellis continued working with his company and was insured under his employer's group
plan until he reached age 68 when he retired. Five months later Mr. Ellis enrolled in Part B.
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. Ellis will not pay any penalty because he had continuous coverage under
his employer's plan and he enrolled in Part B within the 8-month period immediately
following the last month he had group coverage.
QUESTIONS AND VERIFIED
SOLUTIONS|VERIFIED & ALREADY
GRADED A+
Most Studied | Updated
WESTERN GOVERNOR’S UNIVERSITY
2027 VERSION
QUESTIONS & ANSWERS
#Bright_minds #stuvia@2026
, QUESTIONS & ANSWERS
Mary Alice is covered by Original Medicare Parts A and B. During her initial enrollment
period she purchased a standard Medigap Plan A policy from you because of its relatively
low cost. After speaking to her friend Stan, she asks whether any of the following are "core
benefits" covered in her plan?
I. Coverage for Part A hospital coinsurance amount
II. Coverage for 365 additional days during an insured's lifetime after Medicare benefits end
III. Coverage for 3 pints of blood
IV. Coverage for the Part B deductible. ANSWER - I, II, and III only
Mr. Bell 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.
Mrs. Andrews 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?. ANSWER - Original Medicare
covers ambulance services.
Kevin Birch enrolled in Original Medicare (Parts A and B). Mr. Birch has been receiving
rehabilitation services in a skilled nursing facility. He calls you to say that he has just
received a notice that Medicare will no longer cover his stay and he still cannot walk
properly. He thinks they are ending his services too soon. What do you tell him?.
ANSWER - He should follow the directions on the notice to file a fast appeal. Mr. Birch
should file it by noon of the calendar day following receipt of the provider's notice of
termination of services.
Mr. Ellis continued working with his company and was insured under his employer's group
plan until he reached age 68 when he retired. Five months later Mr. Ellis enrolled in Part B.
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. Ellis will not pay any penalty because he had continuous coverage under
his employer's plan and he enrolled in Part B within the 8-month period immediately
following the last month he had group coverage.
