AHIP MODULE 1 STUDY GUIDE EXAM UPDATED
ACTUAL QUESTIONS AND CORRECT ANSWERS
◉ Mrs. Quinn recently turned 66 and decided after many years of
work to begin receiving Social Security benefits. Shortly thereafter
Mrs. Quinn received a letter informing her that she has been
automatically enrolled in Medicare Part B. She wants to understand
what this means. What should you tell Mrs. Quinn? Answer: Part B
primarily covers physician services. She will be paying a monthly
premium and, except for many preventive screening and tests,
generally will have 20 percent co-payments for these services in
addition to an annual deductible
◉ 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
treatment
◉ 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 Medicare Part D prescription drug plan. What should
, you tell him? Answer: He generally would pay a monthly premium,
annual deductible, and per-prescription cost sharing.
◉ Ms. Brooks has an aggressive cancer and would like to know if
Medicare will cover hospice services in case she needs them. What
should you tell her? Answer: Medicare covers hospice services and
they will be available to her.
◉ 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.
◉ Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has
recently reviewed her Medicare Summary Notice (MSN) and
disagrees with a determination that partially denied one of her
claims for services. What advice would you give her? Answer: Mrs.
Duarte should file an appeal of this initial determination within 120
days of the date she received the MSN in the mail.
◉ 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? Answer: Most individuals who are citizens and age 65 or over
are covered under Part A by virtue of having paid Medicare taxes
ACTUAL QUESTIONS AND CORRECT ANSWERS
◉ Mrs. Quinn recently turned 66 and decided after many years of
work to begin receiving Social Security benefits. Shortly thereafter
Mrs. Quinn received a letter informing her that she has been
automatically enrolled in Medicare Part B. She wants to understand
what this means. What should you tell Mrs. Quinn? Answer: Part B
primarily covers physician services. She will be paying a monthly
premium and, except for many preventive screening and tests,
generally will have 20 percent co-payments for these services in
addition to an annual deductible
◉ 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
treatment
◉ 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 Medicare Part D prescription drug plan. What should
, you tell him? Answer: He generally would pay a monthly premium,
annual deductible, and per-prescription cost sharing.
◉ Ms. Brooks has an aggressive cancer and would like to know if
Medicare will cover hospice services in case she needs them. What
should you tell her? Answer: Medicare covers hospice services and
they will be available to her.
◉ 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.
◉ Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has
recently reviewed her Medicare Summary Notice (MSN) and
disagrees with a determination that partially denied one of her
claims for services. What advice would you give her? Answer: Mrs.
Duarte should file an appeal of this initial determination within 120
days of the date she received the MSN in the mail.
◉ 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? Answer: Most individuals who are citizens and age 65 or over
are covered under Part A by virtue of having paid Medicare taxes
