Medicare Basics and Eligibility Flashcards
6 cards from real AHIP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Medicare Basics and Eligibility flashcards as text
What is a 'creditable coverage' in the context of Medicare Part D?
Answer: Drug coverage at least as good as Medicare's standard benefit
Creditable coverage for Part D means the drug coverage is expected to pay at least as much as Medicare's standard prescription drug benefit.
Which of the following is NOT a qualifying reason for a Special Enrollment Period (SEP)?
Answer: Wanting to switch to a lower-premium plan
Simply wanting a lower-premium plan is not a qualifying event for an SEP; specific life events must trigger eligibility.
What does the Medicare Savings Program (MSP) help low-income beneficiaries with?
Answer: Paying Medicare premiums, deductibles, and cost-sharing
Medicare Savings Programs help low-income individuals pay for Medicare premiums, deductibles, coinsurance, and copayments.
Under Medicare, how many days does a beneficiary have coinsurance responsibility in a skilled nursing facility (SNF) after the initial covered days?
Answer: Days 1–20 are free; days 21–100 require coinsurance
Medicare covers SNF days 1–20 at 100%; days 21–100 require a daily coinsurance payment; after 100 days, Medicare pays nothing.
Which Medicare part is often called 'Original Medicare'?
Answer: Part A and Part B combined
Original Medicare refers to the combination of Part A (hospital) and Part B (medical) coverage administered by the federal government.
Medigap (Medicare Supplement Insurance) policies can be sold to cover gaps in:
Answer: Original Medicare (Parts A and B) only
Medigap policies are designed to cover cost-sharing gaps in Original Medicare (Parts A and B) and cannot be used with Medicare Advantage.