AHIP Final Exam Test Questions and Answers-Latest2023/2024 (Verified Answers)Mr. Davis is 52 years old and has recently been diagnosed with end-stage renaldisease (ESRD) and will soon begin dialysis. He is wondering if he can obtaincoverage under Medicare. What should you tell him?✓He maysign-up forMedicareatanytimehowevercoverageusuallybeginsonthefourthmonthafterdialysistreatmentsstart.Juan Perez, who is turning age 65 next month, intends to work for several moreyears at Smallcap, Incorporated. Smallcap has a workforce of15 employees andoffers employer-sponsored healthcare coverage. Juan is a naturalized citizen andhas contributed to the Medicare system for over 20 years. Juan asks you if he willbe entitled toMedicare and if he enrolls how that will impact his employer-sponsoredhealthcarecoverage.Howwould yourespond?✓Juanislikelyto beeligible for Medicare once he turns age 65 and if he enrolls Medicare wouldbecome the primary payor of his healthcareclaims and Smallcap does not have tocontinue to offer him coverage comparable to those under age 65 under itsemployer-sponsored group health plan.Mr. Moy's wife has a Medicare Advantage plan,but he wants to understand whatcoverage Medicare Supplemental Insurance provides since his health care needsare different from his wife's needs. What could you tell Mr. Moy?✓MedicareSupplemental Insurancewould help cover his Part A and Part B deductibles orcoinsuranceinOriginalFee-for-Service(FFS)Medicareaswellaspossiblysomeservicesthat Medicaredoesnot cover.Mrs.Peňa is 66yearsold,has coverageunderanemployerplan, andwillretirenextyear.Sheheardshemust enrollinPartBatthebeginningoftheyeartoensureno gap in coverage. What can you tell her?✓She may enroll at any time while sheis covered under her employer plan, but she will have a special eight-monthenrollment period after the last month on her employer plan that differs from thestandard generalenrollment period, during which she may enroll in Medicare PartB.Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employedfull time, and paid taxes during that entire period. She is concerned that she willnot qualify for coverage under part A because she was not born in the UnitedStates.Whatshould you tell her?✓Mostindividualswho arecitizens andage65Preview Mode
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