AHIP TRAINING Module 1
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 Pa
...
AHIP TRAINING Module 1
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 US.
(Medicare Entitlement Part A) - ✔✔Most individuals who are citizens and over age 65
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.
BAUER is 49 years old, but eighteen months ago was declared disabled by the SSA
and has been receiving disability payments. He is wonder whether he can obtain
coverage under Medicare.
(Medicare Entitlement Part B) - ✔✔After receiving such disability payments for 24
months, he WILL BE AUTOMATICALLY enrolled in Medicare, regardless of age.
DAVIS is 49 years old and has been receiving disability benefits from SSA for 12
months. Can you sell him a MA or Part D Rx policy?
(Medicare Entitlement Part B: Medicare Eligibility Part C/D) - ✔✔NO, he can't purchase
a MA or Part D policy because he has NOT received SSA or RR disability benefits for
24 months.
HENDERSON believes that she will qualify for Medicare coverage when she turns 65,
without paying any premiums, because she has been working for 40 years and paying
Medicare taxes.
(Medicare Premiums for Part B) - ✔✔In order to obtain Part B coverage, she must pay a
STANDARD MONTHLY premium , though it is HIGHER for individuals with higher
income.
DIAZ continued working wit his company and was insured under his employer's group
plan until he reached 68. He has heard that there is a premium penalty for those who
did not sign up for Part B when first eligible and wants to know how much he will have to
pay.
(Medicare Premiums Part B) - ✔✔Mr. Diaz will not pay any penalty because he had
continuous coverage under his employer's plan.
PENA 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.
(Medicare Premiums for Part B) - ✔✔She MAY enroll at any time while she is covered
under her employer plan, but she will have a special eight-month enrollment period that
differs from the standard general enrollment period, during which she may enroll in
Medicare Part B.KELLY is entitled to Part A, but is not yet enrolled in Part B. She is considering
enrollment in a Medicare health plan. What should you advise her to do before she will
be able to enroll into a Medicare health plan?
(Medicare Eligibility) - ✔✔In order to joint a Medicare health plan, she also MUST enroll
in Part B
TOMA has a low, fixed income. What could you tell her that might be of assistance?
(help for individuals with Limited Income/Resources) - ✔✔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.
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