AHIP Final Exam Questions and
Verified Answers Practice Pack
(LATEST UPDATE),
ACTUAL EXAM/TEST
QUESTIONS AND 100%
VERIFIED ANSWERS | A+
GRADE
,Question 1:
Melissa Meadows is a marketing representative for best care which has
recently introduced a Medicare advantage plan offerInG comprehensive
dental benefits for $15 per month. Best Care has not submitted any
potential posts to CMS for approval. Melissa would like to use the power
of social media to reach potential prospects. What advice would you
give her?
Correct Answer:
If permitted under the terms of her contract, agent Meadows could post a tweet stating that 'best care offers an array
of Medicare advantage benefit packages. One might be right for you. Call me to find out more!'
Question 2:
Phiona works in the IT Department of BestCare Health Plan. Phiona is
placed in charge of BestCare's efforts to facilitate electronic enrollment
in its Medicare Advantage plans. In setting up the enrollment site, which
of the following must Phiona consider?
I. If a legal representative is completing an electronic enrollment request, he or she must first upload
proof of his or her authority.
II. All data elements required to complete an enrollment request must be captured.
III. The process must include a clear and distinct step that requires the applicant to activate an
"Enroll Now" or "I Agree" type of button or tool.
IV. The mechanism must capture an accurate time and date stamp at the time the applicant enters
the online site.
Correct Answer:
II, III, & IV only
Question 3:
Mr. Garcia was told he qualifies for a Special Election Period (SEP), but
he lost the paper that explains what he could do during the SEP. What
can you tell him?
Correct Answer:
If the SEP is for MA coverage, he will generally have one opportunity to change his MA coverage
, Question 4:
Mrs. Davenport enrolled in the ABC Medicare advantage (MA) plan
several years ago. In mid February 2021, her doctor confirms a
diagnosis of end-stage renal disease (ESRD). What options will Mrs.
Davenport have regarding her MA plan during the next open enrollment
season?
Correct Answer:
She may remain in her ABC MA plan, enroll in another MA plan in her service area, or enroll in a special-needs plan
(SNP) for individuals suffering from ESRD if one is available in her area
Question 5:
Mr. Ford enrolled in an MA-only plan in mid November during the Annual
Election Period. On December 1, he calls you up and says that he has
changed his mind and would like to enroll into an MA-PD plan. What
enrollment rules would apply in this case?
Correct Answer:
He can make as many enrollment changes as he likes during the annual election period And the last choice made
prior to the end of the period will be the effective one as of January 1
Question 6:
Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition. However,
she and her physicians feel that after her lengthy hospital stay she will
need a month or two of nursing and rehabilitative care. What should you
tell them about Original Medicare's coverage of care in a skilled nursing
facility?
Correct Answer:
Medicare will cover Mrs. Shields skill nursing services during the first 20 days of her stay, after which she would have
a copay until she has been in the facility for 100 days
Question 7:
Verified Answers Practice Pack
(LATEST UPDATE),
ACTUAL EXAM/TEST
QUESTIONS AND 100%
VERIFIED ANSWERS | A+
GRADE
,Question 1:
Melissa Meadows is a marketing representative for best care which has
recently introduced a Medicare advantage plan offerInG comprehensive
dental benefits for $15 per month. Best Care has not submitted any
potential posts to CMS for approval. Melissa would like to use the power
of social media to reach potential prospects. What advice would you
give her?
Correct Answer:
If permitted under the terms of her contract, agent Meadows could post a tweet stating that 'best care offers an array
of Medicare advantage benefit packages. One might be right for you. Call me to find out more!'
Question 2:
Phiona works in the IT Department of BestCare Health Plan. Phiona is
placed in charge of BestCare's efforts to facilitate electronic enrollment
in its Medicare Advantage plans. In setting up the enrollment site, which
of the following must Phiona consider?
I. If a legal representative is completing an electronic enrollment request, he or she must first upload
proof of his or her authority.
II. All data elements required to complete an enrollment request must be captured.
III. The process must include a clear and distinct step that requires the applicant to activate an
"Enroll Now" or "I Agree" type of button or tool.
IV. The mechanism must capture an accurate time and date stamp at the time the applicant enters
the online site.
Correct Answer:
II, III, & IV only
Question 3:
Mr. Garcia was told he qualifies for a Special Election Period (SEP), but
he lost the paper that explains what he could do during the SEP. What
can you tell him?
Correct Answer:
If the SEP is for MA coverage, he will generally have one opportunity to change his MA coverage
, Question 4:
Mrs. Davenport enrolled in the ABC Medicare advantage (MA) plan
several years ago. In mid February 2021, her doctor confirms a
diagnosis of end-stage renal disease (ESRD). What options will Mrs.
Davenport have regarding her MA plan during the next open enrollment
season?
Correct Answer:
She may remain in her ABC MA plan, enroll in another MA plan in her service area, or enroll in a special-needs plan
(SNP) for individuals suffering from ESRD if one is available in her area
Question 5:
Mr. Ford enrolled in an MA-only plan in mid November during the Annual
Election Period. On December 1, he calls you up and says that he has
changed his mind and would like to enroll into an MA-PD plan. What
enrollment rules would apply in this case?
Correct Answer:
He can make as many enrollment changes as he likes during the annual election period And the last choice made
prior to the end of the period will be the effective one as of January 1
Question 6:
Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition. However,
she and her physicians feel that after her lengthy hospital stay she will
need a month or two of nursing and rehabilitative care. What should you
tell them about Original Medicare's coverage of care in a skilled nursing
facility?
Correct Answer:
Medicare will cover Mrs. Shields skill nursing services during the first 20 days of her stay, after which she would have
a copay until she has been in the facility for 100 days
Question 7:
