Module 1 AHIP
1. Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently enrolled
in Medicare Parts A and B. Jerry has additionally bought a Medicare Supplement
(Medigap) plan which he has had for numerous years. However, the plan does now not
offer drug benefits. How could you propose Agent John Miller to proceed? - ANS-Tell
prospect Jerry Smith that he ought to recollect adding a standalone Part D prescription
drug coverage policy to his present coverage.
2. Juan Perez, who is turning age 65 subsequent month, intends to work for numerous
greater years at Smallcap, Incorporated. Smallcap has a group of workers of 15
employees and offers business enterprise-sponsored healthcare insurance. Juan is a
naturalized citizen and has contributed to the Medicare gadget for over 20 years. Juan
asks you if he could be entitled to Medicare and if he enrolls how so as to impact his
organization-backed healthcare insurance. How could you reply? - ANS-Juan is possibly
to be eligible for Medicare as soon as he turns age 65 and if he enrolls Medicare would
emerge as the primary payor of his healthcare claims and Smallcap does now not have
to maintain to provide him coverage comparable to the ones beneath age 65 under its
employer-subsidized institution health plan.
3. Mr. Alonso gets a few assist deciding to buy his two general prescribed drugs from his
enterprise's retiree insurance, however he desires to compare it to a Part D prescription
drug plan. He asks you what fees he might normally count on to stumble upon when
enrolling into a general Medicare Part D prescription drug plan. What should you inform
him? - ANS-He commonly would pay a monthly premium, annual deductible, and in
keeping with-prescription value-sharing.
4. Mr. Bauer is forty nine years vintage, however eighteen months ago he turned into
declared disabled with the aid of the Social Security Administration and has been
receiving incapacity payments. He is questioning whether or not he can obtain coverage
underneath Medicare. What need to you inform him? - ANS-After receiving such
incapacity bills for twenty-four months, he can be automatically enrolled in Medicare, no
matter age
5. Mr. Buck has numerous circle of relatives participants who died from unique cancers. He
desires to recognise if Medicare covers cancer screening. What ought to you inform
him? - ANS-Medicare covers the periodic overall performance of a range of screening
checks that are meant to provide early detection of disease. Mr. Buck will want to test
precise checks earlier than acquiring them to peer if they may be blanketed.
6. Mr. Capadona would love to purchase a Medicare Advantage (MA) plan and a Medigap
plan to pick out up charges now not blanketed with the aid of that plan. What need to
you inform him? - ANS-It is unlawful if you want to sell Mr. Capadona a Medigap plan if
he is enrolled in an MA plan, and except, Medigap best works with Original Medicare.
7. Mr. Davis is 52 years vintage and has these days been recognized with end-degree
renal sickness (ESRD) and could soon begin dialysis. He is wondering if he can attain
1. Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently enrolled
in Medicare Parts A and B. Jerry has additionally bought a Medicare Supplement
(Medigap) plan which he has had for numerous years. However, the plan does now not
offer drug benefits. How could you propose Agent John Miller to proceed? - ANS-Tell
prospect Jerry Smith that he ought to recollect adding a standalone Part D prescription
drug coverage policy to his present coverage.
2. Juan Perez, who is turning age 65 subsequent month, intends to work for numerous
greater years at Smallcap, Incorporated. Smallcap has a group of workers of 15
employees and offers business enterprise-sponsored healthcare insurance. Juan is a
naturalized citizen and has contributed to the Medicare gadget for over 20 years. Juan
asks you if he could be entitled to Medicare and if he enrolls how so as to impact his
organization-backed healthcare insurance. How could you reply? - ANS-Juan is possibly
to be eligible for Medicare as soon as he turns age 65 and if he enrolls Medicare would
emerge as the primary payor of his healthcare claims and Smallcap does now not have
to maintain to provide him coverage comparable to the ones beneath age 65 under its
employer-subsidized institution health plan.
3. Mr. Alonso gets a few assist deciding to buy his two general prescribed drugs from his
enterprise's retiree insurance, however he desires to compare it to a Part D prescription
drug plan. He asks you what fees he might normally count on to stumble upon when
enrolling into a general Medicare Part D prescription drug plan. What should you inform
him? - ANS-He commonly would pay a monthly premium, annual deductible, and in
keeping with-prescription value-sharing.
4. Mr. Bauer is forty nine years vintage, however eighteen months ago he turned into
declared disabled with the aid of the Social Security Administration and has been
receiving incapacity payments. He is questioning whether or not he can obtain coverage
underneath Medicare. What need to you inform him? - ANS-After receiving such
incapacity bills for twenty-four months, he can be automatically enrolled in Medicare, no
matter age
5. Mr. Buck has numerous circle of relatives participants who died from unique cancers. He
desires to recognise if Medicare covers cancer screening. What ought to you inform
him? - ANS-Medicare covers the periodic overall performance of a range of screening
checks that are meant to provide early detection of disease. Mr. Buck will want to test
precise checks earlier than acquiring them to peer if they may be blanketed.
6. Mr. Capadona would love to purchase a Medicare Advantage (MA) plan and a Medigap
plan to pick out up charges now not blanketed with the aid of that plan. What need to
you inform him? - ANS-It is unlawful if you want to sell Mr. Capadona a Medigap plan if
he is enrolled in an MA plan, and except, Medigap best works with Original Medicare.
7. Mr. Davis is 52 years vintage and has these days been recognized with end-degree
renal sickness (ESRD) and could soon begin dialysis. He is wondering if he can attain
