AHIP MODULE 1 EXAM LATEST EXAM 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS (GRADED A+)

AHIP MODULE 1 EXAM LATEST EXAM 2024
WITH UPDATED QUESTIONS AND
DETAILED CORRECT ANSWERS (GRADED
A+)
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap
policy as well, but it provides no drug coverage. She would like to
keep the coverage she has, but replace her existing Medigap plan
with one that provides drug coverage. What should you tell her? -
ANSWER-a. Mrs. Gonzalez cannot purchase a Medigap plan that
covers drugs, but she could keep her Medigap policy and enroll in
a Part D prescription drug plan. Correct
Mr. Kelly has substantial financial means. He enrolled in Original
Medicare and purchased a Medigap policy many years ago that
offered prescription drug coverage. The prescription drug coverage
has not been comparable to that offered by Medicare Part D for
several years and despite notification, Mr. Kelly took no action.
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Which of the following statements best describes what will occur if
Mr. Kelly now decides to enroll in Medicare Part D? - ANSWER-a.
He will incur a late enrollment penalty. Correct
Mr. Capadona would like to purchase a Medicare Advantage (MA)
plan and a Medigap plan to pick up costs not covered by that
plan. What should you tell him? - ANSWER-b. It is illegal for you to
sell Mr. Capadona a Medigap plan if he is enrolled in an MA plan,
and besides, Medigap only works with Original Medicare.
Correct
What impact, if any, will the Medicare Access and CHIP
Reauthorization Act of 2015 (MACRA) have upon Medigap plans?
- ANSWER-d. The Part B deductible will no longer be covered for
individuals newly eligible for Medicare starting January 1, 2020.
Correct
Mr. Schmidt would like to plan for retirement and has asked you
what is covered under Original Fee-for-Service (FFS) Medicare?
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What could you tell him? - ANSWER-d. Part A, which covers
hospital, skilled nursing facility, hospice and home health services
and Part B, which covers professional services such as those
provided by a doctor are covered under Original Medicare.
Correct
Mr. Hernandez is concerned that if he signs up for a Medicare
Advantage plan, the health plan may, at some time in the future,
reduce his benefits below what is available in Original Medicare.
What should you tell him about his concern? - ANSWER-a.
Medicare health plans must cover all benefits available under
Medicare Part A and Part B. Many also cover Part D prescription
drugs. Correct
Mrs. Park is an elderly retiree. She has a low, fixed income. What
could you tell Mrs. Park that might be of assistance? - ANSWER- 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
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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? - ANSWER-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? - ANSWER-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
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over his lifetime, after which he would be responsible for all costs
Correct