Study guides, Study notes & Summaries

A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss her options under the Medicare Advantage program. Before engaging in such a discussion, what should you do? - ️️You must have her sign a scope of appointment form, indicating which products she wishes to discuss. You may then proceed with the discussion. You are working several plans and community organizations to sponsor an educational event. When putting together advertisements for th...

Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to the benefits package of a Medicare Advantage Plan before she starts looking at specific plans. What could you tell her? - ️️Medicare Advantage Plans may offer extra benefits that Original Medicare does not offer such as vision, hearing, and dental services and must include a maximum out-of-pocket limit on Part A and Part B services. Mrs. Shields is covered by Original Medicare. She sustained a h...

Ms. Stein retired when she was 66 but did not enroll in Medicare Part B after her group coverage ended because she was healthy and thought her Part A benefit would cover catastrophic costs. Ms. Stein is now 72 and wants to get {art B because her doctors bill, lab tests and vaccines are getting very expensive. Ms. Stein will have to pay the monthly Part B premium plus an additional 10 percent for each 12 month period since her group coverage ended. This obligation will continue as long as she has...

Mr. Chen is enrolled in his employer's group health plan and will be retiring soon. He would like to know his options since he has decided to drop his retiree coverage and is eligible for Medicare. What should you tell him? - ️️Mr. Chen can disenroll from his employer-sponsored coverage to elect a Medicare Advantage or Part D plan within 2 months of his disenrollment. Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access providers. What should yo...

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? - ️️Medicare is a program for people age 65 or older and those under age 65 with certain disabilities, end stage renal disease or Lou Gehrig's disease, so she will be eligible for Medicare. Mr. Schmidt would li...

Mr. Davis 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? - ️️He may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start. Juan Perez, who is turning age 65 next month, intends to work for several more years at Smallcap, Incorporated. Smallcap has a workforce of15 employees and ...

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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? - Answer-Medicare is a program for people age 65 or older and those under age 65 with certain disabilities, end stage renal disease or Lou Gehrig's disease, so she will be eligible for Medicare. .Mr. Schmidt would ...

AHIP EXAM MODULE 1-5 ACTUAL EXAM QUESTIONS WITH VERIFIED CORRECT ANSWERS/A+ GRADE ASSURED 1. 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?  Medicare is a program for people age 65 or older and those under age 65 with certain disabilities, end-stage renal d...