AHIP FINAL EXAM (ACTUAL TEST) GRADED A Latest Update

Mr. Davis is 52 years old and has recently been diagnosed with endstage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should
you tell him? Correct Ans - He may sign-up for Medicare at any
time however coverage usually begins on the fourth month after
dialysis treatments start.
Juan Perez, who is turning age 65 next month, intends to work for
several more years at Smallcap, Incorporated. Smallcap has a
workforce of15 employees and offers employer-sponsored
healthcare coverage. Juan is a naturalized citizen and has
contributed to the Medicare system for over 20 years. Juan asks you
if he will be entitled to Medicare and if he enrolls how that will
impact his employer-sponsored healthcare coverage. How would you
respond? Correct Ans - Juan is likely to be eligible for Medicare
once he turns age 65 and if he enrolls Medicare would become the
primary payor of his healthcare claims and Smallcap does not have
to continue to offer him coverage comparable to those under age 65
under its employer-sponsored group health plan.
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? Correct 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.
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? Correct Ans - She may enroll at any time while she is
covered under her employer plan, but she will have a special eightmonth enrollment period after the last month on her employer plan
that differs from the standard general enrollment period, during
AHIP FINAL EXAM (ACTUAL TEST)
which she may enroll in Medicare Part B.