AHIP Module 1 2025 | Comprehensive Q&A
For Certification Success
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?
Choose one answer.
a. Most individuals who are citizens and over age 65 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.
b. Most individuals who are citizens and over age 65 and wish to be covered
under Part A must enroll in a Medicare Health Plan.
c. Most individuals who are citizens and over age 65 and are covered under Part A
must pay a monthly premium for that coverage.
d. All individuals who are citizens and over age 65 will be covered under Part A. -
correct-answer-a. Most individuals who are citizens and over age 65 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. 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
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tell him? -correct-answer-d. After receiving such disability payments for 24
months, he will be automatically enrolled in Medicare, regardless of age.
Mr. Denton 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? -correct-answer-a. He may
sign-up for Medicare at any time however coverage usually begins on the fourth
month after dialysis treatments start. Correct
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-answer-a. In
order to obtain Part B coverage, she must pay a standard monthly premium,
though it is higher for individuals with higher incomes. Correct
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? -correct-
answer-b. Mr. Diaz will not pay any penalty because he had continuous coverage
under his employer's plan. Correct
Mrs. Geisler's neighbor told her she should look at her Part D options during the
annual Medicare enrollment period because features of Part D might have