2024 AHIP FINAL EXAM QUESTIONS AND ANSWERS UPDATED LATEST
(VERIFIED ANSWERS) ||COMPLETE A+ GUIDE
Mrs. FGonzalez Fis Fenrolled Fin FOriginal FMedicare Fand Fhas Fa FMedigap Fpolicy Fas Fwell, Fbut Fit
Fprovides Fno Fdrug Fcoverage. FShe Fwould Flike Fto Fkeep Fthe Fcoverage Fshe Fhas Fbut Freplace Fher
Fexisting FMedigap Fplan Fwith Fone Fthat Fprovides Fdrug Fcoverage. FWhat Fshould Fyou Ftell Fher? F F
a. F
Mrs. FGonzalez Fcan Fpurchase Fa FMedigap Fplan Fthat Fcovers Fdrugs, Fbut Fit Flikely Fwon’t Foffer
Fcoverage Fthat Fis Fequivalent Fto Fthat Fprovided Funder FPart FD.
b. F
Medigap Fis Fa Freplacement Ffor FOriginal FMedicare Fand Fshe Fhas Fbeen Fpaying Ffor Fdouble Fcoverage.
FShe Fshould Fsimply Fdrop Fher FMedigap Fpolicy. F
c. F
Mrs. FGonzalez Fshould Fpurchase Fa FK For FL FMedigap Fplan.
d. F
Mrs. FGonzalez Fcannot Fpurchase Fa FMedigap Fplan Fthat Fcovers Fdrugs, Fbut Fshe Fcould Fkeep Fher
FMedigap Fpolicy Fand Fenroll Fin Fa FPart FD Fprescription Fdrug Fplan.
Mr. FWu Fis Feligible Ffor FMedicare. FHe Fhas Flimited Ffinancial Fresources Fbut Ffailed Fto Fqualify Ffor
Fthe FPart FD Flow-income Fsubsidy. FWhere Fmight Fhe Fturn Ffor Fhelp Fwith Fhis Fprescription Fdrug
Fcosts?
a. F
Mr. FWu Fmay Fstill Fqualify Ffor Fhelp Fin Fpaying Ffor FPart FD Fcosts Fthrough Fthe Flocal FOffice Fof Fthe
FAging.
b. F
Mr. FWu Fmay Fstill Fqualify Ffor Fhelp Fin Fpaying FPart FD Fcosts Fthrough Fhis FState FPharmaceutical
FAssistance FProgram.
c. F
Mr. FWu Fhas Fno Falternative Fbut Fto Fliquidate Fhis Fremaining Fassets Fand Fapply Ffor Fcoverage
Fthrough Fhis Fstate’s FMedicaid Fprogram. F
d. F
Mr. FWu Fmay Fstill Fqualify Ffor Fhelp Fin Fpaying Ffor FPart FD Fcosts Fthrough Fthe FFederal
FPharmaceutical FAssistance FProgram.
Madeline FMartinez Fwas Fwidowed Fseveral Fyears Fago. FHer Fhusband Fworked Ffor Fmany Fyears
Fand Fcontributed Finto Fthe FMedicare Fsystem. FHe Falso Fleft Fa Fsubstantial Festate Fwhich Fprovides
FMadeline Fwith Fan Fannual Fincome Fof Fapproximately F$130,000. FMadeline, Fwho Fhas Fonly
Fworked Fpart-time Ffor Fthe Flast Fthree Fyears, Fwill Fsoon Fturn Fage F65 Fand Fhopes Fto Fenroll Fin
FOriginal FMedicare. FShe Fcomes Fto Fyou Ffor Fadvice. FWhat Fshould Fyou Ftell Fher?
a. F
You Fshould Ftell FMadeline Fthat Fshe Fwill Fbe Fable Fto Fenroll Fin FMedicare FPart FA Fwithout Fpaying
Fmonthly Fpremiums Fdue Fto Fher Fhusband’s Flong Fwork Frecord Fand Fparticipation Fin Fthe FMedicare
,Fsystem. FYou Fshould Falso Ftell FMadeline Fthat Fshe Fwill Fpay FPart FB Fpremiums Fat Fthe Fhighest Frate
Fbecause Fher Fincome Fover Fthe Flast Fseveral Fyears Fhas Fexceeded F$100,000.
b. F
You Fshould Ftell FMadeline Fthat Fshe Fwill Fbe Fable Fto Fenroll Fin FMedicare FPart FA Fwithout Fpaying
Fmonthly Fpremiums Fdue Fto Fher Fhusband’s Flong Fwork Frecord Fand Fparticipation Fin Fthe FMedicare
Fsystem. FYou Fshould Falso Ftell FMadeline Fthat Fshe Fwill Fpay FPart FB Fpremiums Fat Fmore Fthan Fthe
Fstandard Flowest Frate Fbut Fless Fthan Fthe Fhighest Frate Fdue Fher Fsubstantial Fincome. F
c. F
You Fshould Ftell FMadeline Fthat Fshe Fwill Fneed Fto Fpay Fpremiums Ffor FPart FA Fbecause Fof Fher Fshort
Fwork Fhistory. FYou Fshould Falso Ftell FMadeline Fthat Fshe Fwill Fpay FPart FB Fpremiums Fat Fthe Fhighest
Frate Fbecause Fher Fincome Fover Fthe Flast Fseveral Fyears Fhas Fexceeded F$100,000.
d. F
You Fshould Ftell FMadeline Fthat Fshe Fwill Fbe Fable Fto Fenroll Fin Fboth FMedicare FPart FA Fand FPart FB
Fwithout Fpaying Fmonthly Fpremiums Fdue Fto Fher Fhusband’s Flong Fwork Frecord Fand Fparticipation Fin
Fthe FMedicare Fsystem.
Mr. FMoy's Fwife Fhas Fa FMedicare FAdvantage Fplan, Fbut Fhe Fwants Fto Funderstand Fwhat Fcoverage
FMedicare FSupplemental FInsurance Fprovides Fsince Fhis Fhealth Fcare Fneeds Fare Fdifferent Ffrom
Fhis Fwife’s Fneeds. FWhat Fcould Fyou Ftell FMr. FMoy?
a. F
Medicare FSupplemental FInsurance Fwould Fcover Fhis Flong-term Fcare Fservices.
b. F
Medicare FSupplemental FInsurance Fwould Fcover Fall Fof Fhis FIRS Fapproved Fhealth Fcare
Fexpenditures Fnot Fcovered Funder FOriginal FFee-for-Service F(FFS) FMedicare.
FIncorrect: FMedicare FSupplement FInsurance F(Medigap) Ffills F"gaps" Fin FOriginal FMedicare
Fcoverages, Fsuch Fas Fall For Fpart Fof Fthe Fdeductibles For Fcoinsurance. FMany Fdental Fand Fvision
Fservices Fare Fexamples Fof Fmedical Fexpenses Fdeductible Funder FIRS Frules Fbut Fnot Fcovered Funder
FMedigap Fpolicies. F
c. F
Medicare FSupplemental FInsurance Fwould Fcover Fhis Fdental, Fvision Fand Fhearing Fservices Fonly.
d. F
Medicare FSupplemental FInsurance Fwould Fhelp Fcover Fhis FPart FA Fand FPart FB Fdeductibles For
Fcoinsurance Fin FOriginal FFee-for-Service F(FFS) FMedicare Fas Fwell Fas Fpossibly Fsome Fservices
Fthat FMedicare Fdoes Fnot Fcover.
Ms. FMoore Fplans Fto Fretire Fwhen Fshe Fturns F65 Fin Fa Ffew Fmonths. FShe Fis Fin Fexcellent Fhealth Fand
Fwill Fhave Fconsiderable Fincome Fwhen Fshe Fretires. FShe Fis Fconcerned Fthat Fher Fincome Fwill Fmake
Fit Fimpossible Ffor Fher Fto Fqualify Ffor FMedicare. FWhat Fcould Fyou Ftell Fher Fto Faddress Fher
Fconcern?
a. F
Medicare Fis Fa Fprogram Ffor Fpeople Fof Fall Fages Fwith Fspecific Fmental Fhealth Fdisabilities. FSince Fshe
Fis Fin Fexcellent Fhealth, Fshe Fwould Fnot Fqualify, Fbut Fshould Finstead Flook Finto Fher Fstate’s FMedicaid
Fprogram Fif Fshe Fwants Ffurther Fcoverage.
b. F
,Medicare Fis Fa Fprogram Ffor Fpeople Fage F65 For Folder Fand Fthose Funder Fage F65 Fwith Fcertain
Fdisabilities, Fend-stage Frenal Fdisease, Fand FLou FGehrig’s Fdisease Fso Fshe Fwill Fbe Feligible Ffor
FMedicare.
c. F
Medicare Fis Fa Fprogram Ffor Fpeople Fwho Fhave Fincomes Fand Fassets Fbelow Fspecific Flimits, Fso Fyou
Fwill Fhave Fto Ffind Fout Fher Fexact Ffinancial Fsituation Fbefore Ftelling Fher Fwhether Fshe Fcan Fobtain
FMedicare Fcoverage.
d. F
Eligibility Ffor FMedicare Fis Fbased Fon Fwhether For Fnot Fa Fperson Fhas Fever Fbeen Femployed Fby Fthe
Ffederal Fgovernment. FIf Fshe For Fher Fhusband Fwere Fever Femployed Fby Fthe Ffederal Fgovernment,
Fshe Fcan Fenroll Fin FMedicare.
Edward FIP Fsuffered Ffrom Fserious Fkidney Fdisease. FAs Fa Fresult. FEdward Fbecame Feligible Ffor
FMedicare Fcoverage Fdue Fto Fend-stage Frenal Fdisease F(ESRD). FA Fclose Frelative Fdonated Ftheir
Fkidney Fand FEdward Fsuccessfully Funderwent Ftransplant Fsurgery F12 Fmonths Fago. FEdward Fis
Fnow Fage F50 Fand Fasks Fyou Fif Fhis FMedicare Fcoverage Fwill Fcontinue, Fwhat Fshould Fyou Fsay?
a. F
Individuals Feligible Ffor FMedicare Fbased Fon FESRD Fgenerally Flose Feligibility F36 Fmonths Fafter Fthe
Fmonth Fin Fwhich Fthe Findividual Freceives Fa Fkidney Ftransplant Funless Fthey Fare Feligible Ffor
FMedicare Fon Fanother Fbasis Fsuch Fas Fage For Fdisability. FEdward Fmay, Fhowever, Fremain Fenrolled
Fin FPart FB Fbut Fsolely Ffor Fcoverage Fof Fimmunosuppressive Fdrugs Fif Fhe Fhas Fno Fother Fhealth Fcare
Fcoverage Fthat Fwould Fcover Fthe Fdrugs.
b. F
Individuals Feligible Ffor FMedicare Fbased Fon FESRD Fgenerally Flose Feligibility F36 Fmonths Fafter Fthe
Fmonth Fin Fwhich Fthe Findividual Freceives Fa Fkidney Ftransplant Funless Fthey Fare Feligible Ffor
FMedicare Fon Fanother Fbasis Fsuch Fas Fage For Fdisability. FEdward Fshould Fapply Ffor FMedicaid Fif Fhe
Fhas Fno Fother Fhealth Fcare Fcoverage Fthat Fwould Fcover Fthe Fdrugs Fregardless Fof Fhis Fincome Flevel
For Fassets.
c. F
Individuals Feligible Ffor FMedicare Fbased Fon FESRD Fgenerally Flose Feligibility F48 Fmonths Fafter Fthe
Fmonth Fin Fwhich Fthe Findividual Freceives Fa Fkidney Ftransplant Funless Fthey Fare Feligible Ffor
FMedicare Fon Fanother Fbasis Fsuch Fas Fage For Fdisability. FEdward Fmay, Fhowever, Fremain Fenrolled
Fin FPart FE F(Medigap) Fbut Fsolely Ffor Fcoverage Fof Fimmunosuppressive Fdrugs Fif Fhe Fhas Fno Fother
Fhealth Fcare Fcoverage Fthat Fwould Fcover Fthe Fdrugs.
d. F
Individuals Feligible Ffor FMedicare Fbased Fon FESRD Fgenerally Flose Feligibility F24 Fmonths Fafter Fthe
Fmonth Fin Fwhich Fthe Findividual Freceives Fa Fkidney Ftransplant Funless Fthey Fare Feligible Ffor
FMedicare Fon Fanother Fbasis Fsuch Fas Fage For Fdisability. FEdward Fmay, Fhowever, Fremain Fenrolled
Fin FPart FA Fbut Fsolely Ffor Fcoverage Fof Fimmunosuppressive Fdrugs Fif Fhe Fhas Fno Fother Fhealth Fcare
Fcoverage Fthat Fwould Fcover Fthe Fdrugs.
Anthony FBoniface Fturned F65 Fin F2023. FHe Fwas Fnot Freceiving FSocial FSecurity For FRailroad
FRetirement FBenefits Fon Fhis F65 Fbirthday. FHe Fwas Finterested Fin Fobtaining FMedicare Fcoverage
th
Fand Fis Feligible Ffor Fpremium-free FPart FA. FBefore Fhe Fcould Fenroll Fin FMedicare, Fhis Fentire Farea
Fwas Fimpacted Fby Fa Fhurricane Fcausing Fmassive Fflooding Fand Fsevere Fwind Fdamage. FThe
, FFederal Fgovernment Fdeclared Fthis Fto Fbe Fa Fnatural Fdisaster Fwhich Fhas Frecently Fended. FDuring
Fthis Fperiod FAnthony’s Finitial Fenrollment Fperiod Fexpired. FAnthony Fasks Fyou Fhow Fhe Fcan Fnow
Fobtain FMedicare Fcoverage. FWhat Fshould Fyou Fsay?
a. F
Anthony Fis Feligible Ffor Fa Fspecial Fenrollment Fperiod F(SEP) Fbecause Fhe Fmissed Fan Fenrollment
Fperiod Fdue Fto Fthe Fimpact Fof Fthe FFederally Fdeclared Fdisaster. FThis FSEP Fwill Fallow FAnthony Fto
Fenroll Fin FPart FB Fup Fto Fsix Fmonths Fafter Fthe Fend Fof Fthe Femergency Fdeclaration. FAnthony Fmay
Fenroll Fin Fpremium-free FPart FA Fat Fany Ftime Fand Fhis FPart FA Fcoverage Fwill Fbe Fretroactive Ffor Fup
Fto F6 Fmonths.
b. F
Anthony Fwill Fbe Fautomatically Fenrolled Fin FMedicare FPart FA Fwithin Fone Fmonth Ffrom Fthe Fdate
Fthe FFederal Fgovernment Fdeclared Fthe Fdisaster Fended. FIf Fhe Fwishes FPart FB Fcoverage Fhe Fmust
Fwait Funtil Fthe Fnext FGeneral FEnrollment FPeriod.
c. F
Anthony Fmust Fwait Funtil Fthe Fnext FGeneral FEnrollment FPeriod F(GEP) Fwhich Fruns Ffrom FJanuary
F1 Fthrough FMarch F31.
d. F
Anthony Fwill Fhave Fa Fspecial Fenrollment Fperiod F(SEP) Fof F3 Fmonths Fbeginning Fafter Fthe Fend Fof
Fthe Femergency Fdeclaration, Fbut Fhe Fwill Fbe Fsubject Fto Fa Flate Fenrollment Fpenalty Fif Fhe Fchooses
FPart FB Fcoverage.
Mrs. FPark Fis Fan Felderly Fretiree. FMrs. FPark Fhas Fa Flow Ffixed Fincome. FWhat Fcould Fyou Ftell FMrs.
FPark Fthat Fmight Fbe Fof Fassistance? F
a. F
She Fshould Fcontact Fher Fstate FMedicaid Fagency Fto Fsee Fif Fshe Fqualifies Ffor Fone Fof Fseveral
Fprograms Fthat Fcan Fhelp Fwith FMedicare Fcosts Ffor Fwhich Fshe Fis Fresponsible.
b. F
She Fshould Fonly Fseek Fhelp Ffrom Fprivate Forganizations Fto Fcover Fher FMedicare Fcosts.
c. F
She Fshould Fnot Fsign Fup Ffor Fa FMedicare FAdvantage Fplan.
d. F
She Fcan Fapply Fto Fthe FMedicare Fagency Ffor Flower Fpremiums Fand Fcost-sharing.
Mr. FBauer Fis F49 Fyears Fold, Fbut Feighteen Fmonths Fago Fhe Fwas Fdeclared Fdisabled Fby Fthe FSocial
FSecurity FAdministration Fand Fhas Fbeen Freceiving Fdisability Fpayments. FHe Fis Fwondering
Fwhether Fhe Fcan Fobtain Fcoverage Funder FMedicare. FWhat Fshould Fyou Ftell Fhim? F F
a. F
Individuals Fwho Fbecome Feligible Ffor Fsuch Fdisability Fpayments Fonly Fhave Fto Fwait F12 Fmonths
Fbefore Fthey Fcan Fapply Ffor Fcoverage Funder FMedicare. F
b. F
Individuals Freceiving Fsuch Fdisability Fpayments Ffrom Fthe FSocial FSecurity FAdministration
Fcontinue Fto Freceive Fthose Fpayments Fbut Fonly Fbecome Feligible Ffor FMedicare Fupon Freaching Fage
F65.
c. F
(VERIFIED ANSWERS) ||COMPLETE A+ GUIDE
Mrs. FGonzalez Fis Fenrolled Fin FOriginal FMedicare Fand Fhas Fa FMedigap Fpolicy Fas Fwell, Fbut Fit
Fprovides Fno Fdrug Fcoverage. FShe Fwould Flike Fto Fkeep Fthe Fcoverage Fshe Fhas Fbut Freplace Fher
Fexisting FMedigap Fplan Fwith Fone Fthat Fprovides Fdrug Fcoverage. FWhat Fshould Fyou Ftell Fher? F F
a. F
Mrs. FGonzalez Fcan Fpurchase Fa FMedigap Fplan Fthat Fcovers Fdrugs, Fbut Fit Flikely Fwon’t Foffer
Fcoverage Fthat Fis Fequivalent Fto Fthat Fprovided Funder FPart FD.
b. F
Medigap Fis Fa Freplacement Ffor FOriginal FMedicare Fand Fshe Fhas Fbeen Fpaying Ffor Fdouble Fcoverage.
FShe Fshould Fsimply Fdrop Fher FMedigap Fpolicy. F
c. F
Mrs. FGonzalez Fshould Fpurchase Fa FK For FL FMedigap Fplan.
d. F
Mrs. FGonzalez Fcannot Fpurchase Fa FMedigap Fplan Fthat Fcovers Fdrugs, Fbut Fshe Fcould Fkeep Fher
FMedigap Fpolicy Fand Fenroll Fin Fa FPart FD Fprescription Fdrug Fplan.
Mr. FWu Fis Feligible Ffor FMedicare. FHe Fhas Flimited Ffinancial Fresources Fbut Ffailed Fto Fqualify Ffor
Fthe FPart FD Flow-income Fsubsidy. FWhere Fmight Fhe Fturn Ffor Fhelp Fwith Fhis Fprescription Fdrug
Fcosts?
a. F
Mr. FWu Fmay Fstill Fqualify Ffor Fhelp Fin Fpaying Ffor FPart FD Fcosts Fthrough Fthe Flocal FOffice Fof Fthe
FAging.
b. F
Mr. FWu Fmay Fstill Fqualify Ffor Fhelp Fin Fpaying FPart FD Fcosts Fthrough Fhis FState FPharmaceutical
FAssistance FProgram.
c. F
Mr. FWu Fhas Fno Falternative Fbut Fto Fliquidate Fhis Fremaining Fassets Fand Fapply Ffor Fcoverage
Fthrough Fhis Fstate’s FMedicaid Fprogram. F
d. F
Mr. FWu Fmay Fstill Fqualify Ffor Fhelp Fin Fpaying Ffor FPart FD Fcosts Fthrough Fthe FFederal
FPharmaceutical FAssistance FProgram.
Madeline FMartinez Fwas Fwidowed Fseveral Fyears Fago. FHer Fhusband Fworked Ffor Fmany Fyears
Fand Fcontributed Finto Fthe FMedicare Fsystem. FHe Falso Fleft Fa Fsubstantial Festate Fwhich Fprovides
FMadeline Fwith Fan Fannual Fincome Fof Fapproximately F$130,000. FMadeline, Fwho Fhas Fonly
Fworked Fpart-time Ffor Fthe Flast Fthree Fyears, Fwill Fsoon Fturn Fage F65 Fand Fhopes Fto Fenroll Fin
FOriginal FMedicare. FShe Fcomes Fto Fyou Ffor Fadvice. FWhat Fshould Fyou Ftell Fher?
a. F
You Fshould Ftell FMadeline Fthat Fshe Fwill Fbe Fable Fto Fenroll Fin FMedicare FPart FA Fwithout Fpaying
Fmonthly Fpremiums Fdue Fto Fher Fhusband’s Flong Fwork Frecord Fand Fparticipation Fin Fthe FMedicare
,Fsystem. FYou Fshould Falso Ftell FMadeline Fthat Fshe Fwill Fpay FPart FB Fpremiums Fat Fthe Fhighest Frate
Fbecause Fher Fincome Fover Fthe Flast Fseveral Fyears Fhas Fexceeded F$100,000.
b. F
You Fshould Ftell FMadeline Fthat Fshe Fwill Fbe Fable Fto Fenroll Fin FMedicare FPart FA Fwithout Fpaying
Fmonthly Fpremiums Fdue Fto Fher Fhusband’s Flong Fwork Frecord Fand Fparticipation Fin Fthe FMedicare
Fsystem. FYou Fshould Falso Ftell FMadeline Fthat Fshe Fwill Fpay FPart FB Fpremiums Fat Fmore Fthan Fthe
Fstandard Flowest Frate Fbut Fless Fthan Fthe Fhighest Frate Fdue Fher Fsubstantial Fincome. F
c. F
You Fshould Ftell FMadeline Fthat Fshe Fwill Fneed Fto Fpay Fpremiums Ffor FPart FA Fbecause Fof Fher Fshort
Fwork Fhistory. FYou Fshould Falso Ftell FMadeline Fthat Fshe Fwill Fpay FPart FB Fpremiums Fat Fthe Fhighest
Frate Fbecause Fher Fincome Fover Fthe Flast Fseveral Fyears Fhas Fexceeded F$100,000.
d. F
You Fshould Ftell FMadeline Fthat Fshe Fwill Fbe Fable Fto Fenroll Fin Fboth FMedicare FPart FA Fand FPart FB
Fwithout Fpaying Fmonthly Fpremiums Fdue Fto Fher Fhusband’s Flong Fwork Frecord Fand Fparticipation Fin
Fthe FMedicare Fsystem.
Mr. FMoy's Fwife Fhas Fa FMedicare FAdvantage Fplan, Fbut Fhe Fwants Fto Funderstand Fwhat Fcoverage
FMedicare FSupplemental FInsurance Fprovides Fsince Fhis Fhealth Fcare Fneeds Fare Fdifferent Ffrom
Fhis Fwife’s Fneeds. FWhat Fcould Fyou Ftell FMr. FMoy?
a. F
Medicare FSupplemental FInsurance Fwould Fcover Fhis Flong-term Fcare Fservices.
b. F
Medicare FSupplemental FInsurance Fwould Fcover Fall Fof Fhis FIRS Fapproved Fhealth Fcare
Fexpenditures Fnot Fcovered Funder FOriginal FFee-for-Service F(FFS) FMedicare.
FIncorrect: FMedicare FSupplement FInsurance F(Medigap) Ffills F"gaps" Fin FOriginal FMedicare
Fcoverages, Fsuch Fas Fall For Fpart Fof Fthe Fdeductibles For Fcoinsurance. FMany Fdental Fand Fvision
Fservices Fare Fexamples Fof Fmedical Fexpenses Fdeductible Funder FIRS Frules Fbut Fnot Fcovered Funder
FMedigap Fpolicies. F
c. F
Medicare FSupplemental FInsurance Fwould Fcover Fhis Fdental, Fvision Fand Fhearing Fservices Fonly.
d. F
Medicare FSupplemental FInsurance Fwould Fhelp Fcover Fhis FPart FA Fand FPart FB Fdeductibles For
Fcoinsurance Fin FOriginal FFee-for-Service F(FFS) FMedicare Fas Fwell Fas Fpossibly Fsome Fservices
Fthat FMedicare Fdoes Fnot Fcover.
Ms. FMoore Fplans Fto Fretire Fwhen Fshe Fturns F65 Fin Fa Ffew Fmonths. FShe Fis Fin Fexcellent Fhealth Fand
Fwill Fhave Fconsiderable Fincome Fwhen Fshe Fretires. FShe Fis Fconcerned Fthat Fher Fincome Fwill Fmake
Fit Fimpossible Ffor Fher Fto Fqualify Ffor FMedicare. FWhat Fcould Fyou Ftell Fher Fto Faddress Fher
Fconcern?
a. F
Medicare Fis Fa Fprogram Ffor Fpeople Fof Fall Fages Fwith Fspecific Fmental Fhealth Fdisabilities. FSince Fshe
Fis Fin Fexcellent Fhealth, Fshe Fwould Fnot Fqualify, Fbut Fshould Finstead Flook Finto Fher Fstate’s FMedicaid
Fprogram Fif Fshe Fwants Ffurther Fcoverage.
b. F
,Medicare Fis Fa Fprogram Ffor Fpeople Fage F65 For Folder Fand Fthose Funder Fage F65 Fwith Fcertain
Fdisabilities, Fend-stage Frenal Fdisease, Fand FLou FGehrig’s Fdisease Fso Fshe Fwill Fbe Feligible Ffor
FMedicare.
c. F
Medicare Fis Fa Fprogram Ffor Fpeople Fwho Fhave Fincomes Fand Fassets Fbelow Fspecific Flimits, Fso Fyou
Fwill Fhave Fto Ffind Fout Fher Fexact Ffinancial Fsituation Fbefore Ftelling Fher Fwhether Fshe Fcan Fobtain
FMedicare Fcoverage.
d. F
Eligibility Ffor FMedicare Fis Fbased Fon Fwhether For Fnot Fa Fperson Fhas Fever Fbeen Femployed Fby Fthe
Ffederal Fgovernment. FIf Fshe For Fher Fhusband Fwere Fever Femployed Fby Fthe Ffederal Fgovernment,
Fshe Fcan Fenroll Fin FMedicare.
Edward FIP Fsuffered Ffrom Fserious Fkidney Fdisease. FAs Fa Fresult. FEdward Fbecame Feligible Ffor
FMedicare Fcoverage Fdue Fto Fend-stage Frenal Fdisease F(ESRD). FA Fclose Frelative Fdonated Ftheir
Fkidney Fand FEdward Fsuccessfully Funderwent Ftransplant Fsurgery F12 Fmonths Fago. FEdward Fis
Fnow Fage F50 Fand Fasks Fyou Fif Fhis FMedicare Fcoverage Fwill Fcontinue, Fwhat Fshould Fyou Fsay?
a. F
Individuals Feligible Ffor FMedicare Fbased Fon FESRD Fgenerally Flose Feligibility F36 Fmonths Fafter Fthe
Fmonth Fin Fwhich Fthe Findividual Freceives Fa Fkidney Ftransplant Funless Fthey Fare Feligible Ffor
FMedicare Fon Fanother Fbasis Fsuch Fas Fage For Fdisability. FEdward Fmay, Fhowever, Fremain Fenrolled
Fin FPart FB Fbut Fsolely Ffor Fcoverage Fof Fimmunosuppressive Fdrugs Fif Fhe Fhas Fno Fother Fhealth Fcare
Fcoverage Fthat Fwould Fcover Fthe Fdrugs.
b. F
Individuals Feligible Ffor FMedicare Fbased Fon FESRD Fgenerally Flose Feligibility F36 Fmonths Fafter Fthe
Fmonth Fin Fwhich Fthe Findividual Freceives Fa Fkidney Ftransplant Funless Fthey Fare Feligible Ffor
FMedicare Fon Fanother Fbasis Fsuch Fas Fage For Fdisability. FEdward Fshould Fapply Ffor FMedicaid Fif Fhe
Fhas Fno Fother Fhealth Fcare Fcoverage Fthat Fwould Fcover Fthe Fdrugs Fregardless Fof Fhis Fincome Flevel
For Fassets.
c. F
Individuals Feligible Ffor FMedicare Fbased Fon FESRD Fgenerally Flose Feligibility F48 Fmonths Fafter Fthe
Fmonth Fin Fwhich Fthe Findividual Freceives Fa Fkidney Ftransplant Funless Fthey Fare Feligible Ffor
FMedicare Fon Fanother Fbasis Fsuch Fas Fage For Fdisability. FEdward Fmay, Fhowever, Fremain Fenrolled
Fin FPart FE F(Medigap) Fbut Fsolely Ffor Fcoverage Fof Fimmunosuppressive Fdrugs Fif Fhe Fhas Fno Fother
Fhealth Fcare Fcoverage Fthat Fwould Fcover Fthe Fdrugs.
d. F
Individuals Feligible Ffor FMedicare Fbased Fon FESRD Fgenerally Flose Feligibility F24 Fmonths Fafter Fthe
Fmonth Fin Fwhich Fthe Findividual Freceives Fa Fkidney Ftransplant Funless Fthey Fare Feligible Ffor
FMedicare Fon Fanother Fbasis Fsuch Fas Fage For Fdisability. FEdward Fmay, Fhowever, Fremain Fenrolled
Fin FPart FA Fbut Fsolely Ffor Fcoverage Fof Fimmunosuppressive Fdrugs Fif Fhe Fhas Fno Fother Fhealth Fcare
Fcoverage Fthat Fwould Fcover Fthe Fdrugs.
Anthony FBoniface Fturned F65 Fin F2023. FHe Fwas Fnot Freceiving FSocial FSecurity For FRailroad
FRetirement FBenefits Fon Fhis F65 Fbirthday. FHe Fwas Finterested Fin Fobtaining FMedicare Fcoverage
th
Fand Fis Feligible Ffor Fpremium-free FPart FA. FBefore Fhe Fcould Fenroll Fin FMedicare, Fhis Fentire Farea
Fwas Fimpacted Fby Fa Fhurricane Fcausing Fmassive Fflooding Fand Fsevere Fwind Fdamage. FThe
, FFederal Fgovernment Fdeclared Fthis Fto Fbe Fa Fnatural Fdisaster Fwhich Fhas Frecently Fended. FDuring
Fthis Fperiod FAnthony’s Finitial Fenrollment Fperiod Fexpired. FAnthony Fasks Fyou Fhow Fhe Fcan Fnow
Fobtain FMedicare Fcoverage. FWhat Fshould Fyou Fsay?
a. F
Anthony Fis Feligible Ffor Fa Fspecial Fenrollment Fperiod F(SEP) Fbecause Fhe Fmissed Fan Fenrollment
Fperiod Fdue Fto Fthe Fimpact Fof Fthe FFederally Fdeclared Fdisaster. FThis FSEP Fwill Fallow FAnthony Fto
Fenroll Fin FPart FB Fup Fto Fsix Fmonths Fafter Fthe Fend Fof Fthe Femergency Fdeclaration. FAnthony Fmay
Fenroll Fin Fpremium-free FPart FA Fat Fany Ftime Fand Fhis FPart FA Fcoverage Fwill Fbe Fretroactive Ffor Fup
Fto F6 Fmonths.
b. F
Anthony Fwill Fbe Fautomatically Fenrolled Fin FMedicare FPart FA Fwithin Fone Fmonth Ffrom Fthe Fdate
Fthe FFederal Fgovernment Fdeclared Fthe Fdisaster Fended. FIf Fhe Fwishes FPart FB Fcoverage Fhe Fmust
Fwait Funtil Fthe Fnext FGeneral FEnrollment FPeriod.
c. F
Anthony Fmust Fwait Funtil Fthe Fnext FGeneral FEnrollment FPeriod F(GEP) Fwhich Fruns Ffrom FJanuary
F1 Fthrough FMarch F31.
d. F
Anthony Fwill Fhave Fa Fspecial Fenrollment Fperiod F(SEP) Fof F3 Fmonths Fbeginning Fafter Fthe Fend Fof
Fthe Femergency Fdeclaration, Fbut Fhe Fwill Fbe Fsubject Fto Fa Flate Fenrollment Fpenalty Fif Fhe Fchooses
FPart FB Fcoverage.
Mrs. FPark Fis Fan Felderly Fretiree. FMrs. FPark Fhas Fa Flow Ffixed Fincome. FWhat Fcould Fyou Ftell FMrs.
FPark Fthat Fmight Fbe Fof Fassistance? F
a. F
She Fshould Fcontact Fher Fstate FMedicaid Fagency Fto Fsee Fif Fshe Fqualifies Ffor Fone Fof Fseveral
Fprograms Fthat Fcan Fhelp Fwith FMedicare Fcosts Ffor Fwhich Fshe Fis Fresponsible.
b. F
She Fshould Fonly Fseek Fhelp Ffrom Fprivate Forganizations Fto Fcover Fher FMedicare Fcosts.
c. F
She Fshould Fnot Fsign Fup Ffor Fa FMedicare FAdvantage Fplan.
d. F
She Fcan Fapply Fto Fthe FMedicare Fagency Ffor Flower Fpremiums Fand Fcost-sharing.
Mr. FBauer Fis F49 Fyears Fold, Fbut Feighteen Fmonths Fago Fhe Fwas Fdeclared Fdisabled Fby Fthe FSocial
FSecurity FAdministration Fand Fhas Fbeen Freceiving Fdisability Fpayments. FHe Fis Fwondering
Fwhether Fhe Fcan Fobtain Fcoverage Funder FMedicare. FWhat Fshould Fyou Ftell Fhim? F F
a. F
Individuals Fwho Fbecome Feligible Ffor Fsuch Fdisability Fpayments Fonly Fhave Fto Fwait F12 Fmonths
Fbefore Fthey Fcan Fapply Ffor Fcoverage Funder FMedicare. F
b. F
Individuals Freceiving Fsuch Fdisability Fpayments Ffrom Fthe FSocial FSecurity FAdministration
Fcontinue Fto Freceive Fthose Fpayments Fbut Fonly Fbecome Feligible Ffor FMedicare Fupon Freaching Fage
F65.
c. F
