AHIP 2025/2026 Module 1complete with answers\A+ graded
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?
Answer>> Beneficiaries Under Original Medicare Have No Cost-Sharing For Most Preventive Services
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?
Answer>> 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
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?
Answer>> He May Sign Up For Medicare At Any Time However Coverage Usually Begins On The Fourth
Month After Dialysis Treatment
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?
Answer>> He Generally Would Pay A Monthly Premium, Annual Deductible, And Per-Prescription Cost
Sharing.
, 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?
Answer>> Medicare Covers Hospice Services And They Will Be Available To Her.
Mrs. Park Is An Elderly Retiree. Mrs. Park Has A Low Fixed Income. What Could You Tell Mrs. Park That
Might Be Of Assistance?
Answer>> 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.
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?
Answer>> Mrs. Duarte Should File An Appeal Of This Initial Determination Within 120 Days Of The Date
She Received The Msn In The Mail.
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 In The United States. What Should You Tell Her?
Answer>> Most Individuals Who Are Citizens And Age 65 Or Over 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. Singh Would Like Drug Coverage But Does Not Want To Be Enrolled In A Medicare Advantage
Plan. What Should You Tell Him?
Answer>> Mr. Singh Can Enroll In A Stand-Alone Prescription Drug Plan And Continue To Be Covered For
Part A And Part B Services Through Original Fee-For-Service Medicare.
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?
Answer>> Beneficiaries Under Original Medicare Have No Cost-Sharing For Most Preventive Services
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?
Answer>> 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
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?
Answer>> He May Sign Up For Medicare At Any Time However Coverage Usually Begins On The Fourth
Month After Dialysis Treatment
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?
Answer>> He Generally Would Pay A Monthly Premium, Annual Deductible, And Per-Prescription Cost
Sharing.
, 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?
Answer>> Medicare Covers Hospice Services And They Will Be Available To Her.
Mrs. Park Is An Elderly Retiree. Mrs. Park Has A Low Fixed Income. What Could You Tell Mrs. Park That
Might Be Of Assistance?
Answer>> 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.
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?
Answer>> Mrs. Duarte Should File An Appeal Of This Initial Determination Within 120 Days Of The Date
She Received The Msn In The Mail.
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 In The United States. What Should You Tell Her?
Answer>> Most Individuals Who Are Citizens And Age 65 Or Over 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. Singh Would Like Drug Coverage But Does Not Want To Be Enrolled In A Medicare Advantage
Plan. What Should You Tell Him?
Answer>> Mr. Singh Can Enroll In A Stand-Alone Prescription Drug Plan And Continue To Be Covered For
Part A And Part B Services Through Original Fee-For-Service Medicare.
