AHIP MODULE 1 ACTUAL EXAM COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

AHIP MODULE 1 ACTUAL EXAM 2023-2024

COMPLETE 100 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES|ALREADY

GRADED A+

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? - ANSWER- 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? - ANSWER- 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? - ANSWER- 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? - ANSWER- 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. Turner is comparing her employer's retiree insurance to Original

Medicare and would like to know which of the following services

Original Medicare will cover if the appropriate criteria are met? What

could you tell her? - ANSWER- a. Original Medicare covers ambulance

services. Correct

Mrs. Wolf wears glasses and dentures and has enjoyed considerable pain

relief from arthritis through acupuncture. She is concerned about

whether or not Medicare will cover these items and services. What

should you tell her? - ANSWER- c. Medicare does not cover

acupuncture, or, in general, glasses or dentures. Correct

Mr. Singh would like drug coverage, but does not want to be enrolled

into a health plan. What should you tell him? - ANSWER- b. Mr. Singh

can enroll in a stand-alone prescription drug plan and continue to be

covered for Part A and Part B services through Original Fee-for-Service

Medicare. Correct

Mr. Alonso receives some help paying for his two generic prescription

drugs from his employer's retiree coverage, but he wants to compare it to

a Part D prescription drug plan. He asks you what costs he would

generally expect to encounter when enrolling into a standard Medicare

Part D prescription drug plan. What should you tell him? - ANSWER- b.

He generally would pay a monthly premium, annual deductible, and perprescription cost sharing. Correct

Mrs. Geisler's neighbor told her she should look at her Part D options

during the annual Medicare enrollment period because features of Part D

might have changed. Mrs. Geisler can't remember what Part D is so she

called you to ask what her neighbor was talking about. What could you

tell her? - ANSWER- c. Part D covers prescription drugs and she should

look at her premiums, formulary, and cost sharing among other factors

to see if they have changed. Correct

Mrs. Paterson is concerned about the deductibles and co-payments

associated with Original Medicare. What can you tell her about Medigap

as an option to address this concern? - ANSWER- a. Medigap plans help

beneficiaries cover coinsurance, co-payments, and/or deductibles for

medically necessary services. Correct

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. 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? 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