Ahip 2025 Module 1questions and
answers
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
Mrs. Quinn recently turned 66 and decided after many years of
work to begin receiving Social Security benefits. Shortly
thereafter Mrs. Quinn received a letter informing her that she
has been automatically enrolled in Medicare Part B. She wants
to understand what this means. What should you tell Mrs.
Quinn? - CORRECT ANSWER-Part B primarily covers
physician services. She will be paying a monthly premium and,
except for many preventive screening and tests, generally will
have 20 percent co-payments for these services in addition to
an annual deductible
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 treatment
Mr. Alonso receives some help paying for his two generic
prescription drugs from his employer's retiree coverage, but he
wants to compare it to a Part D prescription drug plan. He asks
, you what costs he would generally expect to encounter when
enrolling into a standard Medicare Part D prescription drug
plan. What should you tell him? - CORRECT ANSWER-He
generally would pay a monthly premium, annual deductible,
and per-prescription cost sharing.
Ms. Brooks has an aggressive cancer and would like to know if
Medicare will cover hospice services in case she needs them.
What should you tell her? - CORRECT ANSWER-Medicare
covers hospice services and they will be available to her.
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 ANSWER-She should contact her
state Medicaid agency to see if she qualifies for one of several
programs that can help with Medicare costs for which she is
responsible.
Mrs. Duarte is enrolled in Original Medicare Parts A and B. She
has recently reviewed her Medicare Summary Notice (MSN)
and disagrees with a determination that partially denied one of
her claims for services. What advice would you give her? -
CORRECT ANSWER-Mrs. Duarte should file an appeal of this
initial determination within 120 days of the date she received
the MSN in the mail.
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.
answers
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
Mrs. Quinn recently turned 66 and decided after many years of
work to begin receiving Social Security benefits. Shortly
thereafter Mrs. Quinn received a letter informing her that she
has been automatically enrolled in Medicare Part B. She wants
to understand what this means. What should you tell Mrs.
Quinn? - CORRECT ANSWER-Part B primarily covers
physician services. She will be paying a monthly premium and,
except for many preventive screening and tests, generally will
have 20 percent co-payments for these services in addition to
an annual deductible
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 treatment
Mr. Alonso receives some help paying for his two generic
prescription drugs from his employer's retiree coverage, but he
wants to compare it to a Part D prescription drug plan. He asks
, you what costs he would generally expect to encounter when
enrolling into a standard Medicare Part D prescription drug
plan. What should you tell him? - CORRECT ANSWER-He
generally would pay a monthly premium, annual deductible,
and per-prescription cost sharing.
Ms. Brooks has an aggressive cancer and would like to know if
Medicare will cover hospice services in case she needs them.
What should you tell her? - CORRECT ANSWER-Medicare
covers hospice services and they will be available to her.
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 ANSWER-She should contact her
state Medicaid agency to see if she qualifies for one of several
programs that can help with Medicare costs for which she is
responsible.
Mrs. Duarte is enrolled in Original Medicare Parts A and B. She
has recently reviewed her Medicare Summary Notice (MSN)
and disagrees with a determination that partially denied one of
her claims for services. What advice would you give her? -
CORRECT ANSWER-Mrs. Duarte should file an appeal of this
initial determination within 120 days of the date she received
the MSN in the mail.
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.
