AHIP Medicare Basics and Eligibility 3

Question 1

What is a 'creditable coverage' in the context of Medicare Part D?

Accepted Answer

Drug coverage at least as good as Medicare's standard benefit

Answer

Coverage with a lower premium than Medicare

Answer

Coverage from an employer that meets ACA standards

Answer

Any government-sponsored health plan

Question 2

Which of the following is NOT a qualifying reason for a Special Enrollment Period (SEP)?

Accepted Answer

Wanting to switch to a lower-premium plan

Answer

Moving out of a plan's service area

Answer

Losing employer-sponsored coverage

Answer

Qualifying for Extra Help (LIS)

Question 3

What does the Medicare Savings Program (MSP) help low-income beneficiaries with?

Accepted Answer

Paying Medicare premiums, deductibles, and cost-sharing

Answer

Paying for long-term care

Answer

Purchasing supplemental dental coverage

Answer

Reducing prescription drug costs only

Question 4

Under Medicare, how many days does a beneficiary have coinsurance responsibility in a skilled nursing facility (SNF) after the initial covered days?

Accepted Answer

Days 1–20 are free; days 21–100 require coinsurance

Answer

Days 1–10 are free; days 11–60 require coinsurance

Answer

All days require coinsurance

Answer

Only days after 100 require payment

Question 5

Which Medicare part is often called 'Original Medicare'?

Accepted Answer

Part A and Part B combined

Answer

Part C and Part D combined

Answer

Part B alone

Answer

Part A alone

Question 6

Medigap (Medicare Supplement Insurance) policies can be sold to cover gaps in:

Accepted Answer

Original Medicare (Parts A and B) only

Answer

Medicare Advantage plans

Answer

Medicare Part D only

Answer

Both Original Medicare and Medicare Advantage