AHIP Module 1 Test Questions and Answers
Mrs. Turner is comparing her employer's retiree costs through his State Pharmaceutical Assistance
insurance to Original Medicare and would like to Program.
know which of the following services Original
Medicare will cover if the appropriate criteria are
met? What could you tell her? - ANSWER -c. Mrs. Quinn recently turned 66 and decided after
Original Medicare covers ambulance services. many years of work to begin receiving Social Security
benefits. Shortly thereafter Mrs. Quinn received a
letter informing her that she has been automatically
Madeline Martinez was widowed several years ago. enrolled in Medicare Part B. She wants to understand
Her husband worked for many years and contributed what this means. What should you tell Mrs. Quinn? -
into the Medicare system. He also left a substantial ANSWER -d. Part B primarily covers physician
estate which provides Madeline with an annual services. She will be paying a monthly premium and,
income of approximately $130,000. Madeline, who with the exception of many preventive and screening
has only worked part-time for the last three years, will tests, generally will have 20% coinsurance for these
soon turn age 65 and hopes to enroll in Original services, in addition to an annual deductible.
Medicare. She comes to you for advice. What should
you tell her? - ANSWER -b. You should tell
Madeline that she will be able to enroll in Medicare Mrs. Paterson is concerned about the deductibles
Part A without paying monthly premiums due to her and co-payments associated with Original Medicare.
husband's long work record and participation in the What can you tell her about Medigap as an option to
Medicare system. You should also tell Madeline that address this concern? - ANSWER -c. Medigap
she will pay Part B premiums at more than the plans help beneficiaries cover coinsurance, co-
standard lowest rate but less than the highest rate payments, and/or deductibles for medically necessary
due her substantial income. services.
Juan Perez, who is turning age 65 next month, Agent John Miller is meeting with Jerry Smith, a new
intends to work for several more years at Smallcap, prospect. Jerry is currently enrolled in Medicare Parts
Incorporated. Smallcap has a workforce of 15 A and B. Jerry has also purchased a Medicare
employees and offers employer-sponsored Supplement (Medigap) plan which he has had for
healthcare coverage. Juan is a naturalized citizen several years. However, the plan does not provide
and has contributed to the Medicare system for over drug benefits. How would you advise Agent John
20 years. Juan asks you if he will be entitled to Miller to proceed? - ANSWER -d. Tell prospect
Medicare and if he enrolls how that will impact his Jerry Smith that he should consider adding a
employer-sponsored healthcare coverage. How standalone Part D prescription drug coverage policy
would you respond? - ANSWER -d. Juan is to his present coverage.
likely to be eligible for Medicare once he turns age 65
and if he enrolls Medicare would become the primary
payor of his healthcare claims and Smallcap does Ms. Moore plans to retire when she turns 65 in a few
not have to continue to offer him coverage months. She is in excellent health and will have
comparable to those under age 65 under its considerable income when she retires. She is
employer-sponsored group health plan. concerned that her income will make it impossible for
her to qualify for Medicare. What could you tell her to
address her concern? - ANSWER -d. Medicare
Mr. Wu is eligible for Medicare. He has limited is a program for people age 65 or older and those
financial resources but failed to qualify for the Part D under age 65 with certain disabilities, end-stage renal
low-income subsidy. Where might he turn for help disease, and Lou Gehrig's disease so she will be
with his prescription drug costs? - ANSWER -b. eligible for Medicare.
Mr. Wu may still qualify for help in paying Part D
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Mrs. Turner is comparing her employer's retiree costs through his State Pharmaceutical Assistance
insurance to Original Medicare and would like to Program.
know which of the following services Original
Medicare will cover if the appropriate criteria are
met? What could you tell her? - ANSWER -c. Mrs. Quinn recently turned 66 and decided after
Original Medicare covers ambulance services. many years of work to begin receiving Social Security
benefits. Shortly thereafter Mrs. Quinn received a
letter informing her that she has been automatically
Madeline Martinez was widowed several years ago. enrolled in Medicare Part B. She wants to understand
Her husband worked for many years and contributed what this means. What should you tell Mrs. Quinn? -
into the Medicare system. He also left a substantial ANSWER -d. Part B primarily covers physician
estate which provides Madeline with an annual services. She will be paying a monthly premium and,
income of approximately $130,000. Madeline, who with the exception of many preventive and screening
has only worked part-time for the last three years, will tests, generally will have 20% coinsurance for these
soon turn age 65 and hopes to enroll in Original services, in addition to an annual deductible.
Medicare. She comes to you for advice. What should
you tell her? - ANSWER -b. You should tell
Madeline that she will be able to enroll in Medicare Mrs. Paterson is concerned about the deductibles
Part A without paying monthly premiums due to her and co-payments associated with Original Medicare.
husband's long work record and participation in the What can you tell her about Medigap as an option to
Medicare system. You should also tell Madeline that address this concern? - ANSWER -c. Medigap
she will pay Part B premiums at more than the plans help beneficiaries cover coinsurance, co-
standard lowest rate but less than the highest rate payments, and/or deductibles for medically necessary
due her substantial income. services.
Juan Perez, who is turning age 65 next month, Agent John Miller is meeting with Jerry Smith, a new
intends to work for several more years at Smallcap, prospect. Jerry is currently enrolled in Medicare Parts
Incorporated. Smallcap has a workforce of 15 A and B. Jerry has also purchased a Medicare
employees and offers employer-sponsored Supplement (Medigap) plan which he has had for
healthcare coverage. Juan is a naturalized citizen several years. However, the plan does not provide
and has contributed to the Medicare system for over drug benefits. How would you advise Agent John
20 years. Juan asks you if he will be entitled to Miller to proceed? - ANSWER -d. Tell prospect
Medicare and if he enrolls how that will impact his Jerry Smith that he should consider adding a
employer-sponsored healthcare coverage. How standalone Part D prescription drug coverage policy
would you respond? - ANSWER -d. Juan is to his present coverage.
likely to be eligible for Medicare once he turns age 65
and if he enrolls Medicare would become the primary
payor of his healthcare claims and Smallcap does Ms. Moore plans to retire when she turns 65 in a few
not have to continue to offer him coverage months. She is in excellent health and will have
comparable to those under age 65 under its considerable income when she retires. She is
employer-sponsored group health plan. concerned that her income will make it impossible for
her to qualify for Medicare. What could you tell her to
address her concern? - ANSWER -d. Medicare
Mr. Wu is eligible for Medicare. He has limited is a program for people age 65 or older and those
financial resources but failed to qualify for the Part D under age 65 with certain disabilities, end-stage renal
low-income subsidy. Where might he turn for help disease, and Lou Gehrig's disease so she will be
with his prescription drug costs? - ANSWER -b. eligible for Medicare.
Mr. Wu may still qualify for help in paying Part D
1/3
