AHIP Exam with Complete Solutions
Medicare is a program for people age 65 or older & those age under 65 with certain
disabilities; ESRD, & ALS so she will be eligible for Medicare. - ANSWER-Ms. Moore
plans to retire when she turns 65 in a few months. She is in excellent health and will
have considerable income when she retires. She is concerned that her income will
make it impossible for her to qualify for Medicare. What could you tell her?
Most people who are citizens & age 65 and older 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. - ANSWER-Mrs. Chen will be 65 soon, has been a citizen for
12 years, has been employed full-time, & paid taxes during the entire period. She is
concerned that she will not qualify for coverage under Part A because she was not born
in the U.S. what should you tell her?
Under OG Medicare, there is a single deductible amount due for the first 60 days of any
inpatient hospital stay, after which it converts into a per-day coinsurance amount
through day 90. After day 90, he would pay a daily amount up to 60 days over his
lifetime, after which he would be responsible for all costs. - ANSWER-Mr. Patel is in
good health and is preparing a budget in anticipation of his retirement when he turns 66.
He wants to understand the healthcare costs he might be exposed under Medicare if he
were to require hospitalization as a result of an illness. What could you tell him about his
costs for inpatient hospital services under OG Medicare?
She could contact her state Medicaid to see if she qualifies for one of several programs
that can help with Medicare costs for which she is responsible. - ANSWER-Mrs. Park is
an elderly retiree and has a low fixed income. Would could you tell Mrs. Park that may
help her?
Part A covers hospital, SNF, hospice, & home health services & Part B, which covers
professional services such as those provided by a doctor are covered under OG
Medicare - ANSWER-Mr. Schmidt would like to plan for retirement and has asked you
what is covered under OG Medicare? What would you tell him?
Medicare does not cover massage therapy or in general glasses or dentures -
ANSWER-Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through massage therapy. She is concerned whether or not Medicare
will cover these items. What should you tell her?
He would generally pay a monthly premium, annual ded., & prescr. cost-sharing. -
ANSWER-Mr. A receives some help paying for his 2 generic prescr. drugs from his
employer's retiree coverage, but he wants to compare it to Part D PDP. He asks you
, what costs he would generally encounter when enrolling into a standard Medicare Pt D
drug plan? what should you tell him?
She may enroll at anytime while she is covered under her employer plan, but she will
have an 8 month enrollment period after the last month her employer plan that differs
from the standard GEP, during which she may enroll in Med Pt B - ANSWER-Mrs. P is
66 years old, has coverage under an employer plan, & will retire next year. She heard
she must enroll in Pt B at the beginning of the year to ensure no gap in coverage. What
can you tell her?
Mrs. G can not purchase a Medigap plan that covers drugs, she she could keep her
medigap policy & enroll in a Pt D PDP - ANSWER-Mrs. G is enrolled in a OG med &
has a Medigap policy as well, but it provides no drug coverage. She would like to keep
the coverage she has but keep the coverage that she has but replace her existing
Medigap with one that provides drug coverage. What would you tell her?
He may sign up for Medicare at anytime, however coverage usually begins on the 4th
month after dialysis tx begins. - ANSWER-Mr. D is 52 years old & has recently been
diagnosed with ESRD & will soon begin dialysis. He is wondering if he can get coverage
under Medicare. What should you tell him?
To get Pt B coverage, she must pay a standard monthly premium, though it is higher for
people with higher incomes. - ANSWER-Mr. H believes that she will qualify for Medicare
when she turns 65 without paying any premiums bc she has worked 40 years & paid
Medicare taxes. What should you tell her?
It is illegal for you to sell Mr. C a Medigap plan if he is enrolled in an MA plan. Plus
Medigap only works with OG Medicare - ANSWER-Mr. C would like to purchase a MA
plan & a Medigap plan. what should you tell him?
Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. R's entire
lifetime - ANSWER-Mr. R has been experiencing delusions & his physician feels that he
should be hospitalized. What should you tell Mr. R/ his rep about the length of an
inpatient hospital stay that Medicare will cover?
Medicare Supplemental insurance would help coverage Part A & B deds or coinsurance
in Original FFS Medicare & possibly some services that Medicare does not cover. -
ANSWER-Mr. M wants to understand what coverage Medicare Supplemental insurance
provides. What could you tell him?
Medicare covers periodic ranges of screening tests that are meant to provide early
detection of diseases. Mr. B will have to check specific tests before getting them to see
if they will be covered - ANSWER-Mr. B wants to know if Medicare covers cancer
screening? What should you tell him?
Medicare is a program for people age 65 or older & those age under 65 with certain
disabilities; ESRD, & ALS so she will be eligible for Medicare. - ANSWER-Ms. Moore
plans to retire when she turns 65 in a few months. She is in excellent health and will
have considerable income when she retires. She is concerned that her income will
make it impossible for her to qualify for Medicare. What could you tell her?
Most people who are citizens & age 65 and older 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. - ANSWER-Mrs. Chen will be 65 soon, has been a citizen for
12 years, has been employed full-time, & paid taxes during the entire period. She is
concerned that she will not qualify for coverage under Part A because she was not born
in the U.S. what should you tell her?
Under OG Medicare, there is a single deductible amount due for the first 60 days of any
inpatient hospital stay, after which it converts into a per-day coinsurance amount
through day 90. After day 90, he would pay a daily amount up to 60 days over his
lifetime, after which he would be responsible for all costs. - ANSWER-Mr. Patel is in
good health and is preparing a budget in anticipation of his retirement when he turns 66.
He wants to understand the healthcare costs he might be exposed under Medicare if he
were to require hospitalization as a result of an illness. What could you tell him about his
costs for inpatient hospital services under OG Medicare?
She could contact her state Medicaid to see if she qualifies for one of several programs
that can help with Medicare costs for which she is responsible. - ANSWER-Mrs. Park is
an elderly retiree and has a low fixed income. Would could you tell Mrs. Park that may
help her?
Part A covers hospital, SNF, hospice, & home health services & Part B, which covers
professional services such as those provided by a doctor are covered under OG
Medicare - ANSWER-Mr. Schmidt would like to plan for retirement and has asked you
what is covered under OG Medicare? What would you tell him?
Medicare does not cover massage therapy or in general glasses or dentures -
ANSWER-Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through massage therapy. She is concerned whether or not Medicare
will cover these items. What should you tell her?
He would generally pay a monthly premium, annual ded., & prescr. cost-sharing. -
ANSWER-Mr. A receives some help paying for his 2 generic prescr. drugs from his
employer's retiree coverage, but he wants to compare it to Part D PDP. He asks you
, what costs he would generally encounter when enrolling into a standard Medicare Pt D
drug plan? what should you tell him?
She may enroll at anytime while she is covered under her employer plan, but she will
have an 8 month enrollment period after the last month her employer plan that differs
from the standard GEP, during which she may enroll in Med Pt B - ANSWER-Mrs. P is
66 years old, has coverage under an employer plan, & will retire next year. She heard
she must enroll in Pt B at the beginning of the year to ensure no gap in coverage. What
can you tell her?
Mrs. G can not purchase a Medigap plan that covers drugs, she she could keep her
medigap policy & enroll in a Pt D PDP - ANSWER-Mrs. G is enrolled in a OG med &
has a Medigap policy as well, but it provides no drug coverage. She would like to keep
the coverage she has but keep the coverage that she has but replace her existing
Medigap with one that provides drug coverage. What would you tell her?
He may sign up for Medicare at anytime, however coverage usually begins on the 4th
month after dialysis tx begins. - ANSWER-Mr. D is 52 years old & has recently been
diagnosed with ESRD & will soon begin dialysis. He is wondering if he can get coverage
under Medicare. What should you tell him?
To get Pt B coverage, she must pay a standard monthly premium, though it is higher for
people with higher incomes. - ANSWER-Mr. H believes that she will qualify for Medicare
when she turns 65 without paying any premiums bc she has worked 40 years & paid
Medicare taxes. What should you tell her?
It is illegal for you to sell Mr. C a Medigap plan if he is enrolled in an MA plan. Plus
Medigap only works with OG Medicare - ANSWER-Mr. C would like to purchase a MA
plan & a Medigap plan. what should you tell him?
Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. R's entire
lifetime - ANSWER-Mr. R has been experiencing delusions & his physician feels that he
should be hospitalized. What should you tell Mr. R/ his rep about the length of an
inpatient hospital stay that Medicare will cover?
Medicare Supplemental insurance would help coverage Part A & B deds or coinsurance
in Original FFS Medicare & possibly some services that Medicare does not cover. -
ANSWER-Mr. M wants to understand what coverage Medicare Supplemental insurance
provides. What could you tell him?
Medicare covers periodic ranges of screening tests that are meant to provide early
detection of diseases. Mr. B will have to check specific tests before getting them to see
if they will be covered - ANSWER-Mr. B wants to know if Medicare covers cancer
screening? What should you tell him?
