AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
Study online at https://quizlet.com/_hlqqse
1. What happens after Mr. He will be automatically enrolled in Medicare, regardless of age.
Bauer has received dis-
ability payments for 24
months?
2. Why did Edward be- Due to end-stage renal disease (ESRD).
come eligible for
Medicare coverage?
3. How long does Eligibility generally lasts for 36 months after the month in which the
Medicare coverage individual receives a kidney transplant.
generally last for indi-
viduals eligible based
on ESRD after a kidney
transplant?
4. What can Edward do He may remain enrolled in Part B solely for coverage of immunosuppres-
regarding Part B cov- sive drugs if he has no other health care coverage for those drugs.
erage after his kidney
transplant?
5. What special enroll- He is eligible for a special enrollment period (SEP) to enroll in Part B up
ment option does An- to six months after the end of the emergency declaration.
thony have after miss-
ing his initial enroll-
ment period due to a
disaster?
6. When can Anthony en- He may enroll in premium-free Part A at any time, with coverage retroac-
roll in premium-free tive for up to 6 months.
Part A?
7.
, AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
Study online at https://quizlet.com/_hlqqse
What should you tell It is illegal to sell him a Medigap plan if he is enrolled in an MA plan, as
Mr. Capadona about Medigap only works with Original Medicare.
purchasing a Medigap
plan while enrolled in
a Medicare Advantage
plan?
8. Will Mildred's hospice Yes, hospice benefits will be paid for by Original Medicare under Part A,
care be covered under and Allcare will continue to pay for any non-hospice services.
her Allcare Medicare
Advantage plan?
9. What must Ms. Hen- She must pay a standard monthly premium, which may be higher for
derson do to obtain individuals with higher incomes.
Part B coverage?
10. What assistance can She should contact her state Medicaid agency to see if she qualifies for
Mrs. Cook seek due to programs that help with Medicare costs.
her low fixed income?
11. What does Medicare It helps cover his Part A deductible and Part B coinsurance or copayments
Supplemental Insur- in Original Fee-for-Service (FFS) Medicare.
ance cover for Mr. Moy?
12. What is Juan Perez's He intends to work for several more years at Smallcap, which offers
situation regarding employer-sponsored healthcare coverage.
Medicare as he turns
65?
13. What is the eligibility Individuals must have worked and paid Medicare taxes for a sufficient
requirement for premi- period, typically 40 quarters.
um-free Part A?
, AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
Study online at https://quizlet.com/_hlqqse
14. What happens if an in- They may qualify for a special enrollment period if they missed it due to
dividual does not en- certain circumstances, such as a natural disaster.
roll in Medicare during
their initial enrollment
period?
15. How does Medicare Individuals under 65 can qualify for Medicare due to disability after 24
coverage differ for in- months of receiving disability payments, while those 65 and older qualify
dividuals based on age based on age.
versus disability?
16. What is the role of Medigap insurance helps cover costs not covered by Original Medicare,
Medigap insurance? such as deductibles and coinsurance.
17. What is the maximum 36 months after the month of the transplant.
duration of Medicare
coverage after a kidney
transplant for those el-
igible due to ESRD?
18. What should individ- They should contact the Social Security Administration or their state
uals do if they are Medicaid agency for guidance.
unsure about their
Medicare eligibility?
19. What is the signifi- It allows individuals who missed their enrollment period to qualify for a
cance of a Federally de- special enrollment period.
clared disaster in rela-
tion to Medicare enroll-
ment?
20. What is the difference Medicare Advantage plans may offer additional benefits but cannot be
between Medicare Ad- combined with Medigap plans.
, AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
Study online at https://quizlet.com/_hlqqse
vantage and Origi-
nal Medicare regarding
coverage?
21. What is the impor- It is critical for preventing organ rejection and maintaining health
tance of immunosup- post-transplant.
pressive drug coverage
for kidney transplant
patients?
22. How does income af- Individuals with higher incomes may pay a higher monthly premium for
fect the premium for Part B.
Part B coverage?
23. What is Juan likely Juan is likely to be eligible for Medicare.
entitled to when he
turns age 65 regarding
Medicare?
24. How would enrolling If Juan enrolls, Medicare becomes the primary payor of his healthcare
in Medicare impact claims, and his employer's plan becomes a secondary payor.
Juan's employer-spon-
sored healthcare cov-
erage?
25. What eligibility criteria Medicare is available for people age 65 or older, so Ms. Kumar will be
does Ms. Kumar meet eligible regardless of her income.
for Medicare despite
her concerns about in-
come?
26. Will Medicare cover Yes, Medicare covers hospice services.
hospice services for
AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
Study online at https://quizlet.com/_hlqqse
1. What happens after Mr. He will be automatically enrolled in Medicare, regardless of age.
Bauer has received dis-
ability payments for 24
months?
2. Why did Edward be- Due to end-stage renal disease (ESRD).
come eligible for
Medicare coverage?
3. How long does Eligibility generally lasts for 36 months after the month in which the
Medicare coverage individual receives a kidney transplant.
generally last for indi-
viduals eligible based
on ESRD after a kidney
transplant?
4. What can Edward do He may remain enrolled in Part B solely for coverage of immunosuppres-
regarding Part B cov- sive drugs if he has no other health care coverage for those drugs.
erage after his kidney
transplant?
5. What special enroll- He is eligible for a special enrollment period (SEP) to enroll in Part B up
ment option does An- to six months after the end of the emergency declaration.
thony have after miss-
ing his initial enroll-
ment period due to a
disaster?
6. When can Anthony en- He may enroll in premium-free Part A at any time, with coverage retroac-
roll in premium-free tive for up to 6 months.
Part A?
7.
, AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
Study online at https://quizlet.com/_hlqqse
What should you tell It is illegal to sell him a Medigap plan if he is enrolled in an MA plan, as
Mr. Capadona about Medigap only works with Original Medicare.
purchasing a Medigap
plan while enrolled in
a Medicare Advantage
plan?
8. Will Mildred's hospice Yes, hospice benefits will be paid for by Original Medicare under Part A,
care be covered under and Allcare will continue to pay for any non-hospice services.
her Allcare Medicare
Advantage plan?
9. What must Ms. Hen- She must pay a standard monthly premium, which may be higher for
derson do to obtain individuals with higher incomes.
Part B coverage?
10. What assistance can She should contact her state Medicaid agency to see if she qualifies for
Mrs. Cook seek due to programs that help with Medicare costs.
her low fixed income?
11. What does Medicare It helps cover his Part A deductible and Part B coinsurance or copayments
Supplemental Insur- in Original Fee-for-Service (FFS) Medicare.
ance cover for Mr. Moy?
12. What is Juan Perez's He intends to work for several more years at Smallcap, which offers
situation regarding employer-sponsored healthcare coverage.
Medicare as he turns
65?
13. What is the eligibility Individuals must have worked and paid Medicare taxes for a sufficient
requirement for premi- period, typically 40 quarters.
um-free Part A?
, AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
Study online at https://quizlet.com/_hlqqse
14. What happens if an in- They may qualify for a special enrollment period if they missed it due to
dividual does not en- certain circumstances, such as a natural disaster.
roll in Medicare during
their initial enrollment
period?
15. How does Medicare Individuals under 65 can qualify for Medicare due to disability after 24
coverage differ for in- months of receiving disability payments, while those 65 and older qualify
dividuals based on age based on age.
versus disability?
16. What is the role of Medigap insurance helps cover costs not covered by Original Medicare,
Medigap insurance? such as deductibles and coinsurance.
17. What is the maximum 36 months after the month of the transplant.
duration of Medicare
coverage after a kidney
transplant for those el-
igible due to ESRD?
18. What should individ- They should contact the Social Security Administration or their state
uals do if they are Medicaid agency for guidance.
unsure about their
Medicare eligibility?
19. What is the signifi- It allows individuals who missed their enrollment period to qualify for a
cance of a Federally de- special enrollment period.
clared disaster in rela-
tion to Medicare enroll-
ment?
20. What is the difference Medicare Advantage plans may offer additional benefits but cannot be
between Medicare Ad- combined with Medigap plans.
, AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
AHIP 2026: Modules 1-5, Final, and FWA JACKPOT
Study online at https://quizlet.com/_hlqqse
vantage and Origi-
nal Medicare regarding
coverage?
21. What is the impor- It is critical for preventing organ rejection and maintaining health
tance of immunosup- post-transplant.
pressive drug coverage
for kidney transplant
patients?
22. How does income af- Individuals with higher incomes may pay a higher monthly premium for
fect the premium for Part B.
Part B coverage?
23. What is Juan likely Juan is likely to be eligible for Medicare.
entitled to when he
turns age 65 regarding
Medicare?
24. How would enrolling If Juan enrolls, Medicare becomes the primary payor of his healthcare
in Medicare impact claims, and his employer's plan becomes a secondary payor.
Juan's employer-spon-
sored healthcare cov-
erage?
25. What eligibility criteria Medicare is available for people age 65 or older, so Ms. Kumar will be
does Ms. Kumar meet eligible regardless of her income.
for Medicare despite
her concerns about in-
come?
26. Will Medicare cover Yes, Medicare covers hospice services.
hospice services for
