AHIP CERTIFICATION - PART 1 Exam | Questions & 100% Correct Answers (Verified) | Latest Update | Grade A+

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? a. Eligibility for Medicare is based on whether or not a person has ever been employed by the federal government. If she or her husband were ever employed by the federal government, she can enroll in Medicare. b. Medicare is a program for people of all ages with specific mental health disabilities. Since she is in excellent health, she would not qualify, but should instead look into her state's Medicaid program if she wants further coverage. c. Medicare is a program for people who have incomes and assets below specific limits, so you will have to find out her exact financial situation before telling her whether she can obtain Medicare co 2 Correct Answer: d 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? a. Part D, which covers prescription drug services, is covered under Original Medicare. b. 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. c. Part C, which always covers dental and vision services, is covered under Original Medicare. d. Part A, which covers long term custodial care services, is covered under Original Medicare. Correct Answer: b Mr. Hernandez is concerned that if he signs up for a Medicare Advantage plan, the health plan may, at some time in the future, reduce his benefits below what is available in Original Medicare. What should you tell him about his concern? a. He should not be concerned because Medicare health plans must cover all IRSapproved health care expenses, which means that all of them provide substantially greater benefits than are available under Medicare Part A and Part B. 3 b. Medicare health plans offer a menu of benefits, from which he may choose, so if he ever wants to increase his coverage, he need only contact the plan and select other options. c. Medicare health plans must cover all benefits available under Medicare Part A and Part B. Many also cover Part D prescription drugs. d. Medicare health plans have the option of deciding, each year, what services they will cover. He is correct that the health plan could e Correct Answer: c Mrs. Roberts has just received a new Medicare identity card in the mail. She is concerned that it is a forgery since it does not have her Social Security number on it. What should you tell her? a. The card is indeed a forgery since newly issued Medicare cards will have both a beneficiary's Social Security number and date of birth imprinted on them. b. The card she received I valid, the change has been made to protect Medicare beneficiaries from identity theft, and she should now destroy her old card. c. The card is indeed a forgery since all identity cards are being phased-out in favor of a new electronic identity system developed by the Social Security Administration. d. The card she received is valid but she should keep her old card for at least two years and present it whenever she receives health care. Correct Answer: b 4 Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to the benefit package of a Medicare Health Plan before she starts looking at specific plans. What could you tell her? a. Medicare Health Plans may offer extra benefits that Original Medicare does not offer such as vision, hearing, and dental services and must include a maximum out-of-pocket limit on Part A and Part B services. b. Medicare Health Plans do not necessarily have to cover all of the Original Medicare Part A and Part B services, but must include a maximum out-of-pocket limit. c. Medicare Health Plans are not permitted to offer any benefits beyond those available under the Original Medicare program and must have the same maximum out-of-pocket limit on Part A and Part B services as FFS Medicare. d. All Medicare Health Plans offer cost-sharing that is lower than Original Medicare for all Part A and Part B cove Correct Answer: a