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AHIP 2024 final exam school activity exam complete questions and answers

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AHIP 2024 final exam school activity exam complete questions and answersAHIP 2024 final exam school activity exam complete questions and answers Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs. Park that might be of assistance? - correct answers-She should contact her state Medicaid agency to see if she qualifies forprograms that can help with Medicare costs for which she is responsible. 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 answers-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. 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 answers-After receiving such disability payments for 24 months, he will be automatically enrolled in Medicare, regardless of age. 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? - correct answers-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. 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 answers-She may enroll at any time while she is covered under her employer plan, but she will have a special eight month enrollment period that differs from the standard general enrollment period, during which she may enroll in Medicare Part B. 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 answers-Tell prospect Jerry Smith that he should consider adding a standalone Part D prescription drug coverage policy to his present coverage. 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 answers-The penalty will be a permanent 10% increase in his Part B premium for every 12-month period that passed during which he could have enrolled and did not. 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 answers-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. 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 answers-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. Gomez notes that a Private Fee-for-Service (PFFS) plan available in his area has an attractive premium. He wants to know if he must use doctors in a network as his current HMO plan requires him to do. What should you tell him? - correct answers-He may receive health care services from any doctor allowed to bill Medicare, as long as he shows the doctor the plan's identification card and the doctor agrees to accept the PFFS plan's payment terms and conditions, which could include balance billing. Mr. Kelly wants to know whether he is eligible to sign up fo

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AHIP ty2024 tyfinal tyexam tyschool tyactivitytyexam tycomplete tyque
stions tyand tyanswers Mrs. rtPark rtisrtanrtelderly rtretiree. rtMrs. rtPark rthasrtartlowrtfixed rtincome. rtWhat rtcould rtyourttellrtMrs. rtPark rtthatrt
might rtbertofrtassistance? rt-rtcorrect rtanswers-
Shertshould rtcontact rtherrtstate rtMedicaid rtagency rttortseertifrtshertqualifies rtforprograms rtthatrtcanrthelp rtwith rt
Medicare rtcosts rtforrtwhich rtshertisrtresponsible. Madeline rtMartinez rtwasrtwidowed rtseveral rtyears rtago. rtHerrthusband rtworked rtforrtmany rtyears rtandrtcontribu
tedrtintortthertMedicare rtsystem. rtHertalsortleftrtartsubstantial rtestate rtwhich rtprovides rtMadeline rtwith rtanrtannu
alrtincome rtofrtapproximately rt$130,000. rtMadeline, rtwho rthasrtonly rtworked rtpart-
time rtforrtthertlastrtthree rtyears, rtwillrtsoon rtturn rtagert65rtandrthopes rttortenroll rtinrtOriginal rtMedicare. rtShertcom
esrttortyourtforrtadvice. rtWhat rtshould rtyourttellrther? rt-rtcorrect rtanswers-
Yourtshould rttellrtMadeline rtthatrtshertwillrtbertable rttortenroll rtinrtMedicare rtPartrtArtwithout rtpaying rtmonthly rtpr
emiums rtduerttortherrthusband's rtlong rtwork rtrecord rtandrtparticipation rtinrtthertMedicare rtsystem. rtYourtshould rt
alsorttellrtMadeline rtthatrtshertwillrtpayrtPartrtBrtpremiums rtatrtmore rtthan rtthertstandard rtlowest rtratertbutrtlessrtt
hanrttherthighest rtratertduertherrtsubstantial rtincome. Mr.rtBauer rtisrt49rtyears rtold,rtbutrteighteen rtmonths rtagorthertwasrtdeclared rtdisabled rtbyrtthertSocial rtSecurity rtA
dministration rtandrthasrtbeen rtreceiving rtdisability rtpayments. rtHertisrtwondering rtwhether rthertcanrtobtain rtcov
erage rtunder rtMedicare. rtWhat rtshould rtyourttellrthimrt-rtcorrect rtanswers-
After rtreceiving rtsuch rtdisability rtpayments rtforrt24rtmonths, rthertwillrtbertautomatically rtenrolled rtinrtMedicare, rt
regardless rtofrtage. Mr.rtSchmidt rtwould rtlikerttortplan rtforrtretirement rtandrthasrtasked rtyourtwhat rtisrtcovered rtunder rtOriginal rtFee-
for-Service rt(FFS) rtMedicare? rtWhat rtcould rtyourttellrthim? rt-rtcorrect rtanswers-
PartrtA,rtwhich rtcovers rthospital, rtskilled rtnursing rtfacility, rthospice rtandrthome rthealth rtservices rtandrtPartrtB,rtwh
ichrtcovers rtprofessional rtservices rtsuch rtasrtthose rtprovided rtbyrtartdoctor rtarertcovered rtunder rtOriginal rtMedica
re. Mrs. rtPeňa rtisrt66rtyears rtold,rthasrtcoverage rtunder rtanrtemployer rtplan, rtandrtwillrtretire rtnext rtyear. rtShertheard rts
hertmust rtenroll rtinrtPartrtBrtatrtthertbeginning rtofrtthertyear rttortensure rtnortgaprtinrtcoverage. rtWhat rtcanrtyourttellrt
her? rt-rtcorrect rtanswers-
Shertmayrtenroll rtatrtanyrttime rtwhile rtshertisrtcovered rtunder rtherrtemployer rtplan, rtbutrtshertwillrthave rtartspecial rt
eight rtmonth rtenrollment rtperiod rtthatrtdiffers rtfrom rtthertstandard rtgeneral rtenrollment rtperiod, rtduring rtwhich
rtshertmayrtenroll rtinrtMedicare rtPartrtB. Agent rtJohn rtMiller rtisrtmeeting rtwith rtJerry rtSmith, rtartnew rtprospect. rtJerry rtisrtcurrently rtenrolled rtinrtMedicare rt
Parts rtArtandrtB.rtJerry rthasrtalsortpurchased rtartMedicare rtSupplement rt(Medigap) rtplan rtwhich rtherthasrthadrtforrt
several rtyears. rtHowever, rtthertplan rtdoes rtnotrtprovide rtdrug rtbenefits. rtHow rtwould rtyourtadvise rtAgent rtJohn rt
Miller rttortproceed? rt-rtcorrect rtanswers- Tellrtprospect rtJerry rtSmith rtthatrthertshould rtconsider rtadding rtartstandalone rtPartrtDrtprescription rtdrug rtcovera
gertpolicy rttorthisrtpresent rtcoverage. Mr.rtDiaz rtcontinued rtworking rtwith rthisrtcompany rtandrtwasrtinsured rtunder rthisrtemployer's rtgroup rtplan rtuntil rt
hertreached rtagert68.rtHerthasrtheard rtthatrtthere rtisrtartpremium rtpenalty rtforrtthose rtwho rtdidrtnotrtsignrtuprtforrtP
artrtBrtwhen rtfirstrteligible rtandrtwants rttortknow rthow rtmuch rthertwillrthave rttortpay.rtWhat rtshould rtyourttellrthim? r
t-rtcorrect rtanswers-Thertpenalty rtwillrtbertartpermanent rt10% rtincrease rtinrthisrtPartrtBrtpremium rtforrtevery rt12-
month rtperiod rtthatrtpassed rtduring rtwhich rthertcould rthave rtenrolled rtandrtdidrtnot. Ms.rtMoore rtplans rttortretire rtwhen rtshertturns rt65rtinrtartfewrtmonths. rtShertisrtinrtexcellent rthealth rtandrtwillrthave
rtconsiderable rtincome rtwhen rtshertretires. rtShertisrtconcerned rtthatrtherrtincome rtwillrtmake rtitrtimpossible rtforrt
herrttortqualify rtforrtMedicare. rtWhat rtcould rtyourttellrtherrttortaddress rtherrtconcern? rt-rtcorrect rtanswers-
Medicare rtisrtartprogram rtforrtpeople rtagert65rtorrtolder rtandrtthose rtunder rtagert65rtwith rtcertain rtdisabilities, rten
d-stage rtrenal rtdisease, rtandrtLourtGehrig's rtdisease rtsortshertwillrtberteligible rtforrtMedicare. Mildred rtSavage rtenrolled rtinrtAllcare rtMedicare rtAdvantage rtplan rtseveral rtyears rtago. rtMildred rtrecently rtlearn
edrtthatrtshertisrtsuffering rtfrom rtinoperable rtcancer rtandrthasrtjustrtartfewrtmonths rttortlive.rtShertwould rtlikerttorts
pend rtthese rtfinal rtmonths rtinrthospice rtcare. rtMildred's rtfamily rtasksrtyourtwhether rthospice rtbenefits rtwillrtbertp
aidrtforrtunder rtthertAllcare rtMedicare rtAdvantage rtplan. rtWhat rtshould rtyourtsay? rt-rtcorrect rtanswers-
Mildred rtmayrtremain rtenrolled rtinrtAllcare rtandrtmake rtarthospice rtelection. rtHospice rtbenefits rtwillrtbertpaid rtforr
tbyrtOriginal rtMedicare rtunder rtPartrtArtandrtAllcare rtwillrtcontinue rttortpayrtforrtanyrtnon-hospice rtservices. Mr.rtGomez rtnotes rtthatrtartPrivate rtFee-for-
Service rt(PFFS) rtplan rtavailable rtinrthisrtarea rthasrtanrtattractive rtpremium. rtHertwants rttortknow rtifrthertmust rtusert
doctors rtinrtartnetwork rtasrthisrtcurrent rtHMO rtplan rtrequires rthimrttortdo.rtWhat rtshould rtyourttellrthim? rt-
rtcorrect rtanswers-
Hertmayrtreceive rthealth rtcare rtservices rtfrom rtanyrtdoctor rtallowed rttortbillrtMedicare, rtasrtlong rtasrthertshows rtth
ertdoctor rtthertplan's rtidentification rtcard rtandrtthertdoctor rtagrees rttortaccept rtthertPFFS rtplan's rtpayment rtterms r
tandrtconditions, rtwhich rtcould rtinclude rtbalance rtbilling. Mr.rtKelly rtwants rttortknow rtwhether rthertisrteligible rttortsignrtuprtforrtartPrivate rtfee-for-
service rt(PFFS) rtplan. rtWhat rtquestions rtwould rtyourtneed rttortaskrttortdetermine rthisrteligibility? rt-
rtcorrect rtanswers-
Yourtwould rtneed rttortaskrtMr.rtKelly rtifrthertisrtenrolled rtinrtPartrtArtandrtPartrtBrtandrtifrthertlives rtinrtthertPFFS rtplan's
rtservice rtarea. Mrs. rtWang rtwants rttortknow rtgenerally rthow rtthertbenefits rtunder rtOriginal rtMedicare rtmight rtcompare rttortthert
benefits rtpackage rtofrtartMedicare rtAdvantage rtPlan rtbefore rtshertstarts rtlooking rtatrtspecific rtplans. rtWhat rtcould
rtyourttellrther? rt-rtcorrect rtanswers-
Medicare rtAdvantage rtPlans rtmayrtoffer rtextra rtbenefits rtthatrtOriginal rtMedicare rtdoes rtnotrtoffer rtsuch rtasrtvisio
n,rthearing, rtandrtdental rtservices. rtItrtmust rtinclude rtartmaximum rtout-of-
pocket rtlimit rtonrtPartrtArtandrtPartrtBrtservices. Mr.rtCastillo, rtartnaturalized rtcitizen, rtpreviously rtenrolled rtinrtMedicare rtPartrtBrtbutrthasrtrecently rtstopped rtpayi
ngrthisrtPartrtBrtpremium. rtMr.rtCastillo rtisrtstillrtcovered rtbyrtPartrtA.rtHertwould rtlikerttortenroll rtinrtartMedicare rtAd
vantage rt(MA) rtplan rtandrtisrtstillrtcovered rtbyrtPartrtA.rtWhat rtshould rtyourttellrthim? rt-rtcorrect rtanswers-
Hertisrtnotrteligible rttortenroll rtinrtartMedicare rtAdvantage rtplan rtuntil rthertre-enrolls rtinrtMedicare rtPartrtB.

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Subido en: 26 de julio de 2024
Número de páginas: 8
Escrito en: 2023/2024
Tipo: Examen
Contiene: Preguntas y respuestas

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