AHIP Exam questions and100% verified correct answers
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? - Correct
Answer Medicare is a program for people age 65 or older & those age under 65 with
certain disabilities; ESRD, & ALS so she will be eligible for Medicare.
Mrs. Chen will be 65 soon, has been a citizen for 12 years, has been employed full-
time, & paid taxes during the entire period. She is concerned that she will not qualify for
coverage under Part A because she was not born in the U.S. what should you tell her? -
Correct Answer Most people who are citizens & age 65 and older are covered under
Part A by virtue of having paid Medicare taxes while working, though some may be
covered as a result of paying monthly premiums.
Mr. Patel is in good health and is preparing a budget in anticipation of his retirement
when he turns 66. He wants to understand the healthcare costs he might be exposed
under Medicare if he were to require hospitalization as a result of an illness. What could
you tell him about his costs for inpatient hospital services under OG Medicare? - Correct
Answer Under OG Medicare, there is a single deductible amount due for the first 60
days of any inpatient hospital stay, after which it converts into a per-day coinsurance
amount through day 90. After day 90, he would pay a daily amount up to 60 days over
his lifetime, after which he would be responsible for all costs.
Mrs. Park is an elderly retiree and has a low fixed income. Would could you tell Mrs.
Park that may help her? - Correct Answer She could contact her state Medicaid to see if
she qualifies for one of several programs that can help with Medicare costs for which
she is responsible.
Mr. Schmidt would like to plan for retirement and has asked you what is covered under
OG Medicare? What would you tell him? - Correct Answer Part A covers hospital, SNF,
hospice, & home health services & Part B, which covers professional services such as
those provided by a doctor are covered under OG Medicare
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from
arthritis through massage therapy. She is concerned whether or not Medicare will cover
these items. What should you tell her? - Correct Answer Medicare does not cover
massage therapy or in general glasses or dentures
Mr. A receives some help paying for his 2 generic prescr. drugs from his employer's
retiree coverage, but he wants to compare it to Part D PDP. He asks you what costs he
would generally encounter when enrolling into a standard Medicare Pt D drug plan?
what should you tell him? - Correct Answer He would generally pay a monthly premium,
annual ded., & prescr. cost-sharing.
Mrs. P is 66 years old, has coverage under an employer plan, & will retire next year.
She heard she must enroll in Pt B at the beginning of the year to ensure no gap in
coverage. What can you tell her? - Correct Answer She may enroll at anytime while she
is covered under her employer plan, but she will have an 8 month enrollment period
after the last month her employer plan that differs from the standard GEP, during which
she may enroll in Med Pt B
Mrs. G is enrolled in a OG med & has a Medigap policy as well, but it provides no drug
coverage. She would like to keep the coverage she has but keep the coverage that she
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? - Correct
Answer Medicare is a program for people age 65 or older & those age under 65 with
certain disabilities; ESRD, & ALS so she will be eligible for Medicare.
Mrs. Chen will be 65 soon, has been a citizen for 12 years, has been employed full-
time, & paid taxes during the entire period. She is concerned that she will not qualify for
coverage under Part A because she was not born in the U.S. what should you tell her? -
Correct Answer Most people who are citizens & age 65 and older are covered under
Part A by virtue of having paid Medicare taxes while working, though some may be
covered as a result of paying monthly premiums.
Mr. Patel is in good health and is preparing a budget in anticipation of his retirement
when he turns 66. He wants to understand the healthcare costs he might be exposed
under Medicare if he were to require hospitalization as a result of an illness. What could
you tell him about his costs for inpatient hospital services under OG Medicare? - Correct
Answer Under OG Medicare, there is a single deductible amount due for the first 60
days of any inpatient hospital stay, after which it converts into a per-day coinsurance
amount through day 90. After day 90, he would pay a daily amount up to 60 days over
his lifetime, after which he would be responsible for all costs.
Mrs. Park is an elderly retiree and has a low fixed income. Would could you tell Mrs.
Park that may help her? - Correct Answer She could contact her state Medicaid to see if
she qualifies for one of several programs that can help with Medicare costs for which
she is responsible.
Mr. Schmidt would like to plan for retirement and has asked you what is covered under
OG Medicare? What would you tell him? - Correct Answer Part A covers hospital, SNF,
hospice, & home health services & Part B, which covers professional services such as
those provided by a doctor are covered under OG Medicare
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from
arthritis through massage therapy. She is concerned whether or not Medicare will cover
these items. What should you tell her? - Correct Answer Medicare does not cover
massage therapy or in general glasses or dentures
Mr. A receives some help paying for his 2 generic prescr. drugs from his employer's
retiree coverage, but he wants to compare it to Part D PDP. He asks you what costs he
would generally encounter when enrolling into a standard Medicare Pt D drug plan?
what should you tell him? - Correct Answer He would generally pay a monthly premium,
annual ded., & prescr. cost-sharing.
Mrs. P is 66 years old, has coverage under an employer plan, & will retire next year.
She heard she must enroll in Pt B at the beginning of the year to ensure no gap in
coverage. What can you tell her? - Correct Answer She may enroll at anytime while she
is covered under her employer plan, but she will have an 8 month enrollment period
after the last month her employer plan that differs from the standard GEP, during which
she may enroll in Med Pt B
Mrs. G is enrolled in a OG med & has a Medigap policy as well, but it provides no drug
coverage. She would like to keep the coverage she has but keep the coverage that she
