AHIP MODULE 1 EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS 100%COMPLETE
AND GRADED A+ LATEST 2023-2024
AHIP module 1
Mr. Hernandez is concerned that if he signs up for a Medicare Advantage plan, the health plan
may, at some time in the future, reduce his benefits below what is available in Original
Medicare. What should you tell him about his concern? – ANS-a. Medicare health plans must
cover all benefits available under Medicare Part A and Part B. Many also cover Part D
prescription drugs. Correct
Mr. Kelly has substantial financial means. He enrolled in Original Medicare and purchased a
Medigap policy many years ago that offered prescription drug coverage. The prescription drug
coverage has not been comparable to that offered by Medicare Part D for several years and
despite notification, Mr. Kelly took no action. Which of the following statements best describes
what will occur if Mr. Kelly now decides to enroll in Medicare Part D? – ANS-a. He will incur a
late enrollment penalty. Correct
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 health care costs he might be exposed to under Medicare if
he were to require hospitalization as a result of an illness. In general terms, what could you tell
him about his costs for inpatient hospital services under Original Medicare? - ANSd. 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 Correct
Mr. Rainey is experiencing paranoid delusions and his physician feels that he should be
hospitalized. What should you tell Mr. Rainey (or his representative) about the length of an
inpatient psychiatric hospital stay that Medicare will cover? –
ANS-a. Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's
entire lifetime. Correct
Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original
Fee-for-Service (FFS) Medicare? What could you tell him? –
ANS-d. Part A, which covers hospital, skilled nursing facility, hospice and home health services
and Part B, which covers professional services such as those provided by a doctor are covered
under Original Medicare. Correct
Mr. Singh would like drug coverage, but does not want to be enrolled into a health plan. What
should you tell him? –
ANS-b. Mr. Singh can enroll in a stand-alone prescription drug plan and continue to be covered
for Part A and Part B services through Original Fee-for-Service Medicare. Correct
, AHIP MODULE 1 EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS 100%COMPLETE
AND GRADED A+ LATEST 2023-2024
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? –
ANS-a. Mr. Wu may still qualify for help in paying Part D costs through his State
Pharmaceutical Assistance Program. Correct
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. - ANSa. 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.
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 changed. Mrs. Geisler can't
remember what Part D is so she called you to ask what her neighbor was talking about. What
could you tell her? - ANSc. Part D covers prescription drugs and she should look at her
premiums, formulary, and cost sharing among other factors to see if they have changed. Correct
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? - ANSa. 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. Correct
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being
successfully treated for that condition. However, she and her physicians feel that after her
lengthy hospital stay she will need a month or two of nursing and rehabilitative care. What
should you tell them about Original Medicare's coverage of care in a skilled nursing facility? -
ANSb. Medicare will cover Mrs. Shields' skilled nursing services provided during the first 20
days of her stay, after which she would have a coinsurance until she has been in the facility for
100 days. Correct
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like
to know which of the following services Original Medicare will cover if the appropriate criteria
DETAILED VERIFIED ANSWERS 100%COMPLETE
AND GRADED A+ LATEST 2023-2024
AHIP module 1
Mr. Hernandez is concerned that if he signs up for a Medicare Advantage plan, the health plan
may, at some time in the future, reduce his benefits below what is available in Original
Medicare. What should you tell him about his concern? – ANS-a. Medicare health plans must
cover all benefits available under Medicare Part A and Part B. Many also cover Part D
prescription drugs. Correct
Mr. Kelly has substantial financial means. He enrolled in Original Medicare and purchased a
Medigap policy many years ago that offered prescription drug coverage. The prescription drug
coverage has not been comparable to that offered by Medicare Part D for several years and
despite notification, Mr. Kelly took no action. Which of the following statements best describes
what will occur if Mr. Kelly now decides to enroll in Medicare Part D? – ANS-a. He will incur a
late enrollment penalty. Correct
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 health care costs he might be exposed to under Medicare if
he were to require hospitalization as a result of an illness. In general terms, what could you tell
him about his costs for inpatient hospital services under Original Medicare? - ANSd. 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 Correct
Mr. Rainey is experiencing paranoid delusions and his physician feels that he should be
hospitalized. What should you tell Mr. Rainey (or his representative) about the length of an
inpatient psychiatric hospital stay that Medicare will cover? –
ANS-a. Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's
entire lifetime. Correct
Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original
Fee-for-Service (FFS) Medicare? What could you tell him? –
ANS-d. Part A, which covers hospital, skilled nursing facility, hospice and home health services
and Part B, which covers professional services such as those provided by a doctor are covered
under Original Medicare. Correct
Mr. Singh would like drug coverage, but does not want to be enrolled into a health plan. What
should you tell him? –
ANS-b. Mr. Singh can enroll in a stand-alone prescription drug plan and continue to be covered
for Part A and Part B services through Original Fee-for-Service Medicare. Correct
, AHIP MODULE 1 EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS 100%COMPLETE
AND GRADED A+ LATEST 2023-2024
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? –
ANS-a. Mr. Wu may still qualify for help in paying Part D costs through his State
Pharmaceutical Assistance Program. Correct
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. - ANSa. 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.
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 changed. Mrs. Geisler can't
remember what Part D is so she called you to ask what her neighbor was talking about. What
could you tell her? - ANSc. Part D covers prescription drugs and she should look at her
premiums, formulary, and cost sharing among other factors to see if they have changed. Correct
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? - ANSa. 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. Correct
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being
successfully treated for that condition. However, she and her physicians feel that after her
lengthy hospital stay she will need a month or two of nursing and rehabilitative care. What
should you tell them about Original Medicare's coverage of care in a skilled nursing facility? -
ANSb. Medicare will cover Mrs. Shields' skilled nursing services provided during the first 20
days of her stay, after which she would have a coinsurance until she has been in the facility for
100 days. Correct
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like
to know which of the following services Original Medicare will cover if the appropriate criteria
