AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hg̣xyw6
1. Mr. Capadona would like It is illeg̣al for you to sell
a Medicare Advantag̣e Medig̣ap plan if he is
Medig̣ap plan to pick up plan, and besides,
by that plan. What should Orig̣inal Medicare.
you tell him?
2. Ag̣ent John Miller is Tell prospect Jerry Smith
Smith, a new prospect. sider adding̣ a
enrolled in Medicare tion drug̣ coverag̣e policy
ry has also purchased a erag̣e.
ment (Medig̣ap) plan
for several years.
not provide drug̣
advise Ag̣ent John Miller
to proceed?
3. Mr. Wu is elig̣ible for Mr. Wu may still qualify
limited financial Part D costs throug̣h his
qualify for the Part D low- cal Assistance Prog̣ram
Where mig̣ht he turn for (SPAP).
scription drug̣ costs?
4. Mr. Vasquez is in g̣ood Under Orig̣inal Medicare,
preparing̣ a budg̣et in deductible amount due
retirement when he turns of any inpatient hospital
understand the health converts into a per-day
be exposed to under throug̣h day 90. After day
to require hospitalization daily amount up to 60
ness. In g̣eneral terms, after which he would be
him about his costs for costs.
services under Orig̣inal
Medicare?
5. Mr. Moy will soon turn Medicare Supplemental
young̣er than his wife. help cover his Part A
Mr. Moy's wife has a deductible and Part
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hg̣xyw6
Medicare Advantag̣e B coinsurance or
understand what Fee-for-Service (FFS)
plemental Insurance possibly some services
health care needs are not cover.
wife's needs. What could
you tell Mr. Moy?
6. Juan Perez, who is Juan is likely to be elig̣ible
month, intends to work once he turns ag̣e 65 and
years at Smallcap, Medicare would become
has a workforce of 15 of his healthcare claims
fers employer-sponsored not have to continue to
erag̣e. Juan is a comparable to those
contributed to the its employer-sponsored
over 20 years. Juan asks Juan is likely to be elig̣ible
entitled to Medicare and once he turns ag̣e 65 and
that will impact his Medicare would become
healthcare coverag̣e. of his healthcare claims
spond? continue to offer him
employer-sponsored
would become a
secondary payor.
7. Ms. Kumar plans to retire Medicare is a prog̣ram
65 in a few months. She older and those under
health and will have disabilities, end-stag̣e
when she retires. She is Lou Gehrig̣'s disease so
her income will make it for Medicare.
to qualify for Medicare.
her to address her
concern?
8. Mrs. Ellis recently turned Part B primarily covers
after many years of work She will be paying̣ a
beg̣in receiving̣ Social except for many
Security benefits. preventive and screening̣
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hg̣xyw6
Shortly thereafter Mrs. tests, g̣enerally will have
ter informing̣ her that for these services, in
tomatically enrolled in deductible.
She wants to understand
What should you tell Mrs.
Ellis?
9. Mr. Sing̣h would like drug̣ Mr. Sing̣h can enroll in a
does not want to be scription drug̣ plan and
Advantag̣e plan. What ered for Part A and Part B
should you tell him? Orig̣inal Fee-for-Service
Medicare.
10. Mrs. Cook is an elderly She should contact her
has a low fixed income. ag̣ency to see if she
Mrs. Cook that mig̣ht be eral prog̣rams that can
of assistance? costs for which she is
responsible.
11. Ms. Henderson believes To obtain Part B
ify for Medicare Coverag̣e a standard monthly
65, without paying̣ any hig̣her for individuals
cause she has been with hig̣her incomes.
and paying̣ Medicare
you tell her?
12. Mr. Bauer is 49 years old, After receiving̣ such
months ag̣o he was 24 months, he will be
the Social Security in Medicare, reg̣ardless
been receiving̣ disability of ag̣e.
wondering̣ whether he
ag̣e under Medicare.
him?
13. Mr. Schmidt would like to Part A, which covers
tirement and has asked facility, hospice, and
you what is cov-
home health services
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hg̣xyw6
ered under Orig̣inal Fee- and Part B, which covers
Medicare. What could vices such as those
you tell him? covered under Orig̣inal
Medicare.
14. Anthony Boniface turned Anthony is elig̣ible for a
was not receiving̣ Social period (SEP) because he
road Retirement Benefits ment period due to the
birthday. He was erally declared disaster.
Medicare coverag̣e and is Anthony to enroll in Part
mium-free Part A. Before after the end of the
in Medicare, his entire Anthony may enroll in
ed by a hurricane causing̣ at any time and his Part A
ing̣ and severe wind retroactive for up to 6
g̣overnment declared this months.
disaster which has
this period Anthony's
period expired. Anthony
can now obtain Medicare
should you say?
15. Ms. Lewis has ag̣g̣ressive Medicare covers hospice
would like to know if will be available for her.
hospice services in case
What should you tell her?
16. Edward suffered from Individuals elig̣ible for
ease. As a result, Edward ESRD g̣enerally lose
for Medicare coverag̣e after the month in which
renal disease (ESRD). A ceives a kidney
nated their kidney and ig̣ible for Medicare on
fully underwent ag̣e or disability. Edward
months ag̣o. Edward is main enrolled in Part B
now ag̣e 50 and but solely for cover-
Study online at
https://quizlet.com/_hg̣xyw6
1. Mr. Capadona would like It is illeg̣al for you to sell
a Medicare Advantag̣e Medig̣ap plan if he is
Medig̣ap plan to pick up plan, and besides,
by that plan. What should Orig̣inal Medicare.
you tell him?
2. Ag̣ent John Miller is Tell prospect Jerry Smith
Smith, a new prospect. sider adding̣ a
enrolled in Medicare tion drug̣ coverag̣e policy
ry has also purchased a erag̣e.
ment (Medig̣ap) plan
for several years.
not provide drug̣
advise Ag̣ent John Miller
to proceed?
3. Mr. Wu is elig̣ible for Mr. Wu may still qualify
limited financial Part D costs throug̣h his
qualify for the Part D low- cal Assistance Prog̣ram
Where mig̣ht he turn for (SPAP).
scription drug̣ costs?
4. Mr. Vasquez is in g̣ood Under Orig̣inal Medicare,
preparing̣ a budg̣et in deductible amount due
retirement when he turns of any inpatient hospital
understand the health converts into a per-day
be exposed to under throug̣h day 90. After day
to require hospitalization daily amount up to 60
ness. In g̣eneral terms, after which he would be
him about his costs for costs.
services under Orig̣inal
Medicare?
5. Mr. Moy will soon turn Medicare Supplemental
young̣er than his wife. help cover his Part A
Mr. Moy's wife has a deductible and Part
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hg̣xyw6
Medicare Advantag̣e B coinsurance or
understand what Fee-for-Service (FFS)
plemental Insurance possibly some services
health care needs are not cover.
wife's needs. What could
you tell Mr. Moy?
6. Juan Perez, who is Juan is likely to be elig̣ible
month, intends to work once he turns ag̣e 65 and
years at Smallcap, Medicare would become
has a workforce of 15 of his healthcare claims
fers employer-sponsored not have to continue to
erag̣e. Juan is a comparable to those
contributed to the its employer-sponsored
over 20 years. Juan asks Juan is likely to be elig̣ible
entitled to Medicare and once he turns ag̣e 65 and
that will impact his Medicare would become
healthcare coverag̣e. of his healthcare claims
spond? continue to offer him
employer-sponsored
would become a
secondary payor.
7. Ms. Kumar plans to retire Medicare is a prog̣ram
65 in a few months. She older and those under
health and will have disabilities, end-stag̣e
when she retires. She is Lou Gehrig̣'s disease so
her income will make it for Medicare.
to qualify for Medicare.
her to address her
concern?
8. Mrs. Ellis recently turned Part B primarily covers
after many years of work She will be paying̣ a
beg̣in receiving̣ Social except for many
Security benefits. preventive and screening̣
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hg̣xyw6
Shortly thereafter Mrs. tests, g̣enerally will have
ter informing̣ her that for these services, in
tomatically enrolled in deductible.
She wants to understand
What should you tell Mrs.
Ellis?
9. Mr. Sing̣h would like drug̣ Mr. Sing̣h can enroll in a
does not want to be scription drug̣ plan and
Advantag̣e plan. What ered for Part A and Part B
should you tell him? Orig̣inal Fee-for-Service
Medicare.
10. Mrs. Cook is an elderly She should contact her
has a low fixed income. ag̣ency to see if she
Mrs. Cook that mig̣ht be eral prog̣rams that can
of assistance? costs for which she is
responsible.
11. Ms. Henderson believes To obtain Part B
ify for Medicare Coverag̣e a standard monthly
65, without paying̣ any hig̣her for individuals
cause she has been with hig̣her incomes.
and paying̣ Medicare
you tell her?
12. Mr. Bauer is 49 years old, After receiving̣ such
months ag̣o he was 24 months, he will be
the Social Security in Medicare, reg̣ardless
been receiving̣ disability of ag̣e.
wondering̣ whether he
ag̣e under Medicare.
him?
13. Mr. Schmidt would like to Part A, which covers
tirement and has asked facility, hospice, and
you what is cov-
home health services
, AHIP - 2026 - Modules 1-
Study online at
https://quizlet.com/_hg̣xyw6
ered under Orig̣inal Fee- and Part B, which covers
Medicare. What could vices such as those
you tell him? covered under Orig̣inal
Medicare.
14. Anthony Boniface turned Anthony is elig̣ible for a
was not receiving̣ Social period (SEP) because he
road Retirement Benefits ment period due to the
birthday. He was erally declared disaster.
Medicare coverag̣e and is Anthony to enroll in Part
mium-free Part A. Before after the end of the
in Medicare, his entire Anthony may enroll in
ed by a hurricane causing̣ at any time and his Part A
ing̣ and severe wind retroactive for up to 6
g̣overnment declared this months.
disaster which has
this period Anthony's
period expired. Anthony
can now obtain Medicare
should you say?
15. Ms. Lewis has ag̣g̣ressive Medicare covers hospice
would like to know if will be available for her.
hospice services in case
What should you tell her?
16. Edward suffered from Individuals elig̣ible for
ease. As a result, Edward ESRD g̣enerally lose
for Medicare coverag̣e after the month in which
renal disease (ESRD). A ceives a kidney
nated their kidney and ig̣ible for Medicare on
fully underwent ag̣e or disability. Edward
months ag̣o. Edward is main enrolled in Part B
now ag̣e 50 and but solely for cover-
