AHIP (Medicare) 2024 Exam#1 With Complete Questions And Answers Verified.

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? a.Mr. Wu may still qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program. b.Mr. Wu may still qualify for help in paying for Part D costs through the Federal Pharmaceutical Assistance Program. c.Mr. Wu may still qualify for help in paying for Part D costs through the local Office of the Aging. d.Mr. Wu has no alternative but to liquidate his remaining assets and apply for coverage through his state's Medicaid program. - correct answer A 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? a.Mr. Diaz will not pay any penalty because he had continuous coverage under his employer's plan. b.During the first year, he is covered under Part B, his premiums will be 10% higher than they otherwise would be, after which point they will return to normal. c.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. d.Mr. Diaz will pay a penalty, which will be a flat amount each year, paid during the first month of coverage. - correct answer A Anthony Boniface turned 65 in 2023. He was not receiving Social Security or Railroad Retirement Benefits on his 65th birthday. He was interested in obtaining Medicare coverage and is eligible for premium-free Part A. Before he could enroll in Medicare, his entire area was impacted by a hurricane causing massive flooding and severe wind damage. The Federal government declared this to be a natural disaster which has recently ended. During this period Anthony's initial enrollment period expired. Anthony asks you how he can now obtain Medicare coverage. What should you say? a.Anthony is eligible for a special enrollment period (SEP) because he missed an enrollment period due to the impact of the Federally declared disaster. This SEP will allow Anthony to enroll in Part B up to six months after the end of the emergency declaration. Anthony may enroll in premium-free Part A at any time and his Part A coverage will be retro - correct answer A 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? a.Tell prospect Jerry Smith that he should keep his Medigap plan but he should supplement his healthcare coverage by purchasing a Medicare Advantage plan that offers prescription drug coverage (MA-PD). b.Tell prospect Jerry Smith that he should drop his Medigap coverage and put those premium dollars toward the purchase of a standalone Part D prescription drug plan because he can always reactivate his Medigap policy on a guaranteed issue basis. Furthermore, because he has had Medigap Jerry will not incur a Part D late enrollment penalty. c.Tell prospect Jerry Smith that he should consider adding a standalon - correct answer C 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? a.She may enroll at any time while she is covered under her employer plan, but she will have a special eight-month enrollment period after the last month on her employer plan that differs from the standard general enrollment period, during which she may enroll in Medicare Part B. b.She may only enroll in Part B during the general enrollment period whether she is retired or not. c.She may not enroll in Part B while covered under an employer group health plan and must wait until the standard general enrollment period after she retires. d.She must wait at least 30 days after her employment terminates before she may enroll in Medicare Part B. - correct answer A Edward IP suffered from serious kidney disease. As a result. Edward became eligible for Medicare coverage due to end-stage renal disease (ESRD). A close relative donated their kidney and Edward successfully underwent transplant surgery 12 months ago. Edward is now age 50 and asks you if his Medicare coverage will continue, what should you say? a.Individuals eligible for Medicare based on ESRD generally lose eligibility 36 months after the month in which the individual receives a kidney transplant unless they are eligible for Medicare on another basis such as age or disability. Edward should apply for Medicaid if he has no other health care coverage that would cover the drugs regardless of his income level or assets. b.Individuals eligible for Medicare based on ESRD generally lose eligibility 48 months after the month in which the individual receives a kidney transplant unless they are eligible for Medicare on another - correct answer C Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife's needs. What could you tell Mr. Moy? a.Medicare Supplemental Insurance would cover his long-term care services. b.Medicare Supplemental Insurance would help cover his Part A and Part B deductibles or coinsurance in Original Fee-for-Service (FFS) Medicare as well as possibly some