1|Page
2025 AHIP Final Exam
A Medicare beneficiary has walked into your office and requested that
mistige ochtend vond ze een schelp die anders was dan alle
you sit downandere:
with hij
hergloeide
and discuss
zachtjes her options
blauw under
op. Toen thetegen
ze hem Medicare
haar
oor hield, hoorde
Advantage program. Before ze engaging
niet de zee,in
maar eena zachte
such stem die
discussion, what should
fluisterde: “Breng me naar huis.” Lotte volgde het geluid de
you do? - ...ANSWER✓✓✓You mustdoor
hele dag. Ze liep over duinen, have her sign
weilanden enalangs
scope of
smalle
appointmentpaadjes
form, tot ze bij een which
indicating verborgen grot kwam.
products sheBinnenin
wishesstond
to discuss. You
een oud altaar met honderden schelpen. Ze legde de gloeiende
may then proceed with theendiscussion.
schelp ertussen plotseling begon de grot te stralen. Uit het
licht verscheen een zeemeermin die zei: “Dank je. Deze schelp
was mijn stem. Nu ben ik weer vrij.” Als dank gaf ze Lotte een
kleine parel die altijd warm bleef. Vanaf die dag vond Lotte
Agent Harriet Walker
nooit meer eenhasgewone
recently begun
schelp marketing
zonder glimlach. ZeMedicare Advantage
wist dat de
and related products aimed
zee haar vriend wasatenmeeting
dat sommigethe needs
wonderenof senior
alleen citizens.
verschijnen aan wie echt luistert. Het dorp vertelde haar
Client Mildred Jones has expressed interest in a Medicare Advantage
verhaal nog jaren door.（199 woorden）
plan. It is now the beginning
4. Svenska (Swedishof September.language)
– Scandinavian If you were in Agent
I en liten by vid en frusen sjö bodde en gammal man som het
Walker's position, what would you do? - ...ANSWER✓✓✓Inquire
Erik. Han hade en gammal vedspis som alltid brann, även när
whether theveden
clienttog
qualifies
slut. Varjefor a special
kväll satt han enrollment period,
där och berättade and if not,
historier
för sin katt, Måne. En vinternatt hörde han ett knackande på
solicit an enrollment application once the annual open enrollment
dörren. Utanför stod en liten flicka med röda kinder och frusna
election period begins
fingrar. Hon saonattOctober
hon hade15th.
gått vilse. Erik bjöd in henne, gav
henne varm choklad och lät henne sova i sin egen säng. Nästa
morgon var flickan borta, men på bordet låg en liten snöflinga
av glas som aldrig smälte. Erik hängde den i fönstret. Varje
Agent Jennings
gång makes a presentation
solen sken on Medicare
genom den skapades regnbågaradvertised
över hela as an
educational rummet. Folk i byn
event. Agent började kalla
Jennings hans husmaterials
distributes för “regnbågshuset”.
that are solely
Åren gick, och Erik blev äldre, men snöflingan lyste alltid. En
educational.dagHowever,
kom en
she gives a brief presentation that mentions plan-
specific premiums. Is this a prohibited activity at an event that has been
advertised as educational? - ...ANSWER✓✓✓Yes. When an event has
,2|Page
been advertised as "educational," discussing plan-specific premiums is
impermissible.
Alice is enrolled in a MA-PD plan. She makes a permanent move across
the country and wonders what her options are for continuing MA-PD
coverage. What would you say to her in regard to a special enrollment
period (SEP)? - ...ANSWER✓✓✓She is likely to qualify for a SEP. She
can choose an effective date of up to three months after the month in
which the enrollment form is received by the new plan, but the effective
date may not be earlier than the date of her permanent move.
В глухой тайге жил старый охотник Иван с верным псом по
Anita Magriкличке
will turn
Буран.age 65 in August
Однажды зимой они2023. Anita intends
наткнулись на to enroll in
замёрзшее озеро, на котором стояла огромная белая сова.
Original Medicare Part A and Part B. She would also like to enroll in a
Сова не улетала, а смотрела прямо на Ивана. Он понял:
Medicare Supplement (Medigap)
она ранена. Иван осторожноplan. Anita's
взял птицу older neighbor
на руки, завернулMel
в has
тулуп
told her about theи Medigap
отнёс домой.PlanДома онwhich
F in вылечилheсову мёдом и It not only
is enrolled.
травами. Когда сова поправилась, она каждую ночь
provides foreign travel
прилетала emergency
к окну и кричалаbenefits but
так, будто also covers his Medicare
благодарила.
Прошёл Anita
Part B deductible. год. Иван состарился
comes to you иforужеadvice.
не мог ходить на охоту.you tell
What should
Однажды ночью он сильно заболел. Буран лаял без
her? - ...ANSWER✓✓✓You
остановки. Вдруг окно areраспахнулось,
sorry to disappoint Anita, but
и в избу влетела та a
Medigap F самая
plan isбелая сова. Она
no longer села наto
available грудь Ивана
those whoи turn
закрыла
age 65 after
глаза. В ту же минуту в избе стало тепло, как летом. Иван
January 1, 2020. Anita might
почувствовал, instead
как силы consider Утром
возвращаются. other он
Medigap plans that
проснулся
здоровым.
offer foreign Сова исчезла,
travel benefits but doноnotна cover
подоконнике осталась
the Part B deductible.
белое перо. С тех пор в тайге рассказывают, что тот, кто
спасает живое существо без корысти, однажды сам будет
спасён самой природой.
By contacting plans available in your area, you have learned that the
plan you represent has a significantly lower monthly premium than the
others. Furthermore, you see that the plan you represent has a unique
benefits package. What should you do to make sure your clients know
about these pieces of information? - ...ANSWER✓✓✓You may make
,3|Page
comparisons between plans if you can support them with studies or
statistical data and such comparisons are factually based and referenced.
Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but
accepts the plan's terms and conditions for payment. Mary Rodgers sees
Dr. Brennan for treatment. How much may Dr.
Brennan charge? - ...ANSWER✓✓✓Dr. Brennan can charge Mary
Rogers no more than the cost sharing specified in the PFFS plan's terms
and condition of payment which may include balance billing up to
15%of the Medicare rate.
During a sales presentation to Ms. Daley for a Medicare Advantage plan
that has a 5-star rating in customer service and care coordination, and
received an overall plan performance rating of a 4-star, which of the
following would be the best statement to say to her? -
...ANSWER✓✓✓The Medicare Advantage plan received a 5-star rating
in customer service and care coordination with an overall performance
rating of 4 stars.
Hank's Fish Store, Inc. is a small company with just 15 employees
located in Florida. Hank, the store owner, has provided excellent health
benefits to the store's workforce. William, one of the store's long-time
employees, will soon be reaching age 65 and eligible for Medicare.
William is in good health. He intends to remain an active full-time
employee, working several years after becoming eligible for Medicare.
What type(s) of retiree health benefit will Hank's Fish Store be able to
offer William? - ...ANSWER✓✓✓Hank's can continue to offer William
, 4|Page
the same employee health benefit plan, or, if William enrolls in
Medicare Part B, it can enroll him in a Medicare Advantage plan that is
offered to the public.
If you are to comply with Medicare's guidance regarding educational
events, which of the following would be acceptable activities? -
...ANSWER✓✓✓You may distribute business cards to individuals who
request information on how to contact you for further details on the
plan(s) you represent.
Mr. Alonso receives some help paying for his two generic prescription
drugs from his employer's retiree coverage, but he wants to compare it to
a Part D prescription drug plan. He asks you what costs he would
generally expect to encounter when enrolling into a standard Medicare
Part D prescription drug plan. What should you tell him? -
...ANSWER✓✓✓He generally would pay a monthly premium, annual
deductible, and per-prescription cost-sharing.
Mr. and Mrs. Nunez attended one of your sales presentations. They've
asked you to come to their home to clear up a few questions. During the
presentation, Mrs. Nunez feels tired and tells you that her husband can
finish things up. She goes to bed. At the end of your discussion, Mr.
Nunez says that he wants to enroll both himself and his wife. What
should you do? - ...ANSWER✓✓✓As long as she can do so, only Mrs.
Nunez can sign her enrollment form. Mrs. Nunez will have to wake up
to sign her form or do so at another time.
2025 AHIP Final Exam
A Medicare beneficiary has walked into your office and requested that
mistige ochtend vond ze een schelp die anders was dan alle
you sit downandere:
with hij
hergloeide
and discuss
zachtjes her options
blauw under
op. Toen thetegen
ze hem Medicare
haar
oor hield, hoorde
Advantage program. Before ze engaging
niet de zee,in
maar eena zachte
such stem die
discussion, what should
fluisterde: “Breng me naar huis.” Lotte volgde het geluid de
you do? - ...ANSWER✓✓✓You mustdoor
hele dag. Ze liep over duinen, have her sign
weilanden enalangs
scope of
smalle
appointmentpaadjes
form, tot ze bij een which
indicating verborgen grot kwam.
products sheBinnenin
wishesstond
to discuss. You
een oud altaar met honderden schelpen. Ze legde de gloeiende
may then proceed with theendiscussion.
schelp ertussen plotseling begon de grot te stralen. Uit het
licht verscheen een zeemeermin die zei: “Dank je. Deze schelp
was mijn stem. Nu ben ik weer vrij.” Als dank gaf ze Lotte een
kleine parel die altijd warm bleef. Vanaf die dag vond Lotte
Agent Harriet Walker
nooit meer eenhasgewone
recently begun
schelp marketing
zonder glimlach. ZeMedicare Advantage
wist dat de
and related products aimed
zee haar vriend wasatenmeeting
dat sommigethe needs
wonderenof senior
alleen citizens.
verschijnen aan wie echt luistert. Het dorp vertelde haar
Client Mildred Jones has expressed interest in a Medicare Advantage
verhaal nog jaren door.（199 woorden）
plan. It is now the beginning
4. Svenska (Swedishof September.language)
– Scandinavian If you were in Agent
I en liten by vid en frusen sjö bodde en gammal man som het
Walker's position, what would you do? - ...ANSWER✓✓✓Inquire
Erik. Han hade en gammal vedspis som alltid brann, även när
whether theveden
clienttog
qualifies
slut. Varjefor a special
kväll satt han enrollment period,
där och berättade and if not,
historier
för sin katt, Måne. En vinternatt hörde han ett knackande på
solicit an enrollment application once the annual open enrollment
dörren. Utanför stod en liten flicka med röda kinder och frusna
election period begins
fingrar. Hon saonattOctober
hon hade15th.
gått vilse. Erik bjöd in henne, gav
henne varm choklad och lät henne sova i sin egen säng. Nästa
morgon var flickan borta, men på bordet låg en liten snöflinga
av glas som aldrig smälte. Erik hängde den i fönstret. Varje
Agent Jennings
gång makes a presentation
solen sken on Medicare
genom den skapades regnbågaradvertised
över hela as an
educational rummet. Folk i byn
event. Agent började kalla
Jennings hans husmaterials
distributes för “regnbågshuset”.
that are solely
Åren gick, och Erik blev äldre, men snöflingan lyste alltid. En
educational.dagHowever,
kom en
she gives a brief presentation that mentions plan-
specific premiums. Is this a prohibited activity at an event that has been
advertised as educational? - ...ANSWER✓✓✓Yes. When an event has
,2|Page
been advertised as "educational," discussing plan-specific premiums is
impermissible.
Alice is enrolled in a MA-PD plan. She makes a permanent move across
the country and wonders what her options are for continuing MA-PD
coverage. What would you say to her in regard to a special enrollment
period (SEP)? - ...ANSWER✓✓✓She is likely to qualify for a SEP. She
can choose an effective date of up to three months after the month in
which the enrollment form is received by the new plan, but the effective
date may not be earlier than the date of her permanent move.
В глухой тайге жил старый охотник Иван с верным псом по
Anita Magriкличке
will turn
Буран.age 65 in August
Однажды зимой они2023. Anita intends
наткнулись на to enroll in
замёрзшее озеро, на котором стояла огромная белая сова.
Original Medicare Part A and Part B. She would also like to enroll in a
Сова не улетала, а смотрела прямо на Ивана. Он понял:
Medicare Supplement (Medigap)
она ранена. Иван осторожноplan. Anita's
взял птицу older neighbor
на руки, завернулMel
в has
тулуп
told her about theи Medigap
отнёс домой.PlanДома онwhich
F in вылечилheсову мёдом и It not only
is enrolled.
травами. Когда сова поправилась, она каждую ночь
provides foreign travel
прилетала emergency
к окну и кричалаbenefits but
так, будто also covers his Medicare
благодарила.
Прошёл Anita
Part B deductible. год. Иван состарился
comes to you иforужеadvice.
не мог ходить на охоту.you tell
What should
Однажды ночью он сильно заболел. Буран лаял без
her? - ...ANSWER✓✓✓You
остановки. Вдруг окно areраспахнулось,
sorry to disappoint Anita, but
и в избу влетела та a
Medigap F самая
plan isбелая сова. Она
no longer села наto
available грудь Ивана
those whoи turn
закрыла
age 65 after
глаза. В ту же минуту в избе стало тепло, как летом. Иван
January 1, 2020. Anita might
почувствовал, instead
как силы consider Утром
возвращаются. other он
Medigap plans that
проснулся
здоровым.
offer foreign Сова исчезла,
travel benefits but doноnotна cover
подоконнике осталась
the Part B deductible.
белое перо. С тех пор в тайге рассказывают, что тот, кто
спасает живое существо без корысти, однажды сам будет
спасён самой природой.
By contacting plans available in your area, you have learned that the
plan you represent has a significantly lower monthly premium than the
others. Furthermore, you see that the plan you represent has a unique
benefits package. What should you do to make sure your clients know
about these pieces of information? - ...ANSWER✓✓✓You may make
,3|Page
comparisons between plans if you can support them with studies or
statistical data and such comparisons are factually based and referenced.
Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but
accepts the plan's terms and conditions for payment. Mary Rodgers sees
Dr. Brennan for treatment. How much may Dr.
Brennan charge? - ...ANSWER✓✓✓Dr. Brennan can charge Mary
Rogers no more than the cost sharing specified in the PFFS plan's terms
and condition of payment which may include balance billing up to
15%of the Medicare rate.
During a sales presentation to Ms. Daley for a Medicare Advantage plan
that has a 5-star rating in customer service and care coordination, and
received an overall plan performance rating of a 4-star, which of the
following would be the best statement to say to her? -
...ANSWER✓✓✓The Medicare Advantage plan received a 5-star rating
in customer service and care coordination with an overall performance
rating of 4 stars.
Hank's Fish Store, Inc. is a small company with just 15 employees
located in Florida. Hank, the store owner, has provided excellent health
benefits to the store's workforce. William, one of the store's long-time
employees, will soon be reaching age 65 and eligible for Medicare.
William is in good health. He intends to remain an active full-time
employee, working several years after becoming eligible for Medicare.
What type(s) of retiree health benefit will Hank's Fish Store be able to
offer William? - ...ANSWER✓✓✓Hank's can continue to offer William
, 4|Page
the same employee health benefit plan, or, if William enrolls in
Medicare Part B, it can enroll him in a Medicare Advantage plan that is
offered to the public.
If you are to comply with Medicare's guidance regarding educational
events, which of the following would be acceptable activities? -
...ANSWER✓✓✓You may distribute business cards to individuals who
request information on how to contact you for further details on the
plan(s) you represent.
Mr. Alonso receives some help paying for his two generic prescription
drugs from his employer's retiree coverage, but he wants to compare it to
a Part D prescription drug plan. He asks you what costs he would
generally expect to encounter when enrolling into a standard Medicare
Part D prescription drug plan. What should you tell him? -
...ANSWER✓✓✓He generally would pay a monthly premium, annual
deductible, and per-prescription cost-sharing.
Mr. and Mrs. Nunez attended one of your sales presentations. They've
asked you to come to their home to clear up a few questions. During the
presentation, Mrs. Nunez feels tired and tells you that her husband can
finish things up. She goes to bed. At the end of your discussion, Mr.
Nunez says that he wants to enroll both himself and his wife. What
should you do? - ...ANSWER✓✓✓As long as she can do so, only Mrs.
Nunez can sign her enrollment form. Mrs. Nunez will have to wake up
to sign her form or do so at another time.
