AHIP Exam Update Questions and Correct
Answers Rated A+ 2023-2024
,AHIP Exam Update Questions and Correct
Answers Rated A+ 2023-2024
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief
from arthritisthrough massage therapy. She is concerned about whether or not
Medicare will cover these items and services. What should you tell her?
a. Medicare covers glasses, but not dentures or massage therapy.
b. Medicare does not cover massage therapy, or, in general, glasses or dentures.
Correct: Neither Medicare Part A nor Part B covers massage therapy, dentures, or
routine eyeexaminations to prescribe eyeglasses.
c. Medicare covers 80% of the cost of these three services.
d. Medicare covers 50% of the cost of these three services.
Feedback Source: Module 1, Slide - Not Covered by Medicare Part A & B
Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a
Medigap plan topick up costs not covered by that plan. What should you tell him?
a. Medigap plans that cover costs not paid for by an MA plan are
available only inMassachusetts, Minnesota, and Wisconsin.
b. Medigap policies designed to cover costs not paid for by an MA plan can be
purchased, butonly if the MA plan’s design is considered to be the “defined
standard benefit.”
c. Medigap plans are a form of Medicare Advantage, so purchasing both would
be redundantcoverage.
d. It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled in an
MA plan, andbesides, Medigap only works with Original Medicare.
Correct: The purpose of Medigap plans is to supplement Original Medicare
benefits. Medigapplans do not work with Medicare Advantage plans. It is illegal
to sell a Medigap plan to someone already in a Medicare Advantage health
plan.
Feedback Source: Module 1, Slide - Medigap is NOT
,AHIP Exam Update Questions and Correct
Answers Rated A+ 2023-2024
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 whetherhe can obtain coverage under Medicare.
What should you tell him?
a. He became eligible for Medicare when his disability eligibility determination
was first made.b. After receiving such disability payments for 24 months, he will
be automatically enrolled in Medicare, regardless of age.
Correct: Individuals with disabilities who are under age 65 are
automatically enrolled in Medicare Parts A and B the month after they
have received Social Security or RailroadRetirement disability benefits for
24 months.
c. Individuals receiving such disability payments from the Social Security
Administration continue to receive those payments but only become eligible for
Medicare upon reaching age65.
d. Individuals who become eligible for such disability payments only have to
wait 12 monthsbefore they can apply for coverage under Medicare.
Feedback Source: Module 1, Slide - Medicare Enrollment Part A & B
Mrs. Peňa is 66 years old, has coverage under an employer plan, and will retire
next year. Sheheard she must enroll in Part B at the beginning of the year to
ensure no gap in coverage.
What can you tell her?
a. She must wait at least 30 days after her employment terminates before she
may enroll inMedicare Part B.
, AHIP Exam Update Questions and Correct
Answers Rated A+ 2023-2024
b. She may enroll at any time while she is covered under her employer plan, but
she will have a special eight-month enrollment period after the last month on her
employer plan that differs from the standard general enrollment period, during
which she may enroll in Medicare Part B. Correct: As long as Mrs. Peňa is
covered under her employer’s plan, she can enroll in Part B atany time. If she
retires, she will be able to enroll in Part B during a special enrollment period that
lasts 8 months following the last month of her employer coverage.
c. She may not enroll in Part B while covered under an employer group health
plan and mustwait until the standard general enrollment period after she
retires.
d. She may only enroll in Part B during the general enrollment period whether
she is retired ornot
Feedback Source: Module 1, Slide - Enrollment in Parts A & B After the Initial
EnrollmentPeriod
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as
well, but it provides no drug coverage. She would like to keep the coverage she
has but replace herexisting Medigap plan with one that provides drug coverage.
What should you tell her?
a. Mrs. Gonzalez should purchase a K or L Medigap plan.
b. Mrs. Gonzalez can purchase a Medigap plan that covers drugs, but it
likely won’t offercoverage that is equivalent to that provided under Part D.
c. Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she
could keep herMedigap policy and enroll in a Part D prescription drug plan.
Correct: Individuals who are enrolled in Medigap plans may only obtain
Medicare drugcoverage (Part D) through a stand-alone prescription drug
plan.
d. Medigap is a replacement for Original Medicare and she has been
Answers Rated A+ 2023-2024
,AHIP Exam Update Questions and Correct
Answers Rated A+ 2023-2024
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief
from arthritisthrough massage therapy. She is concerned about whether or not
Medicare will cover these items and services. What should you tell her?
a. Medicare covers glasses, but not dentures or massage therapy.
b. Medicare does not cover massage therapy, or, in general, glasses or dentures.
Correct: Neither Medicare Part A nor Part B covers massage therapy, dentures, or
routine eyeexaminations to prescribe eyeglasses.
c. Medicare covers 80% of the cost of these three services.
d. Medicare covers 50% of the cost of these three services.
Feedback Source: Module 1, Slide - Not Covered by Medicare Part A & B
Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and a
Medigap plan topick up costs not covered by that plan. What should you tell him?
a. Medigap plans that cover costs not paid for by an MA plan are
available only inMassachusetts, Minnesota, and Wisconsin.
b. Medigap policies designed to cover costs not paid for by an MA plan can be
purchased, butonly if the MA plan’s design is considered to be the “defined
standard benefit.”
c. Medigap plans are a form of Medicare Advantage, so purchasing both would
be redundantcoverage.
d. It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled in an
MA plan, andbesides, Medigap only works with Original Medicare.
Correct: The purpose of Medigap plans is to supplement Original Medicare
benefits. Medigapplans do not work with Medicare Advantage plans. It is illegal
to sell a Medigap plan to someone already in a Medicare Advantage health
plan.
Feedback Source: Module 1, Slide - Medigap is NOT
,AHIP Exam Update Questions and Correct
Answers Rated A+ 2023-2024
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 whetherhe can obtain coverage under Medicare.
What should you tell him?
a. He became eligible for Medicare when his disability eligibility determination
was first made.b. After receiving such disability payments for 24 months, he will
be automatically enrolled in Medicare, regardless of age.
Correct: Individuals with disabilities who are under age 65 are
automatically enrolled in Medicare Parts A and B the month after they
have received Social Security or RailroadRetirement disability benefits for
24 months.
c. Individuals receiving such disability payments from the Social Security
Administration continue to receive those payments but only become eligible for
Medicare upon reaching age65.
d. Individuals who become eligible for such disability payments only have to
wait 12 monthsbefore they can apply for coverage under Medicare.
Feedback Source: Module 1, Slide - Medicare Enrollment Part A & B
Mrs. Peňa is 66 years old, has coverage under an employer plan, and will retire
next year. Sheheard she must enroll in Part B at the beginning of the year to
ensure no gap in coverage.
What can you tell her?
a. She must wait at least 30 days after her employment terminates before she
may enroll inMedicare Part B.
, AHIP Exam Update Questions and Correct
Answers Rated A+ 2023-2024
b. She may enroll at any time while she is covered under her employer plan, but
she will have a special eight-month enrollment period after the last month on her
employer plan that differs from the standard general enrollment period, during
which she may enroll in Medicare Part B. Correct: As long as Mrs. Peňa is
covered under her employer’s plan, she can enroll in Part B atany time. If she
retires, she will be able to enroll in Part B during a special enrollment period that
lasts 8 months following the last month of her employer coverage.
c. She may not enroll in Part B while covered under an employer group health
plan and mustwait until the standard general enrollment period after she
retires.
d. She may only enroll in Part B during the general enrollment period whether
she is retired ornot
Feedback Source: Module 1, Slide - Enrollment in Parts A & B After the Initial
EnrollmentPeriod
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as
well, but it provides no drug coverage. She would like to keep the coverage she
has but replace herexisting Medigap plan with one that provides drug coverage.
What should you tell her?
a. Mrs. Gonzalez should purchase a K or L Medigap plan.
b. Mrs. Gonzalez can purchase a Medigap plan that covers drugs, but it
likely won’t offercoverage that is equivalent to that provided under Part D.
c. Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she
could keep herMedigap policy and enroll in a Part D prescription drug plan.
Correct: Individuals who are enrolled in Medigap plans may only obtain
Medicare drugcoverage (Part D) through a stand-alone prescription drug
plan.
d. Medigap is a replacement for Original Medicare and she has been
