AHIP TEST WITH 100% ACCURATE
SOLUTIONS
After receiving such disability payments for 24 months, he will be automatically enrolled
in Medicare, regardless of age. - ANS-Mr. Bauer is 49 years old, but eighteen months
ago he was declared disabled by the Social Security Administration and has been
receiving disability payments. He is wondering whether he can obtain coverage under
Medicare. What should you tell him?
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. - ANS-Mrs.
Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs.
Park that might be of assistance?
Beneficiaries under Original Medicare have no cost-sharing for most preventive services
which include immunizations such as annual flu shots. - ANS-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?
Tell prospect Jerry Smith that he should consider adding a standalone Part D
prescription drug coverage policy to his present coverage. - ANS-Agent John Miller is
meeting with Jerry Smith, a new prospect. Jerry is currently enrolled in Medicare Parts
A and B. Jerry has also purchased a Medicare Supplement (Medigap) plan which he
has had for several years. However, the plan does not provide drug benefits. How
would you advise Agent John Miller to proceed?
Mr. Wu may still qualify for help in paying Part D costs through his State Pharmaceutical
Assistance Program. - ANS-Mr. Wu is eligible for Medicare. He has limited financial
resources but failed to qualify for the Part D low-income subsidy. Where might he turn
for help with his prescription drug costs?
To obtain Part B coverage, she must pay a standard monthly premium, though it is
higher for individuals with higher incomes. - ANS-Ms. Henderson believes that she will
qualify for Medicare Coverage when she turns 65, without paying any premiums,
because she has been working for 40 years and paying Medicare taxes. What should
you tell her?
Mr. Diaz will not pay any penalty because he had continuous coverage under his
employer's plan. - ANS-Mr. Diaz continued working with his company and was insured
under his employer's group plan until he reached age 68. He has heard that there is a
, premium penalty for those who did not sign up for Part B when first eligible and wants to
know how much he will have to pay. What should you tell him?
She may enroll at any time while she is covered under her employer plan, but she will
have a special eight-month enrollment period after the last month on her employer plan
that differs from the standard general enrollment period, during which she may enroll in
Medicare Part B. - ANS-Mrs. Peňa is 66 years old, has coverage under an employer
plan, and will retire next year. She heard she must enroll in Part B at the beginning of
the year to ensure no gap in coverage. What can you tell her?
Medicare Supplemental Insurance would help cover his Part A and Part B deductibles
or coinsurance in Original Fee-for-Service (FFS) Medicare as well as possibly some
services that Medicare does not cover. - ANS-Mr. Moy's wife has a Medicare Advantage
plan, but he wants to understand what coverage Medicare Supplemental Insurance
provides since his health care needs are different from his wife's needs. What could you
tell Mr. Moy?
I, II, and IV only - ANS-Which of the following statement(s) is/are correct about a
Medicare Savings Account (MSA) Plans?
I. MSAs may have either a partial network, full network, or no network of providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription drug benefits.
III. An individual who is enrolled in an MSA plan is responsible for a minimal deductible
of $500 indexed for inflation.
IV. Non-network providers must accept the same amount that Original Medicare would
pay them as payment in full.
Juan is eligible to enroll in a Medicare Advantage as long as he is entitled to Part A and
enrolled in Part B. Juan should go to the Social Security website to enroll in Medicare
Part A and B if he has not done so already. Once he is enrolled, he can choose a
Medicare Advantage plan. - ANS-Juan Hernandez is turning 65 next month, Juan
legally entered the United States over twenty years ago but is not a citizen. Since his
entry into the country, Juan has worked at Smallcap Incorporated and contributed to the
Medicare system. Juan suffers from diabetes. He will soon retire and asks you if he can
enroll in a Medicare Advantage plan that you represent. How would you respond?
C-SNP - ANS-Daniel is a middle-income Medicare beneficiary. He has chronic
bronchitis, putting him at severe risk for pneumonia. Otherwise, he has no problems
functioning. Which type of SNP is likely to be most appropriate for him?
He may receive health care services from any doctor allowed to bill Medicare, as long
as he shows the doctor the plan's identification card and the doctor agrees to accept the
PFFS plan's payment terms and conditions, which could include balance billing. - ANS-
Mr. Gomez notes that a Private Fee-for-Service (PFFS) plan available in his area has
an attractive premium. He wants to know if he must use doctors in a network as his
current HMO plan requires him to do. What should you tell him?
SOLUTIONS
After receiving such disability payments for 24 months, he will be automatically enrolled
in Medicare, regardless of age. - ANS-Mr. Bauer is 49 years old, but eighteen months
ago he was declared disabled by the Social Security Administration and has been
receiving disability payments. He is wondering whether he can obtain coverage under
Medicare. What should you tell him?
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. - ANS-Mrs.
Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs.
Park that might be of assistance?
Beneficiaries under Original Medicare have no cost-sharing for most preventive services
which include immunizations such as annual flu shots. - ANS-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?
Tell prospect Jerry Smith that he should consider adding a standalone Part D
prescription drug coverage policy to his present coverage. - ANS-Agent John Miller is
meeting with Jerry Smith, a new prospect. Jerry is currently enrolled in Medicare Parts
A and B. Jerry has also purchased a Medicare Supplement (Medigap) plan which he
has had for several years. However, the plan does not provide drug benefits. How
would you advise Agent John Miller to proceed?
Mr. Wu may still qualify for help in paying Part D costs through his State Pharmaceutical
Assistance Program. - ANS-Mr. Wu is eligible for Medicare. He has limited financial
resources but failed to qualify for the Part D low-income subsidy. Where might he turn
for help with his prescription drug costs?
To obtain Part B coverage, she must pay a standard monthly premium, though it is
higher for individuals with higher incomes. - ANS-Ms. Henderson believes that she will
qualify for Medicare Coverage when she turns 65, without paying any premiums,
because she has been working for 40 years and paying Medicare taxes. What should
you tell her?
Mr. Diaz will not pay any penalty because he had continuous coverage under his
employer's plan. - ANS-Mr. Diaz continued working with his company and was insured
under his employer's group plan until he reached age 68. He has heard that there is a
, premium penalty for those who did not sign up for Part B when first eligible and wants to
know how much he will have to pay. What should you tell him?
She may enroll at any time while she is covered under her employer plan, but she will
have a special eight-month enrollment period after the last month on her employer plan
that differs from the standard general enrollment period, during which she may enroll in
Medicare Part B. - ANS-Mrs. Peňa is 66 years old, has coverage under an employer
plan, and will retire next year. She heard she must enroll in Part B at the beginning of
the year to ensure no gap in coverage. What can you tell her?
Medicare Supplemental Insurance would help cover his Part A and Part B deductibles
or coinsurance in Original Fee-for-Service (FFS) Medicare as well as possibly some
services that Medicare does not cover. - ANS-Mr. Moy's wife has a Medicare Advantage
plan, but he wants to understand what coverage Medicare Supplemental Insurance
provides since his health care needs are different from his wife's needs. What could you
tell Mr. Moy?
I, II, and IV only - ANS-Which of the following statement(s) is/are correct about a
Medicare Savings Account (MSA) Plans?
I. MSAs may have either a partial network, full network, or no network of providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription drug benefits.
III. An individual who is enrolled in an MSA plan is responsible for a minimal deductible
of $500 indexed for inflation.
IV. Non-network providers must accept the same amount that Original Medicare would
pay them as payment in full.
Juan is eligible to enroll in a Medicare Advantage as long as he is entitled to Part A and
enrolled in Part B. Juan should go to the Social Security website to enroll in Medicare
Part A and B if he has not done so already. Once he is enrolled, he can choose a
Medicare Advantage plan. - ANS-Juan Hernandez is turning 65 next month, Juan
legally entered the United States over twenty years ago but is not a citizen. Since his
entry into the country, Juan has worked at Smallcap Incorporated and contributed to the
Medicare system. Juan suffers from diabetes. He will soon retire and asks you if he can
enroll in a Medicare Advantage plan that you represent. How would you respond?
C-SNP - ANS-Daniel is a middle-income Medicare beneficiary. He has chronic
bronchitis, putting him at severe risk for pneumonia. Otherwise, he has no problems
functioning. Which type of SNP is likely to be most appropriate for him?
He may receive health care services from any doctor allowed to bill Medicare, as long
as he shows the doctor the plan's identification card and the doctor agrees to accept the
PFFS plan's payment terms and conditions, which could include balance billing. - ANS-
Mr. Gomez notes that a Private Fee-for-Service (PFFS) plan available in his area has
an attractive premium. He wants to know if he must use doctors in a network as his
current HMO plan requires him to do. What should you tell him?
