AHIP FINAL EXAM QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
TypesmofmMedicaremAdvantagemPlansm-mCORRECTmANSWERSmPPO,mHMO,mMSA,mCostmPlan,mPFFS
Medicare-Medicaidmplansm-
mCORRECTmANSWERSmServembothmMedicaremandmMedicaidmindividuals.mIncludemPartmDmcoverage.
mIndividualsmsometimesmreferredmtomasmdualmeligibles
MedicaremCostmPlanm-
mCORRECTmANSWERSmTypemofmMedicaremhealthmplan.mHavemPartmBmtomenroll.mCanmjoinmanytimemp
lanmismacceptingmnewmmembers.mAmnonmnetworkmprovidermwillmcanmchargemhighermcoinsurancesm
andmdeuctibles.mDifferentmenrollment/disenrollmentmperiodsmapply.mCanmgetmPartmDmRxmcoverage
mifmavailable,mormapplymformamseparatemPDP.
MedicaremEntitlement/Enrollmentm-mPartmAm&mPartmBm-
mCORRECTmANSWERSmIndividualsmwithmESRDmmaymsignmupmatmanytime.mDatemonmwhichmcoveragem
beginsmismthemfourthmmonthmaftermdialysismbegins.
MedicaremEnrollmentmPeriodm-
mCORRECTmANSWERSmIndividualsmwhomdomnotmenrollminmPartmBmwhenmfirstmeligiblemcanmenrollmdur
ingmamGeneralmEnrollmentmPeriod,mJanm1stmtomMarm31stmeachmyear.mCoveragembeginsmJulym1stmofmt
hatmyear.
MedicaremEnrollmentmPeriodm-mGroupmHealthmCoveragem-
mCORRECTmANSWERSmIndividualsmwhomhavemgroupmhealthmcoveagemthroughmemployermmaymenro
llminmPartmAmand/ormPartmBmanytimemwhilemonmgroupmcoveragemduringmamSpecialmEnrollmentmPerio
d.mOccursmduringmthem8mmonthmperiodmfollowingmlastmmonthmofmgroupmcoverage.
, MedicaremPartmAmPremiumm-
mCORRECTmANSWERSmFreemifmworkedm40mquartersmofmyourmlifemandmpaidmMedicaremtaxes.mPremiu
mmism$240.00mformindividualsmormspousesmwhompaidmMedicaremtaxesmform30m-
m39mquarters.mPremiummism$437.00mformlessmthanm30mquarters.
MedicaremPartmAmPenaltym-
mCORRECTmANSWERSmDon'tmenrollminmPartmAmwhenmfistmeligible,mwillmpaymamlatempenaltymofmupmtom
10%munlessmenrollmduringmamSpecialmEnrollmentmPeriod.
MedicaremPartmBmPremiumm-
mCORRECTmANSWERSmInm2019,mthemstandardmmonthlympremiummism$135.50mormhighermdepending
monmincome.mDeductedmfrommS.S.mcheckmormRailroadmRetirementmcheck.mDomnotmenrollmwhenmfirst
meligible,mpremiummismincreasedm10%mformeachm12mmonthmperiodmnotmenrolled.mDeductiblemform2
019mism$185.00
PartmCmMedicaremAdvantagemplansm-
mCORRECTmANSWERSmEntiledmtombenefitsmundermPartmAmANDmenrolledminmPartmB.
PartmDmPrescriptionmDrugmbenefitsm-
mCORRECTmANSWERSmEntitledmtombenefitsmundermPartmAmbutmnotmenrolledminmPartmB.mMustmbemen
titledmtomPartmAmAND/ORmenrolledminmPartmB.
PartmDmLowmIncomemSubsidym-
mCORRECTmANSWERSmDomnotmqualifymformPartmDmLowmIncomemSubsidy,mbutmaremofmlimitedmmeans
,mmaymqualifymformhelpminmPartmDmcostsmthroughmStatemPharmaceuticalmAssistancemProgram.
PartmAmBenefitsm-mCORRECTmANSWERSm$1364.00mdeductiblemformeachmbenefitmperiod.mDaysm1m-
m60:m$0mcoinsurance.mDaysm61m-
m90:m$341.00mcoinsurancempermday.mdaysm91mandmbeyond:m$682.00mcoinsurancempermeachm"lifeti
memreservemday"maftermdaym90mformeachmbenefitmperiodm(upmtom60mdaysmovermambeneficiarysmlifeti
me.mBeyondmlifetimemreservemdays,mallmcosts.
CORRECT ANSWERS 100% VERIFIED
GRADED A+
TypesmofmMedicaremAdvantagemPlansm-mCORRECTmANSWERSmPPO,mHMO,mMSA,mCostmPlan,mPFFS
Medicare-Medicaidmplansm-
mCORRECTmANSWERSmServembothmMedicaremandmMedicaidmindividuals.mIncludemPartmDmcoverage.
mIndividualsmsometimesmreferredmtomasmdualmeligibles
MedicaremCostmPlanm-
mCORRECTmANSWERSmTypemofmMedicaremhealthmplan.mHavemPartmBmtomenroll.mCanmjoinmanytimemp
lanmismacceptingmnewmmembers.mAmnonmnetworkmprovidermwillmcanmchargemhighermcoinsurancesm
andmdeuctibles.mDifferentmenrollment/disenrollmentmperiodsmapply.mCanmgetmPartmDmRxmcoverage
mifmavailable,mormapplymformamseparatemPDP.
MedicaremEntitlement/Enrollmentm-mPartmAm&mPartmBm-
mCORRECTmANSWERSmIndividualsmwithmESRDmmaymsignmupmatmanytime.mDatemonmwhichmcoveragem
beginsmismthemfourthmmonthmaftermdialysismbegins.
MedicaremEnrollmentmPeriodm-
mCORRECTmANSWERSmIndividualsmwhomdomnotmenrollminmPartmBmwhenmfirstmeligiblemcanmenrollmdur
ingmamGeneralmEnrollmentmPeriod,mJanm1stmtomMarm31stmeachmyear.mCoveragembeginsmJulym1stmofmt
hatmyear.
MedicaremEnrollmentmPeriodm-mGroupmHealthmCoveragem-
mCORRECTmANSWERSmIndividualsmwhomhavemgroupmhealthmcoveagemthroughmemployermmaymenro
llminmPartmAmand/ormPartmBmanytimemwhilemonmgroupmcoveragemduringmamSpecialmEnrollmentmPerio
d.mOccursmduringmthem8mmonthmperiodmfollowingmlastmmonthmofmgroupmcoverage.
, MedicaremPartmAmPremiumm-
mCORRECTmANSWERSmFreemifmworkedm40mquartersmofmyourmlifemandmpaidmMedicaremtaxes.mPremiu
mmism$240.00mformindividualsmormspousesmwhompaidmMedicaremtaxesmform30m-
m39mquarters.mPremiummism$437.00mformlessmthanm30mquarters.
MedicaremPartmAmPenaltym-
mCORRECTmANSWERSmDon'tmenrollminmPartmAmwhenmfistmeligible,mwillmpaymamlatempenaltymofmupmtom
10%munlessmenrollmduringmamSpecialmEnrollmentmPeriod.
MedicaremPartmBmPremiumm-
mCORRECTmANSWERSmInm2019,mthemstandardmmonthlympremiummism$135.50mormhighermdepending
monmincome.mDeductedmfrommS.S.mcheckmormRailroadmRetirementmcheck.mDomnotmenrollmwhenmfirst
meligible,mpremiummismincreasedm10%mformeachm12mmonthmperiodmnotmenrolled.mDeductiblemform2
019mism$185.00
PartmCmMedicaremAdvantagemplansm-
mCORRECTmANSWERSmEntiledmtombenefitsmundermPartmAmANDmenrolledminmPartmB.
PartmDmPrescriptionmDrugmbenefitsm-
mCORRECTmANSWERSmEntitledmtombenefitsmundermPartmAmbutmnotmenrolledminmPartmB.mMustmbemen
titledmtomPartmAmAND/ORmenrolledminmPartmB.
PartmDmLowmIncomemSubsidym-
mCORRECTmANSWERSmDomnotmqualifymformPartmDmLowmIncomemSubsidy,mbutmaremofmlimitedmmeans
,mmaymqualifymformhelpminmPartmDmcostsmthroughmStatemPharmaceuticalmAssistancemProgram.
PartmAmBenefitsm-mCORRECTmANSWERSm$1364.00mdeductiblemformeachmbenefitmperiod.mDaysm1m-
m60:m$0mcoinsurance.mDaysm61m-
m90:m$341.00mcoinsurancempermday.mdaysm91mandmbeyond:m$682.00mcoinsurancempermeachm"lifeti
memreservemday"maftermdaym90mformeachmbenefitmperiodm(upmtom60mdaysmovermambeneficiarysmlifeti
me.mBeyondmlifetimemreservemdays,mallmcosts.
