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

Creditable coverage for Part D means the drug coverage is expected to pay at least as much as Medicare's standard prescription drug benefit.

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

Simply wanting a lower-premium plan is not a qualifying event for an SEP; specific life events must trigger eligibility.

Question 3

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

Accepted Answer

Paying Medicare premiums, deductibles, and cost-sharing

Answer

Medicare Savings Programs help low-income individuals pay for Medicare premiums, deductibles, coinsurance, and copayments.

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

Medicare covers SNF days 1–20 at 100%; days 21–100 require a daily coinsurance payment; after 100 days, Medicare pays nothing.

Question 5

Which Medicare part is often called 'Original Medicare'?

Accepted Answer

Part A and Part B combined

Answer

Original Medicare refers to the combination of Part A (hospital) and Part B (medical) coverage administered by the federal government.

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