AHIP FINAL EXAM 2021/2022 Questions and Answers

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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? Choose one answer. a. Part D, which covers pr... escription drug services, is covered under Original Medicare. Incorrect b. 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 Correct: Original Medicare consists of Part A and Part B. c. Part A, which covers long term custodial care services, is covered under Original Medicare. Incorrect d. Part C, which always covers dental and vision services, is covered under Original Medicare. Incorrect Source: Part 1, Slide – Overview of Medicare (Parts A, B, C, and D), Slide – Overview of Different Ways to Get Medicare Correct Marks for this submission: 1/1. Question2 Marks: 1 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? Choose one answer. a. Original Medicare covers cosmetic surgery. Incorrect b. Original Medicare covers routine long-term custodial care. Incorrect c. Original Medicare covers routine dental care. Incorrect d. Original Medicare covers ambulance services. Correct Correct: Original Medicare does cover ambulance services. Source: Module 1, Slide - Other Part B Items and Services and Not Covered by Medicare Part A & B Correct Marks for this submission: 1/1. Question3 Marks: 1 Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern? Choose one answer. AHIP FINAL EXAM 2021/2022 Questions and Answers a. Medicare is a program for people who have incomes and assets below specific limits, so you will have to find out her exact financial situation before telling her whether she can obtain Medicare coverage. Incorrect b. Medicare is a program for people of all ages with specific mental health disabilities. Since she is in excellent health, she would not qualify, but should instead look into her state’s Medicaid program if she wants further coverage. Incorrect c. Medicare is a program for people age 65 or older and those under age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig’s disease so she will be eligible for Medicare. Correct Correct: Individuals that meet these criteria may be eligible to participate in Medicare. It is not based on income. d. Eligibility for Medicare is based on whether or not a person has ever been employed by the federal government. If she or her husband were ever employed by the federal government, she can enroll in Medicare. Incorrect Source: Module 1, Slide - Eligibility for Part A and Part B Correct Marks for this submission: 1/1. Question4 Marks: 1 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? Choose one answer. a. Medicare Supplemental Insurance would help cover his Part A and Part B cost sharing in Original Fee-for-Service (FFS) Medicare as well as possibly some services that Medicare does not cover. Correct Correct: Medicare Supplement Insurance (Medigap) helps to cover Part A and Part B costsharing in Original Medicare as well as possibly offering some services such as medical care when a beneficiary travels outside the United States. b. Medicare Supplemental Insurance would cover his dental, vision and hearing services only. Incorrect c. Medicare Supplemental Insurance would cover all of his IRS approved health care expenditures not covered under Original Fee-for-Service (FFS) Medicare. Incorrect d. Medicare Supplemental Insurance would cover his long-term care services. Incorrect Source: Module 1, Slide - Medigap (Medicare Supplement Insurance) Correct Marks for this submission: 1/1. Question5 Marks: 1 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? Choose one answer. a. Part D covers hospital and home health services and the cost sharing has changed this year. Incorrect b. Part D covers prescription drugs and she should look at her premiums, formulary, and costsharing among other factors to see if they have changed. Correct Correct: Part D provides prescription drug coverage. Premiums, plan formularies, and costsharing, among other factors, may change from one plan year to another. c. Part D covers physician and non-physician practitioner services and the deductible has not changed this year, but the physician charges may go up. Incorrect d. Part D covers long-term care services and she shouldn’t worry because there has been no change in coverage. Incorrect Source: Module 1, Slide - Original Medicare and Part D Prescription Drug Coverage Correct Marks for this submission: 1/1. Question6 Marks: 1 Anita Magri will turn age 65 in August 2020. Anita intends to enroll in Original Medicare Part A and Part B. She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita’s older neighbor Mel has told her about the Medigap Part F plan in which he is enrolled. It not only provides foreign travel emergency benefits but also covers his Medicare Part B deductible. Anita comes to you for advice. What should you tell her? Choose one answer. a. You would be happy to help Anita enroll in a Medigap plan but before she can do so, she must also enroll in a Medicare Part D prescription drug plan. Incorrect b. You are sorry to disappoint Anita but a Medigap Part F plan is no longer available to those who turn age 65 after January 1,2020. Anita might instead consider other Medigap plans that offer foreign travel benefits but do not cover the Part B deductible. Correct Correct: Individuals who attain age 65 on or after January 1, 2020 cannot purchase a Medigap plan that pays the Part B deductible. Generally, these are plans C, F, or high deductible F. Anita can still purchase a Medigap plan that provides foreign travel emergency benefits such as plan G. c. You would be happy to help Anita enroll in a Medigap Part F plan will provide foreign travel benefits as a well as cover her Part B deductible. Incorrect d. You are sorry to disappoint Anita but Medigap plans are no longer available to those who turn age 65 after January 1, 2020. Anita should instead consider a Medicare Advantage plan. Incorrect Source: Module 1, Slide - Further Information on Medigap (Medicare Supplement Insurance), Slide - Changes in Medigap for Individuals Who Become Eligible for Medicare After December 31, 2019, Slide - Medigap Plans and Medigap Plans, continued Correct Marks for this submission: 1/1. Question7 Marks: 1 What impact, if any, will recent regulatory changes have upon Medigap plans? Choose one answer. a. The Part B deductible will no longer be covered for individuals newly eligible for Medicare starting January 1, 2020. Correct Correct: Starting January 1, 2020, Medigap plans sold to individuals who are newly eligible to Medicare will not be allowed to cover the Part B deductible. If an individual already had one of the plans before January 1, 2020, they will be able to keep their plan. If an individual was eligible for Medicare before January 1, 2020, but not yet enrolled, his or she may be able to purchase one of these plans. b. The Part A deductible will no longer be covered for individuals newly eligible for Medicare starting January 1, 2020. Incorrect c. The Part A deductible is no longer covered under Medigap plans for all enrollees starting January 1, 2020. Incorrect d. The Part B deductible will be covered for some newly eligible individuals depending on their financial status. Incorrect Source: Module 1, Slide - Changes in Medigap for Individuals Eligible for Medicare after December 31, 2019 Correct Marks for this submission: 1/1. Question8 Marks: 1 Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently enrolled in Medicare Parts A and B. Jerry has also purchased a Medicare Supplement (Medigap) plan which he has had for several years. However, the plan does not provide drug benefits. How would you advise Agent John Miller to proceed? Choose one answer. a. Tell prospect Jerry Smith that he should drop his Medigap coverage and put those premium dollars toward the purchase of a standalone Part D prescription drug plan because he can always reactivate his Medigap policy on a guaranteed issue basis. Furthermore, because he has had Medigap Jerry will not incur a Part D late enrollment penalty. Incorrect b. Tell prospect Jerry Smith that Medigap is simply a variation of a Medicare Advantage plan and the companies John represents offer more comprehensive coverage for a lower price. Incorrect c. Tell prospect Jerry Smith that he should keep his Medigap plan but he should supplement his healthcare coverage by purchasing a Medicare Advantage plan that offers prescription drug coverage (MA-PD). Incorrect d. Tell prospect Jerry Smith that he should consider adding a standalone Part D prescription drug coverage policy to his present coverage. Correct Correct: Agent John Miller can help prospect Jerry select a standalone Part D prescription drug plan that complements his current Original Medicare and Medigap coverage. Alternatively, Agent Miller can suggest that Jerry drop his Medigap coverage and enroll in a MA-PD plan. Source: Module 1, Slide - Medigap (Medicare Supplement Insurance), Slide - Medigap is NOT Correct Marks for this submission: 1/1. Question9 Marks: 1 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 that best describes the health coverage provided to Medicare beneficiaries? [Show More]

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