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Examen

AHIP - 2026 - Modules 1-5

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18
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Subido en
14-07-2025
Escrito en
2024/2025

AHIP - 2026 - Modules 1-5

Institución
AHIP - 2026 - Modules 1-5
Grado
AHIP - 2026 - Modules 1-5

Vista previa del contenido

AHIP – 2025/2026 - Modules 1-5
Questions With Complete Correct
Answers Graded A+

Mr. rCapadona rwould rlike rto rpurchase ra rMedicare rAdvantage r(MA) rplan rand ra
rMedigap rplan rto rpick rup rcosts rnot rcovered rby rthat rplan. rWhat rshould ryou rtell rhim?
r- rCORRECT✅✅It ris rillegal rfor ryou rto rsell rMr. rCapadona ra rMedigap rplan rif rhe ris
renrolled rin ran rMA rplan, rand rbesides, rMedigap ronly rworks rwith rOriginal rMedicare.


Agent rJohn rMiller ris rmeeting rwith rJerry rSmith, ra rnew rprospect. rJerry ris rcurrently
renrolled rin rMedicare rParts rA rand rB. rJerry rhas ralso rpurchased ra rMedicare
rSupplement r(Medigap) rplan rwhich rhe rhas rhad rfor rseveral ryears. rHowever, rthe rplan
rdoes rnot rprovide rdrug rbenefits. rHow rwould ryou radvise rAgent rJohn rMiller rto
rproceed? r- rCORRECT✅✅Tell rprospect rJerry rSmith rthat rhe rshould rconsider radding
ra rstandalone rPart rD rprescription rdrug rcoverage rpolicy rto rhis rpresent rcoverage.


Mr. rWu ris religible rfor rMedicare. rHe rhas rlimited rfinancial rresources rbut rfailed rto
rqualify rfor rthe rPart rD rlow-income rsubsidy. rWhere rmight rhe rturn rfor rhelp rwith rhis
rprescription rdrug rcosts? r- rCORRECT✅✅Mr. rWu rmay rstill rqualify rfor rhelp rin rpaying
rPart rD rcosts rthrough rhis rState rPharmaceutical rAssistance rProgram r(SPAP).


Mr. rVasquez ris rin rgood rhealth rand ris rpreparing ra rbudget rin ranticipation rof rhis
rretirement rwhen rhe rturns r66. rHe rwants rto runderstand rthe rhealth rcare rcosts rhe
rmight rbe rexposed rto runder rMedicare rif rhe rwere rto rrequire rhospitalization rbecause
rof ran rillness. rIn rgeneral rterms, rwhat rcould ryou rtell rhim rabout rhis rcosts rfor rinpatient
rhospital rservices runder rOriginal rMedicare? r- rCORRECT✅✅Under rOriginal
rMedicare, rthere ris ra rsingle rdeductible ramount rdue rfor rthe rfirst r60 rdays rof rany
rinpatient rhospital rstay, rafter rwhich rit rconverts rinto ra rper-day rcoinsurance ramount
rthrough rday r90. rAfter rday r90, rhe rwould rpay ra rdaily ramount rup rto r60 rdays rover rhis
rlifetime, rafter rwhich rhe rwould rbe rresponsible rfor rall rcosts.


Mr. rMoy rwill rsoon rturn rage r65. rHe ris rslightly ryounger rthan rhis rwife. rMr. rMoy's rwife
rhas ra rMedicare rAdvantage rplan, rbut rhe rwants rto runderstand rwhat rcoverage
rMedicare rSupplemental rInsurance rprovides rsince rhis rhealth rcare rneeds rare rdifferent
rfrom rhis rwife's rneeds. rWhat rcould ryou rtell rMr. rMoy? r- rCORRECT✅✅Medicare
rSupplemental rInsurance rwould rhelp rcover rhis rPart rA rdeductible rand rPart rB
rcoinsurance ror rcopayments rin rOriginal rFee-for-Service r(FFS) rMedicare ras rwell ras
rpossibly rsome rservices rthat rMedicare rdoes rnot rcover.


Juan rPerez, rwho ris rturning rage r65 rnext rmonth, rintends rto rwork rfor rseveral rmore
ryears rat rSmallcap, rIncorporated. rSmallcap rhas ra rworkforce rof r15 remployees rand

,roffers remployer-sponsored rhealthcare rcoverage. rJuan ris ra rnaturalized rcitizen rand
rhas rcontributed rto rthe rMedicare rsystem rfor rover r20 ryears. rJuan rasks ryou rif rhe rwill
rbe rentitled rto rMedicare rand rif rhe renrolls rhow rthat rwill rimpact rhis remployer-
rsponsored rhealthcare rcoverage. rHow rwould ryou rrespond? r- rCORRECT✅✅Juan ris
rlikely rto rbe religible rfor rMedicare ronce rhe rturns rage r65 rand rif rhe renrolls, rMedicare
rwould rbecome rthe rprimary rpayor rof rhis rhealthcare rclaims rand rSmallcap rdoes rnot
rhave rto rcontinue rto roffer rhim rcoverage rcomparable rto rthose runder rage r65 runder rits
remployer-sponsored rgroup rhealth rplan. rJuan ris rlikely rto rbe religible rfor rMedicare
ronce rhe rturns rage r65 rand rif rhe renrolls, rMedicare rwould rbecome rthe rprimary rpayor
rof rhis rhealthcare rclaims rbut rSmallcap rmust rcontinue rto roffer rhim rcoverage runder rits
remployer-sponsored rgroup rhealth rplan rand rwould rbecome ra rsecondary rpayor.


Ms. rKumar rplans rto rretire rwhen rshe rturns r65 rin ra rfew rmonths. rShe ris rin rexcellent
rhealth rand rwill rhave rconsiderable rincome rwhen rshe rretires. rShe ris rconcerned rthat
rher rincome rwill rmake rit rimpossible rfor rher rto rqualify rfor rMedicare. rWhat rcould ryou
rtell rher rto raddress rher rconcern? r- rCORRECT✅✅Medicare ris ra rprogram rfor rpeople
rage r65 ror rolder rand rthose runder rage r65 rwith rcertain rdisabilities, rend-stage rrenal
rdisease, rand rLou rGehrig's rdisease rso rshe rwill rbe religible rfor rMedicare.


Mrs. rEllis rrecently rturned r66 rand rdecided rafter rmany ryears rof rwork rto rretire rand
rbegin rreceiving rSocial rSecurity rbenefits. rShortly rthereafter rMrs. rEllis rreceived ra
rletter rinforming rher rthat rshe rhad rbeen rautomatically renrolled rin rMedicare rPart rB.
rShe rwants rto runderstand rwhat rthis rmeans. rWhat rshould ryou rtell rMrs. rEllis? r-
rCORRECT✅✅Part rB rprimarily rcovers rphysician rservices. rShe rwill rbe rpaying ra
rmonthly rpremium rand, rexcept rfor rmany rpreventive rand rscreening rtests, rgenerally
rwill rhave r20% rco-payments rfor rthese rservices, rin raddition rto ran rannual rdeductible.


Mr. rSingh rwould rlike rdrug rcoverage rbut rdoes rnot rwant rto rbe renrolled rin ra rMedicare
rAdvantage rplan. rWhat rshould ryou rtell rhim? r- rCORRECT✅✅Mr. rSingh rcan renroll
rin ra rstand-alone rprescription rdrug rplan rand rcontinue rto rbe rcovered rfor rPart rA rand
rPart rB rservices rthrough rOriginal rFee-for-Service rMedicare.


Mrs. rCook ris ran relderly rretiree. rMrs. rCook rhas ra rlow rfixed rincome. rWhat rcould ryou
rtell rMrs. rCook rthat rmight rbe rof rassistance? r- rCORRECT✅✅She rshould rcontact
rher rstate rMedicaid ragency rto rsee rif rshe rqualifies rfor rone rof rseveral rprograms rthat
rcan rhelp rwith rMedicare rcosts rfor rwhich rshe ris rresponsible.


Ms. rHenderson rbelieves rthat rshe rwill rqualify rfor rMedicare rCoverage rwhen rshe rturns
r65, rwithout rpaying rany rpremiums, rbecause rshe rhas rbeen rworking rfor r40 ryears rand
rpaying rMedicare rtaxes. rWhat rshould ryou rtell rher? r- rCORRECT✅✅To robtain rPart
rB rcoverage, rshe rmust rpay ra rstandard rmonthly rpremium, rthough rit ris rhigher rfor
rindividuals rwith rhigher rincomes.


Mr. rBauer ris r49 ryears rold, rbut reighteen rmonths rago rhe rwas rdeclared rdisabled rby
rthe rSocial rSecurity rAdministration rand rhas rbeen rreceiving rdisability rpayments. rHe ris
rwondering rwhether rhe rcan robtain rcoverage runder rMedicare. rWhat rshould ryou rtell

, rhim? r- rCORRECT✅✅After rreceiving rsuch rdisability rpayments rfor r24 rmonths, rhe
rwill rbe rautomatically renrolled rin rMedicare, rregardless rof rage.


Mr. rSchmidt rwould rlike rto rplan rfor rretirement rand rhas rasked ryou rwhat ris rcovered
runder rOriginal rFee-for-Service r(FFS) rMedicare. rWhat rcould ryou rtell rhim? r-
rCORRECT✅✅Part rA, rwhich rcovers rhospital, rskilled rnursing rfacility, rhospice, rand
rhome rhealth rservices rand rPart rB, rwhich rcovers rprofessional rservices rsuch ras rthose
rprovided rby ra rdoctor rare rcovered runder rOriginal rMedicare.


Anthony rBoniface rturned r65 rin r2024. rHe rwas rnot rreceiving rSocial rSecurity ror
rRailroad rRetirement rBenefits ron rhis r65th rbirthday. rHe rwas rinterested rin robtaining
rMedicare rcoverage rand ris religible rfor rpremium-free rPart rA. rBefore rhe rcould renroll rin
rMedicare, rhis rentire rarea rwas rimpacted rby ra rhurricane rcausing rmassive rflooding
rand rsevere rwind rdamage. rThe rFederal rgovernment rdeclared rthis rto rbe ra rnatural
rdisaster rwhich rhas rrecently rended. rDuring rthis rperiod rAnthony's rinitial renrollment
rperiod rexpired. rAnthony rasks ryou rhow rhe rcan rnow robtain rMedicare rcoverage. rWhat
rshould ryou rsay? r- rCORRECT✅✅Anthony ris religible rfor ra rspecial renrollment rperiod
r(SEP) rbecause rhe rmissed ran renrollment rperiod rdue rto rthe rimpact rof rthe rFederally
rdeclared rdisaster. rThis rSEP rwill rallow rAnthony rto renroll rin rPart rB rup rto rsix rmonths
rafter rthe rend rof rthe remergency rdeclaration. rAnthony rmay renroll rin rpremium-free
rPart rA rat rany rtime rand rhis rPart rA rcoverage rwill rbe rretroactive rfor rup rto r6 rmonths.


Ms. rLewis rhas raggressive rcancer rand rwould rlike rto rknow rif rMedicare rwill rcover
rhospice rservices rin rcase rshe rneeds rthem. rWhat rshould ryou rtell rher? r-
rCORRECT✅✅Medicare rcovers rhospice rservices, rand rthey rwill rbe ravailable rfor
rher.


Edward rsuffered rfrom rserious rkidney rdisease. rAs ra rresult, rEdward rbecame religible
rfor rMedicare rcoverage rdue rto rend-stage rrenal rdisease r(ESRD). rA rclose rrelative
rdonated rtheir rkidney rand rEdward rsuccessfully runderwent rtransplant rsurgery r12
rmonths rago. rEdward ris rnow rage r50 rand rasks ryou rif rhis rMedicare rcoverage rwill
rcontinue, rwhat rshould ryou rsay? r- rCORRECT✅✅Individuals religible rfor rMedicare
rbased ron rESRD rgenerally rlose religibility r36 rmonths rafter rthe rmonth rin rwhich rthe
rindividual rreceives ra rkidney rtransplant runless rthey rare religible rfor rMedicare ron
ranother rbasis rsuch ras rage ror rdisability. rEdward rmay, rhowever, rremain renrolled rin
rPart rB rbut rsolely rfor rcoverage rof rimmunosuppressive rdrugs rif rhe rhas rno rother
rhealth rcare rcoverage rthat rwould rcover rthe rdrugs.


Mrs. rFoster ris rcovered rby rOriginal rMedicare. rShe rsustained ra rhip rfracture rand ris
rbeing rsuccessfully rtreated rfor rthat rcondition. rHowever, rshe rand rher rphysicians rfeel
rthat rafter rher rlengthy rhospital rstay, rshe rwill rneed ra rmonth ror rtwo rof rnursing rand
rrehabilitative rcare. rWhat rshould ryou rtell rthem rabout rOriginal rMedicare's rcoverage rof
rcare rin ra rskilled rnursing rfacility? r- rCORRECT✅✅Medicare rwill rcover rMrs. rFoster's
rskilled rnursing rservices rprovided rduring rthe rfirst r20 rdays rof rher rstay, rafter rwhich
rshe rwould rhave ra rcopay runtil rshe rhas rbeen rin rthe rfacility rfor r100 rdays.

Escuela, estudio y materia

Institución
AHIP - 2026 - Modules 1-5
Grado
AHIP - 2026 - Modules 1-5

Información del documento

Subido en
14 de julio de 2025
Número de páginas
18
Escrito en
2024/2025
Tipo
Examen
Contiene
Preguntas y respuestas

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