AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
Study online at https://quizlet.com/_hlxf3g
1. What should Ms. Henderson know about Medicare To obtain Part B coverage,
Part B coverage premiums? she must pay a standard
monthly premium, though it
is higher for individuals with
higher incomes.
2. What is the eligibility criteria for Medicare regarding Medicare is a program for
age and health status? people age 65 or old-
er and those under age
65 with certain disabili-
ties, end-stage renal dis-
ease, and Lou Gehrig's dis-
ease.
3. What does Medicare Supplemental Insurance cover Medicare Supplemental In-
for Mr. Moy? surance would help cover his
Part A deductible and Part B
coinsurance or copayments
in Original Fee-for-Service
(FFS) Medicare as well as
possibly some services that
Medicare does not cover.
4. How does Juan Perez's employer-sponsored health- Juan is likely to be eligible
care coverage interact with Medicare? for Medicare once he turns
age 65, and if he enrolls,
Medicare would become the
primary payor of his health-
care claims, making Small-
cap's coverage secondary.
5.
, AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
Study online at https://quizlet.com/_hlxf3g
What misconception might Ms. Kumar have about She might think Medicare is
Medicare eligibility? only for people with low in-
comes, but it is available for
all individuals age 65 or old-
er regardless of income.
6. What happens to employer-sponsored healthcare If the employee enrolls
coverage when an employee enrolls in Medicare? in Medicare, the employ-
er-sponsored coverage typ-
ically becomes secondary to
Medicare.
7. What is the primary purpose of Medicare Supple- To cover costs not fully paid
mental Insurance? by Original Fee-for-Service
(FFS) Medicare, such as de-
ductibles and coinsurance.
8. What should you tell Ms. Henderson about her She will be covered under
Medicare coverage when she turns 65? Part A without paying premi-
ums due to her 40 years of
work and Medicare tax con-
tributions.
9. What is the requirement for someone to qualify for Individuals need to have
Medicare based on work history? worked and paid Medicare
taxes for at least 10 years (40
quarters) to qualify for pre-
mium-free Part A.
10. What is the role of Medicare Advantage plans in Beneficiaries must pay a Part
relation to Part B premiums? B premium regardless of
whether they are enrolled in
a Medicare Advantage plan.
, AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
Study online at https://quizlet.com/_hlxf3g
11. What is the impact of high income on Medicare Part Individuals with higher in-
B premiums? comes may face higher stan-
dard monthly premiums for
Part B coverage.
12. What should Mr. Moy understand about the differ- Medicare Advantage plans
ences between Medicare and Medicare Advantage may offer additional benefits
plans? but are different from Origi-
nal Medicare and have their
own rules.
13. What is the significance of being a naturalized citizen Being a naturalized citizen
for Medicare eligibility? does not affect eligibility for
Medicare as long as the in-
dividual has contributed to
the Medicare system.
14. What should you clarify about Medicare coverage for Medicare is available for
individuals with disabilities? individuals under 65 with
certain disabilities, not just
those over 65.
15. What is the relationship between Medicare and Med- Medicaid is a separate pro-
icaid? gram that provides assis-
tance to individuals with low
income, while Medicare is
primarily for those aged 65
and older or with certain dis-
abilities.
16. What is the importance of understanding Medicare Understanding Medicare
coverage options for retirees? options helps retirees make
, AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
Study online at https://quizlet.com/_hlxf3g
informed decisions about
their healthcare coverage
and costs.
17. What should Juan Perez know about his Medicare His contributions to the
eligibility based on his contributions? Medicare system for over 20
years make him eligible for
Medicare when he turns 65.
18. What is a common concern for individuals nearing Many are concerned about
retirement regarding Medicare? whether their income will
affect their eligibility for
Medicare.
19. What is the primary payor in the case of Medicare Medicare becomes the pri-
enrollment while having employer-sponsored cover- mary payor of healthcare
age? claims when an individual
enrolls in Medicare.
20. What is a key factor that does not affect Medicare An individual's income lev-
eligibility? el does not disqualify them
from Medicare eligibility; it is
primarily age and work his-
tory.
21. What aspect of Medicare coverage may differ for Individuals may require dif-
individuals with varying health needs? ferent types of coverage,
such as Medicare Supple-
mental Insurance, based on
their specific health care
needs.
22.
AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
Study online at https://quizlet.com/_hlxf3g
1. What should Ms. Henderson know about Medicare To obtain Part B coverage,
Part B coverage premiums? she must pay a standard
monthly premium, though it
is higher for individuals with
higher incomes.
2. What is the eligibility criteria for Medicare regarding Medicare is a program for
age and health status? people age 65 or old-
er and those under age
65 with certain disabili-
ties, end-stage renal dis-
ease, and Lou Gehrig's dis-
ease.
3. What does Medicare Supplemental Insurance cover Medicare Supplemental In-
for Mr. Moy? surance would help cover his
Part A deductible and Part B
coinsurance or copayments
in Original Fee-for-Service
(FFS) Medicare as well as
possibly some services that
Medicare does not cover.
4. How does Juan Perez's employer-sponsored health- Juan is likely to be eligible
care coverage interact with Medicare? for Medicare once he turns
age 65, and if he enrolls,
Medicare would become the
primary payor of his health-
care claims, making Small-
cap's coverage secondary.
5.
, AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
Study online at https://quizlet.com/_hlxf3g
What misconception might Ms. Kumar have about She might think Medicare is
Medicare eligibility? only for people with low in-
comes, but it is available for
all individuals age 65 or old-
er regardless of income.
6. What happens to employer-sponsored healthcare If the employee enrolls
coverage when an employee enrolls in Medicare? in Medicare, the employ-
er-sponsored coverage typ-
ically becomes secondary to
Medicare.
7. What is the primary purpose of Medicare Supple- To cover costs not fully paid
mental Insurance? by Original Fee-for-Service
(FFS) Medicare, such as de-
ductibles and coinsurance.
8. What should you tell Ms. Henderson about her She will be covered under
Medicare coverage when she turns 65? Part A without paying premi-
ums due to her 40 years of
work and Medicare tax con-
tributions.
9. What is the requirement for someone to qualify for Individuals need to have
Medicare based on work history? worked and paid Medicare
taxes for at least 10 years (40
quarters) to qualify for pre-
mium-free Part A.
10. What is the role of Medicare Advantage plans in Beneficiaries must pay a Part
relation to Part B premiums? B premium regardless of
whether they are enrolled in
a Medicare Advantage plan.
, AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
Study online at https://quizlet.com/_hlxf3g
11. What is the impact of high income on Medicare Part Individuals with higher in-
B premiums? comes may face higher stan-
dard monthly premiums for
Part B coverage.
12. What should Mr. Moy understand about the differ- Medicare Advantage plans
ences between Medicare and Medicare Advantage may offer additional benefits
plans? but are different from Origi-
nal Medicare and have their
own rules.
13. What is the significance of being a naturalized citizen Being a naturalized citizen
for Medicare eligibility? does not affect eligibility for
Medicare as long as the in-
dividual has contributed to
the Medicare system.
14. What should you clarify about Medicare coverage for Medicare is available for
individuals with disabilities? individuals under 65 with
certain disabilities, not just
those over 65.
15. What is the relationship between Medicare and Med- Medicaid is a separate pro-
icaid? gram that provides assis-
tance to individuals with low
income, while Medicare is
primarily for those aged 65
and older or with certain dis-
abilities.
16. What is the importance of understanding Medicare Understanding Medicare
coverage options for retirees? options helps retirees make
, AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
AHIP Exam 2026: Medicare, Plans, and Enrollment Strategies
Study online at https://quizlet.com/_hlxf3g
informed decisions about
their healthcare coverage
and costs.
17. What should Juan Perez know about his Medicare His contributions to the
eligibility based on his contributions? Medicare system for over 20
years make him eligible for
Medicare when he turns 65.
18. What is a common concern for individuals nearing Many are concerned about
retirement regarding Medicare? whether their income will
affect their eligibility for
Medicare.
19. What is the primary payor in the case of Medicare Medicare becomes the pri-
enrollment while having employer-sponsored cover- mary payor of healthcare
age? claims when an individual
enrolls in Medicare.
20. What is a key factor that does not affect Medicare An individual's income lev-
eligibility? el does not disqualify them
from Medicare eligibility; it is
primarily age and work his-
tory.
21. What aspect of Medicare coverage may differ for Individuals may require dif-
individuals with varying health needs? ferent types of coverage,
such as Medicare Supple-
mental Insurance, based on
their specific health care
needs.
22.
