AHIP 2024 FINAL EXAM QUESTIONS AND
ANSWERS UPDATED LATEST (VERIFIED
ANSWERS) AGRADE
Edward IP suffered from serious kidney disease. As a result.
Edward became eligible for Medicare coverage due to end-stage
renal disease (ESRD). A close relative donated their kidney and
Edward successfully underwent transplant surgery 12 months
ago. Edward is now age 50 and asks you if his Medicare
coverage will continue, what should you say? - correct
answer✔✔Individuals eligible for Medicare based on ESRD
generally lose eligibility 36 months after the month in which the
individual receives a kidney transplant unless they are eligible for
Medicare on another basis such as age or disability. Edward may,
however, remain enrolled in Part B but solely for coverage of
immunosuppressive drugs if he has no other health care
coverage that would cover the drugs.
Mildred Savage enrolled in Allcare Medicare Advantage plan
several years ago. Mildred recently learned that she is suffering
from inoperable cancer and has just a few months to live. She
would like to spend these final months in hospice care. Mildred's
family asks you whether hospice benefits will be paid for under
the Allcare Medicare Advantage plan. What should you say? -
correct answer✔✔Mildred may remain enrolled in Allcare and
make a hospice election. Hospice benefits will be paid for by
Original Medicare under Part A and Allcare will continue to pay for
any non-hospice services.
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✔✔Mr. Diaz will not pay any penalty because he had
continuous coverage under his employer's plan.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to
understand what coverage Medicare Supplemental Insurance
provides since his health care needs are different from his wife's
needs. What could you tell Mr. Moy? - correct
answer✔✔Medicare Supplemental Insurance would help cover
his Part A and Part B deductibles or coinsurance in Original Fee-
for-Service (FFS) Medicare as well as possibly some services that
Medicare does not cover.
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? - correct answer✔✔Most individuals
who are citizens and age 65 or over 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 tell him? -
correct answer✔✔After receiving such disability payments for 24
months, he will be automatically enrolled in Medicare, regardless
of age.
Mr. Xi will soon turn age 65 and has come to you for advice as to
what services are provided under Original Medicare. What should
you tell Mr. Xi that best describes the health coverage provided to
Medicare beneficiaries? - correct answer✔✔Beneficiaries under
,Original Medicare have no cost-sharing for most preventive
services which include immunizations such as annual flu shots.
Mrs. Peňa is 66 years old, has coverage under an employer plan,
and will retire next year. She heard she must enroll in Part B at
the beginning of the year to ensure no gap in coverage. What can
you tell her? - correct answer✔✔She may enroll at any time while
she is covered under her employer plan, but she will have a
special eight-month enrollment period after the last month on her
employer plan that differs from the standard general enrollment
period, during which she may enroll in Medicare Part B.
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? - correct answer✔✔He may sign-up for
Medicare at any time however coverage usually begins on the
fourth month after dialysis treatments start.
Madeline Martinez was widowed several years ago. Her husband
worked for many years and contributed into the Medicare system.
He also left a substantial estate which provides Madeline with an
annual income of approximately $130,000. Madeline, who has
only worked part-time for the last three years, will soon turn age
65 and hopes to enroll in Original Medicare. She comes to you for
advice. What should you tell her? - correct answer✔✔You should
tell Madeline that she will be able to enroll in Medicare Part A
without paying monthly premiums due to her husband's long work
record and participation in the Medicare system. You should also
tell Madeline that she will pay Part B premiums at more than the
standard lowest rate but less than the highest rate due her
substantial income.
, 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✔✔To obtain
Part B coverage, she must pay a standard monthly premium,
though it is higher for individuals with higher incomes.
To obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher incomes. -
correct answer✔✔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.
Agent John Miller is meeting with Jerry Smith, a new prospect.
Jerry is currently enrolled in Medicare Parts A and B. Jerry has
also purchased a Medicare Supplement (Medigap) plan which he
has had for several years. However, the plan does not provide
drug benefits. How would you advise Agent John Miller to
proceed? - correct answer✔✔Tell prospect Jerry Smith that he
should consider adding a standalone Part D prescription drug
coverage policy to his present coverage.
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? - correct answer✔✔Medicare is a program for
people age 65 or older and those under age 65 with certain
disabilities, end-stage renal disease, and Lou Gehrig's disease so
she will be eligible for Medicare.
Mr. Capadona would like to purchase a Medicare Advantage (MA)
plan and a Medigap plan to pick up costs not covered by that
plan. What should you tell him? - correct answer✔✔It is illegal for
ANSWERS UPDATED LATEST (VERIFIED
ANSWERS) AGRADE
Edward IP suffered from serious kidney disease. As a result.
Edward became eligible for Medicare coverage due to end-stage
renal disease (ESRD). A close relative donated their kidney and
Edward successfully underwent transplant surgery 12 months
ago. Edward is now age 50 and asks you if his Medicare
coverage will continue, what should you say? - correct
answer✔✔Individuals eligible for Medicare based on ESRD
generally lose eligibility 36 months after the month in which the
individual receives a kidney transplant unless they are eligible for
Medicare on another basis such as age or disability. Edward may,
however, remain enrolled in Part B but solely for coverage of
immunosuppressive drugs if he has no other health care
coverage that would cover the drugs.
Mildred Savage enrolled in Allcare Medicare Advantage plan
several years ago. Mildred recently learned that she is suffering
from inoperable cancer and has just a few months to live. She
would like to spend these final months in hospice care. Mildred's
family asks you whether hospice benefits will be paid for under
the Allcare Medicare Advantage plan. What should you say? -
correct answer✔✔Mildred may remain enrolled in Allcare and
make a hospice election. Hospice benefits will be paid for by
Original Medicare under Part A and Allcare will continue to pay for
any non-hospice services.
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✔✔Mr. Diaz will not pay any penalty because he had
continuous coverage under his employer's plan.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to
understand what coverage Medicare Supplemental Insurance
provides since his health care needs are different from his wife's
needs. What could you tell Mr. Moy? - correct
answer✔✔Medicare Supplemental Insurance would help cover
his Part A and Part B deductibles or coinsurance in Original Fee-
for-Service (FFS) Medicare as well as possibly some services that
Medicare does not cover.
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? - correct answer✔✔Most individuals
who are citizens and age 65 or over 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 tell him? -
correct answer✔✔After receiving such disability payments for 24
months, he will be automatically enrolled in Medicare, regardless
of age.
Mr. Xi will soon turn age 65 and has come to you for advice as to
what services are provided under Original Medicare. What should
you tell Mr. Xi that best describes the health coverage provided to
Medicare beneficiaries? - correct answer✔✔Beneficiaries under
,Original Medicare have no cost-sharing for most preventive
services which include immunizations such as annual flu shots.
Mrs. Peňa is 66 years old, has coverage under an employer plan,
and will retire next year. She heard she must enroll in Part B at
the beginning of the year to ensure no gap in coverage. What can
you tell her? - correct answer✔✔She may enroll at any time while
she is covered under her employer plan, but she will have a
special eight-month enrollment period after the last month on her
employer plan that differs from the standard general enrollment
period, during which she may enroll in Medicare Part B.
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? - correct answer✔✔He may sign-up for
Medicare at any time however coverage usually begins on the
fourth month after dialysis treatments start.
Madeline Martinez was widowed several years ago. Her husband
worked for many years and contributed into the Medicare system.
He also left a substantial estate which provides Madeline with an
annual income of approximately $130,000. Madeline, who has
only worked part-time for the last three years, will soon turn age
65 and hopes to enroll in Original Medicare. She comes to you for
advice. What should you tell her? - correct answer✔✔You should
tell Madeline that she will be able to enroll in Medicare Part A
without paying monthly premiums due to her husband's long work
record and participation in the Medicare system. You should also
tell Madeline that she will pay Part B premiums at more than the
standard lowest rate but less than the highest rate due her
substantial income.
, 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✔✔To obtain
Part B coverage, she must pay a standard monthly premium,
though it is higher for individuals with higher incomes.
To obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher incomes. -
correct answer✔✔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.
Agent John Miller is meeting with Jerry Smith, a new prospect.
Jerry is currently enrolled in Medicare Parts A and B. Jerry has
also purchased a Medicare Supplement (Medigap) plan which he
has had for several years. However, the plan does not provide
drug benefits. How would you advise Agent John Miller to
proceed? - correct answer✔✔Tell prospect Jerry Smith that he
should consider adding a standalone Part D prescription drug
coverage policy to his present coverage.
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? - correct answer✔✔Medicare is a program for
people age 65 or older and those under age 65 with certain
disabilities, end-stage renal disease, and Lou Gehrig's disease so
she will be eligible for Medicare.
Mr. Capadona would like to purchase a Medicare Advantage (MA)
plan and a Medigap plan to pick up costs not covered by that
plan. What should you tell him? - correct answer✔✔It is illegal for
