AHIP 2024 Final Exam Test Updated Questions and Answers (Verified Answers)

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2024 AHIP Final Exam Updated Test Questions and Answers

(Verified Answers)

1. 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 hisMedicare coverage will continue, what should you say

ANS Individuals eligible forMedicare based on ESRD generally lose eligibility 36

months after the month in which the individual receives a kidney transplant unless

they are eligible for Medicareon another basis such as age or disability. Edward

may, however, remain enrolled inPart B but solely for coverage of

immunosuppressive drugs if he has no other healthcare coverage that would cover

the drugs.

2. Mildred Savage enrolled in Allcare Medicare Advantage plan several years

ago. Mildred recently learned that she is suffering from inoperable cancer andhas just a few months to live. She would like to spend these final months in

hospice care. Mildred's family asks you whether hospice benefits will be paidfor under the Allcare Medicare Advantage plan.What should you say

ANS Mildredmay remain enrolled in Allcare and make a hospice election. Hospice benefits will be paid for by Original Medicare under Part A and Allcare will continue

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to pay for any non-hospice services.

3. 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 andwants to know how much he will have to pay. What should you tell him

ANS Mr. Diaz will not pay any penalty because he had continuous coverage

under his employer's plan.

4. 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

ANS 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 services that Medicare does not cover.

5. 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 concernedthat she will not qualify for coverage under part A because she was not born inthe United States. What should you tell her

ANS Most individuals who are citizens and age 65 or over are covered under PartA by virtue of having paid Medicare taxes while working, though some may be

covered as a result of paying monthly premiums.

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6. Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social Security Administration and has been receiving disability

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payments. He is wondering whether he can obtain coverage under Medicare.What should you tell him

ANS After receiving such disability payments for 24 months,he will be automaticallyenrolled in Medicare, regardless of age.

7. Mr. Xi will soon turn age 65 and has come to you for advice as to what

services are provided under Original Medicare.What should you tell Mr. Xi thatbest describes the health coverage provided to Medicare beneficiaries

ANS Ben-eficiaries under Original Medicare have no cost-sharing for most

preventive serviceswhich include immunizations such as annual flu shots.

8. Mrs. PeHa is 66 years old, has coverage under an employer plan, and will retirnext year. She heard she must enroll in Part B at the beginning of the year toensure no gap in coverage. What can you tell her

ANS 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.

9. Mr. Davis 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

ANS He may sign-up for Medicare at any time however coverage usually begins

on the fourth month afterdialysis treatments start.