AHIP 2025/26 Final Exam Test Updated Questions and Answers (Verified Answers) ||Complete A+ Guide

AHIP 2024 Final Exam Test Updated
Questions and Answers (Verified Answers)

1) Edward IP suffered from serious kidney disease. As a result. Edward
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became eligible for Medicare coverage due to end-stage renal disease
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(ESRD). A close relative donated their kidney and Edward successfully
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underwent transplant surgery 12 months ago. Edward is now age 50
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and asks you if his Medicare coverage will continue, what should you
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say?
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- ANSWER>>Individuals eligible for Medicare based on ESRD F F F F F F


generally lose eligibility 36 months after the month in which the
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individual receives a kidney transplant unless they are eligible for
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Medicare on another basis such as age or disability. Edward may,
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however, remain enrolled in Part B but solely for coverage of
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immunosuppressive drugs if he has no other health care
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coverage that would cover the drugs.
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2) Mildred Savage enrolled in Allcare Medicare Advantage plan several years
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ago. Mildred recently learned that she is suffering from inoperable cancer
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and has just a few months to live. She would like to spend these final
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months in hospice care. Mildred's family asks you whether hospice
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benefits will be paid for under the Allcare Medicare Advantage plan. What
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should you say?
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- ANSWER>>Mildred may remain enrolled in Allcare and make a F F F F F F F F


hospice election. Hospice benefits will be paid for by Original
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Medicare under Part A and Allcare will continue to pay for any
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non-hospice services.
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3) Mr. Diaz continued working with his company and was insured under
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his employer's group plan until he reached age 68. He has heard
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that there is a premium penalty for those who did not sign up for Part B
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when first eligible and wants to know how much he will have to pay.
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What should you tell him?
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- ANSWER>>Mr. Diaz will not pay any penalty because he had F F F F F F F F F


continuous coverage under his employer's plan.
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4) Mr. Moy's wife has a Medicare Advantage plan, but he wants to
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understand what coverage Medicare Supplemental Insurance provides
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since his health care needs are different from his wife's needs. What could
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you tell Mr. Moy?
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- ANSWER>>Medicare Supplemental Insurance would help cover F F F F F


his Part A and Part B deductibles or coinsurance in Original Fee-
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for-Service (FFS) Medicare as well as possibly some services that
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Medicare does not cover.
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5) Mrs. Chen will be 65 soon, has been a citizen for twelve years, has
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been employed full time, and paid taxes during that entire period.
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,She is concerned that she will not qualify for coverage under part A
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because she was not born in the United States. What should you tell her?
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- ANSWER>>Most individuals who are citizens and age 65 or
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over are covered under Part A by virtue of having paid
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Medicare taxes while
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, working, though some may be covered as a result of paying F F F F F F F F F F


monthly premiums.
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6) Mr. Bauer is 49 years old, but eighteen months ago he was declared
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disabled by the Social Security Administration and has been receiving
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disability payments. He is wondering whether he can obtain coverage
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under Medicare. What should you tell him? - ANSWER>>After
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receiving such disability payments for 24 months, he will be
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automatically enrolled in Medicare, regardless of age.
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7) Mr. Xi will soon turn age 65 and has come to you for advice as to what
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services are provided under Original Medicare. What should you tell Mr.
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Xi that best describes the health coverage provided to Medicare
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beneficiaries? - ANSWER>>Beneficiaries under Original Medicare have
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no cost-sharing for most preventive services which include
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immunizations such as annual flu shots.
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8) Mrs. Peňa is 66 years old, has coverage under an employer plan, and will
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retire next year. She heard she must enroll in Part B at the beginning of
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the year to ensure no gap in coverage. What can you tell her? -
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ANSWER>>She may enroll at any time while she is covered under her
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employer plan, but she will have a special eight-month enrollment period
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after the last month on her employer plan that differs from the standard
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general enrollment period, during which she may enroll in Medicare Part
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B.
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9) Mr. Davis is 52 years old and has recently been diagnosed with end- stage
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renal disease (ESRD) and will soon begin dialysis. He is wondering if
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he can obtain coverage under Medicare. What should you tell him? -
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ANSWER>>He may sign- up for Medicare at any time however coverage
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usually begins on the fourth month after dialysis treatments start.
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10) Madeline Martinez was widowed several years ago. Her husband
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worked for many years and contributed into the Medicare system. He
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also left a substantial estate which provides Madeline with an annual
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income of approximately
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$130,000. Madeline, who has only worked part-time for the last three
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years, will soon turn age 65 and hopes to enroll in Original Medicare. She
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comes to you for advice. What should you tell her? - ANSWER>>You
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should tell Madeline that she will be able to enroll in Medicare Part A
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without paying monthly premiums due to her husband's long work
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record and participation in the Medicare system. You should also tell
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Madeline that she will pay Part B premiums at more than the standard
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lowest rate but less than the highest rate due her substantial income.
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11) Ms. Henderson believes that she will qualify for Medicare Coverage
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when she turns 65, without paying any premiums, because she has
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, been working for 40 years and paying Medicare taxes. What should you
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tell her? - ANSWER>>To obtain Part B coverage, she must pay a
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Fstandard monthly premium, though it is higher for individuals with
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higher incomes.
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