AHIP EXAM STUDY GUIDE
2022 AHIP EXAM STUDY
GUIDE. GRADED A+. QUESTIONS
AND 100% VERIFIED ANSWERS.
LATEST UPDATE
you tell him? Correct Ans - He may sign-up for Medicare at any
time however coverage usually begins on the fourth month after
dialysis treatments start.
Correct Ans - Juan is 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 not have
to continue to offer him coverage comparable to those under age 65
under its employer-sponsored group health plan.
Correct Ans - 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.
Correct Ans - She may enroll at any time while she is
covered under her employer plan, but she will have a special eight-
,AHIP EXAM STUDY GUIDE
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.
Correct Ans - Most individuals who are citizens and age 65
,AHIP EXAM STUDY GUIDE
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.
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap
policy as well, but it provides no drug coverage. She would like to
keep the coverage she has but replace her existing Medigap plan
with one that provides drug coverage. What should you tell her?
Correct Ans - Mrs. Gonzalez cannot purchase a Medigap plan that
covers drugs, but she could keep her Medigap policy and enroll in a
Part D prescription drug plan.
Mrs. West wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through massage therapy. She is concerned
about whether or not Medicare will cover these items and services.
What should you tell her? Correct Ans - Medicare does not cover
massage therapy, or, in general, glasses or dentures.
Correct Ans - Under Original 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.
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? Correct Ans - To obtain Part B coverage, she must
pay a standard monthly premium, though it is higher for individuals
with higher incomes.
into a standard MedicarePart D prescription drug plan. What should
you tell him? Correct Ans - He generally would pay a monthly
premium, annual deductible, and per-prescription cost-sharing.
, AHIP EXAM STUDY GUIDE
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 to address her
concern? Correct Ans - Medicare is a program for people age 65
or older and those under age 65 with certain disabilities, end-stage
renal disease, and Lou Gehrig's disease so she will be eligible for
Medicare.
Correct Ans - Beneficiaries under Original
Medicare have no cost-sharing for most preventive services which
include immunizations such as annual flu shots.
Correct Ans -
Mrs. Duarte should file an appeal of this initial determination within
120 days of the date she received the MSN in the mail.
Correct Ans - It is illegal for you to sell
Mr. Capadona a Medigap plan if he is enrolled in an MA plan, and
besides, Medigap only works with Original Medicare.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income.
What could you tell Mrs. Park that might be of assistance? Correct
Ans - 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.
Correct Ans - Medicare
will cover a total of 190 days of inpatient psychiatric care during Mr.
Rainey's entire lifetime.
Correct Ans - Part A, which covers
hospital, skilled nursing facility, hospice, and home health services
2022 AHIP EXAM STUDY
GUIDE. GRADED A+. QUESTIONS
AND 100% VERIFIED ANSWERS.
LATEST UPDATE
you tell him? Correct Ans - He may sign-up for Medicare at any
time however coverage usually begins on the fourth month after
dialysis treatments start.
Correct Ans - Juan is 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 not have
to continue to offer him coverage comparable to those under age 65
under its employer-sponsored group health plan.
Correct Ans - 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.
Correct Ans - She may enroll at any time while she is
covered under her employer plan, but she will have a special eight-
,AHIP EXAM STUDY GUIDE
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.
Correct Ans - Most individuals who are citizens and age 65
,AHIP EXAM STUDY GUIDE
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.
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap
policy as well, but it provides no drug coverage. She would like to
keep the coverage she has but replace her existing Medigap plan
with one that provides drug coverage. What should you tell her?
Correct Ans - Mrs. Gonzalez cannot purchase a Medigap plan that
covers drugs, but she could keep her Medigap policy and enroll in a
Part D prescription drug plan.
Mrs. West wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through massage therapy. She is concerned
about whether or not Medicare will cover these items and services.
What should you tell her? Correct Ans - Medicare does not cover
massage therapy, or, in general, glasses or dentures.
Correct Ans - Under Original 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.
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? Correct Ans - To obtain Part B coverage, she must
pay a standard monthly premium, though it is higher for individuals
with higher incomes.
into a standard MedicarePart D prescription drug plan. What should
you tell him? Correct Ans - He generally would pay a monthly
premium, annual deductible, and per-prescription cost-sharing.
, AHIP EXAM STUDY GUIDE
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 to address her
concern? Correct Ans - Medicare is a program for people age 65
or older and those under age 65 with certain disabilities, end-stage
renal disease, and Lou Gehrig's disease so she will be eligible for
Medicare.
Correct Ans - Beneficiaries under Original
Medicare have no cost-sharing for most preventive services which
include immunizations such as annual flu shots.
Correct Ans -
Mrs. Duarte should file an appeal of this initial determination within
120 days of the date she received the MSN in the mail.
Correct Ans - It is illegal for you to sell
Mr. Capadona a Medigap plan if he is enrolled in an MA plan, and
besides, Medigap only works with Original Medicare.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income.
What could you tell Mrs. Park that might be of assistance? Correct
Ans - 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.
Correct Ans - Medicare
will cover a total of 190 days of inpatient psychiatric care during Mr.
Rainey's entire lifetime.
Correct Ans - Part A, which covers
hospital, skilled nursing facility, hospice, and home health services
