AHIP Module 1, 2, 3, 4, 5 (ACTUAL TEST )
Questions and Answers GRADED A ALL
COREECT
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?
Choose one answer.
a. Most individuals who are citizens and over age 65 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.
b. Most individuals who are citizens and over age 65 and wish to
be covered under Part A must enroll in a Medicare Health Plan.
c. Most individuals who are citizens and over age 65 and are
covered under Part A must pay a monthly premium for that
coverage.
d. All individuals who are citizens and over age 65 will be
covered under Part A. - ✔✔ANSW✔✔..👌a. Most individuals who
are citizens and over age 65 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? -
,✔✔ANSW✔✔..👌d. After receiving such disability payments for
24 months, he will be automatically enrolled in Medicare,
regardless of age.
Mr. Denton 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? - ✔✔ANSW✔✔..👌a. He may sign-up for
Medicare at any time however coverage usually begins on the
fourth month after dialysis treatments start. Correct
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? - ✔✔ANSW✔✔..👌a. In order to
obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher incomes.
Correct
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? - ✔✔ANSW✔✔..👌b.
Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan. Correct
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? - ✔✔ANSW✔✔..👌d. 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. Correct
Mrs. Kelly, age 65, is entitled to Part A, but has not yet enrolled in
Part B. She is considering enrollment in a Medicare health plan
(Part C). What should you advise her to do before she will be able
to enroll into a Medicare health plan? - ✔✔ANSW✔✔..👌Mrs.
Kelly, age 65, is entitled to Part A, but has not yet enrolled in Part
B. She is considering enrollment in a Medicare health plan (Part
C). What should you advise her to do before she will be able to
enroll into a Medicare health plan?
Mrs. Park is an elderly retiree. She has a low, fixed income. What
could you tell Mrs. Park that might be of assistance? -
✔✔ANSW✔✔..👌d. 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. Correct
Mr. Wu is eligible for Medicare. He has limited financial resources
but failed to qualify for the Part D low-income subsidy. Where
might he turn for help with his prescription drug costs? -
✔✔ANSW✔✔..👌a. Mr. Wu may still qualify for help in paying
Part D costs through his State Pharmaceutical Assistance
Program. Correct
Mr. Patel is in good health and is preparing a budget in
anticipation of his retirement when he turns 66. He wants to
understand the health care costs he might be exposed to under
Medicare if he were to require hospitalization as a result of an
illness. In general terms, what could you tell him about his costs
for inpatient hospital services under Original Medicare? -
✔✔ANSW✔✔..👌d. Under Original Medicare, there is a single
deductible amount due for the first 60 days of any inpatient
hospital stay, after which it converts into a per-day coinsurance
, amount through day 90. After day 90, he would pay a daily
amount up to 60 days over his lifetime, after which he would be
responsible for all costs Correct
Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition.
However, she and her physicians feel that after her lengthy
hospital stay she will need a month or two of nursing and
rehabilitative care. What should you tell them about Original
Medicare's coverage of care in a skilled nursing facility? -
✔✔ANSW✔✔..👌b. Medicare will cover Mrs. Shields' skilled
nursing services provided during the first 20 days of her stay, after
which she would have a coinsurance until she has been in the
facility for 100 days. Correct
Mr. Rainey is experiencing paranoid delusions and his physician
feels that he should be hospitalized. What should you tell Mr.
Rainey (or his representative) about the length of an inpatient
psychiatric hospital stay that Medicare will cover? -
✔✔ANSW✔✔..👌a. Medicare will cover a total of 190 days of
inpatient psychiatric care during Mr. Rainey's entire lifetime.
Correct
Mrs. Quinn has recently turned 66 and decided after many years
of work to begin receiving Social Security benefits. Shortly
thereafter Mrs. Quinn and 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? -
✔✔ANSW✔✔..👌a. Part B primarily covers physician services.
She will be paying a monthly premium and, with the exception of
many preventive and screening tests, generally will have 20% co-
payments for these services, in addition to an annual deductible.
Correct
Questions and Answers GRADED A ALL
COREECT
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?
Choose one answer.
a. Most individuals who are citizens and over age 65 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.
b. Most individuals who are citizens and over age 65 and wish to
be covered under Part A must enroll in a Medicare Health Plan.
c. Most individuals who are citizens and over age 65 and are
covered under Part A must pay a monthly premium for that
coverage.
d. All individuals who are citizens and over age 65 will be
covered under Part A. - ✔✔ANSW✔✔..👌a. Most individuals who
are citizens and over age 65 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? -
,✔✔ANSW✔✔..👌d. After receiving such disability payments for
24 months, he will be automatically enrolled in Medicare,
regardless of age.
Mr. Denton 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? - ✔✔ANSW✔✔..👌a. He may sign-up for
Medicare at any time however coverage usually begins on the
fourth month after dialysis treatments start. Correct
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? - ✔✔ANSW✔✔..👌a. In order to
obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher incomes.
Correct
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? - ✔✔ANSW✔✔..👌b.
Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan. Correct
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? - ✔✔ANSW✔✔..👌d. 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. Correct
Mrs. Kelly, age 65, is entitled to Part A, but has not yet enrolled in
Part B. She is considering enrollment in a Medicare health plan
(Part C). What should you advise her to do before she will be able
to enroll into a Medicare health plan? - ✔✔ANSW✔✔..👌Mrs.
Kelly, age 65, is entitled to Part A, but has not yet enrolled in Part
B. She is considering enrollment in a Medicare health plan (Part
C). What should you advise her to do before she will be able to
enroll into a Medicare health plan?
Mrs. Park is an elderly retiree. She has a low, fixed income. What
could you tell Mrs. Park that might be of assistance? -
✔✔ANSW✔✔..👌d. 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. Correct
Mr. Wu is eligible for Medicare. He has limited financial resources
but failed to qualify for the Part D low-income subsidy. Where
might he turn for help with his prescription drug costs? -
✔✔ANSW✔✔..👌a. Mr. Wu may still qualify for help in paying
Part D costs through his State Pharmaceutical Assistance
Program. Correct
Mr. Patel is in good health and is preparing a budget in
anticipation of his retirement when he turns 66. He wants to
understand the health care costs he might be exposed to under
Medicare if he were to require hospitalization as a result of an
illness. In general terms, what could you tell him about his costs
for inpatient hospital services under Original Medicare? -
✔✔ANSW✔✔..👌d. Under Original Medicare, there is a single
deductible amount due for the first 60 days of any inpatient
hospital stay, after which it converts into a per-day coinsurance
, amount through day 90. After day 90, he would pay a daily
amount up to 60 days over his lifetime, after which he would be
responsible for all costs Correct
Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition.
However, she and her physicians feel that after her lengthy
hospital stay she will need a month or two of nursing and
rehabilitative care. What should you tell them about Original
Medicare's coverage of care in a skilled nursing facility? -
✔✔ANSW✔✔..👌b. Medicare will cover Mrs. Shields' skilled
nursing services provided during the first 20 days of her stay, after
which she would have a coinsurance until she has been in the
facility for 100 days. Correct
Mr. Rainey is experiencing paranoid delusions and his physician
feels that he should be hospitalized. What should you tell Mr.
Rainey (or his representative) about the length of an inpatient
psychiatric hospital stay that Medicare will cover? -
✔✔ANSW✔✔..👌a. Medicare will cover a total of 190 days of
inpatient psychiatric care during Mr. Rainey's entire lifetime.
Correct
Mrs. Quinn has recently turned 66 and decided after many years
of work to begin receiving Social Security benefits. Shortly
thereafter Mrs. Quinn and 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? -
✔✔ANSW✔✔..👌a. Part B primarily covers physician services.
She will be paying a monthly premium and, with the exception of
many preventive and screening tests, generally will have 20% co-
payments for these services, in addition to an annual deductible.
Correct
