AHIP 2024 Final Exam Test Questions and Answers

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

• Juan Perez, who is turning age 65 next month, intends to work for several

more years at Smallcap, Incorporated. Smallcap has a workforce of15 employ- ees 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

ANS Juanis likely to be eligible for Medicare once he turns age 65 and if he enrolls Medicarewould 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 itsemployer-sponsored group health plan.

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• Mr. Moy's wife has a Medicare Advantage plan, but he wants to under- 2 / 4

stand 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.

• Mrs. PeHa 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

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.

• 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

ANS Most individuals who are citizens and age 65 or over 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. 3 / 4

• 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

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