AHIP 2025 MODULE 1 QUESTIONS AND ANSWERS
100% COMPLETE
1. Mr. Xi will soon turn age 65 and has come to you for advice as to what
services are provided under Original Medicare. What should you tell Mr. Xi
that best describes the health coverage provided to Medicare beneficiaries?:
Beneficiaries under Original Medicare have no cost-sharing for most preventive
services 2. Mrs. Quinn recently turned 66 and decided after many years of work
to begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn
received a letter informing her that she has been automatically enrolled in
Medicare Part B. She wants to understand what this means. What should you
tell Mrs. Quinn?: Part B primarily covers physician services. She will be paying a
monthly premium and, except for many preventive screening and tests, generally
will have 20 percent co-payments for these services in addition to an annual
deductible 3. Mr. Davis is 52 years old and has recently been diagnosed with
end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering
if he can obtain coverage under Medicare. What should you tell him?: He may
sign up for Medicare at any time however coverage usually begins on the fourth
month after dialysis treatment
4. Mr. Alonso receives some help paying for his two generic prescription
drugs from his employer's retiree coverage, but he wants to compare it to a
Part D prescription drug plan. He asks you what costs he would generally
expect to encounter when enrolling into a standard Medicare Part D
prescription drug plan. What should you tell him?: He generally would pay a
monthly premium, annual deductible, and per-prescription cost sharing.
5. Ms. Brooks has an aggressive cancer and would like to know if Medicare
will cover hospice services in case she needs them. What should you tell
her?: Medicare covers hospice services and they will be available to her.
6. Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance?: She should contact her
state Medicaid agency to see if she qualifies for one of several programs that can
help with Medicare costs for which she is responsible.
7. Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has
recently reviewed her Medicare Summary Notice (MSN) and disagrees with a
determination that partially denied one of her claims for services. What advice
would you give her?: Mrs. Duarte should file an appeal of this initial determination
within 120 days of the date she received the MSN in the mail.
8. Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been
employed full time, and paid taxes during that entire period. She is concerned
that she will not qualify for coverage under part A because she was not born
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100% COMPLETE
1. Mr. Xi will soon turn age 65 and has come to you for advice as to what
services are provided under Original Medicare. What should you tell Mr. Xi
that best describes the health coverage provided to Medicare beneficiaries?:
Beneficiaries under Original Medicare have no cost-sharing for most preventive
services 2. Mrs. Quinn recently turned 66 and decided after many years of work
to begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn
received a letter informing her that she has been automatically enrolled in
Medicare Part B. She wants to understand what this means. What should you
tell Mrs. Quinn?: Part B primarily covers physician services. She will be paying a
monthly premium and, except for many preventive screening and tests, generally
will have 20 percent co-payments for these services in addition to an annual
deductible 3. Mr. Davis is 52 years old and has recently been diagnosed with
end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering
if he can obtain coverage under Medicare. What should you tell him?: He may
sign up for Medicare at any time however coverage usually begins on the fourth
month after dialysis treatment
4. Mr. Alonso receives some help paying for his two generic prescription
drugs from his employer's retiree coverage, but he wants to compare it to a
Part D prescription drug plan. He asks you what costs he would generally
expect to encounter when enrolling into a standard Medicare Part D
prescription drug plan. What should you tell him?: He generally would pay a
monthly premium, annual deductible, and per-prescription cost sharing.
5. Ms. Brooks has an aggressive cancer and would like to know if Medicare
will cover hospice services in case she needs them. What should you tell
her?: Medicare covers hospice services and they will be available to her.
6. Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance?: She should contact her
state Medicaid agency to see if she qualifies for one of several programs that can
help with Medicare costs for which she is responsible.
7. Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has
recently reviewed her Medicare Summary Notice (MSN) and disagrees with a
determination that partially denied one of her claims for services. What advice
would you give her?: Mrs. Duarte should file an appeal of this initial determination
within 120 days of the date she received the MSN in the mail.
8. Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been
employed full time, and paid taxes during that entire period. She is concerned
that she will not qualify for coverage under part A because she was not born
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