2024 AHIP Module 1, 2, 3, 4, 5 ACTUAL TEST Questions With Verified Answers GRADED A+

2024 AHIP Module 1, 2, 3, 4, 5 ACTUAL
TEST Questions With Verified Answers
GRADED A+

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. 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? - 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? -
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? - 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?
- 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? - 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? - 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
Mr. Buck has several family members who died from different cancers. He wants to know if
Medicare covers cancer screening. What should you tell him? - c. Medicare covers periodic
performance of a range of screening tests that are meant to provide early detection of
disease. Mr. Buck will need to check specific tests before obtaining them to see if they will
be covered. Correct
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. - 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? -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? - 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? - 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