AHIP Final Exam Test Questions
with complete solution 2022/2023
(100% solved)
Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through acupuncture. She is concerned about whether or
not Medicare will cover these items and services. What should you tell her? -
Medicare does not cover acupuncture, or, in general, glasses or dentures.
Mr. Bickford did not quite qualify for the extra help low-income subsidy
under the Medicare Part D Prescription Drug program and he is wondering if
there is any other option he has for obtaining help with his considerable
drug costs. What should you tell him? - He could check with the
manufacturers of his medications to see if they offer an assistance program
to help people with limited means obtain the medications they need.
Alternatively, he could check to see whether his state has a pharmacy
assistance program to help him with his expenses.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you
represent. It is one of three plans operated by the same organization in Mr.
Lombardi's area. The MA PPO plan does not include drug coverage, but the
other two plans do. Mr. Lombardi likes the PPO plan that does not include
drug coverage and intends to obtain his drug coverage through a stand-
alone Medicare prescription drug plan. What should you tell him about this
situation? - He could enroll in one of the MA plans that include prescription
drug coverage or a Medigap plan and a stand-alone prescription drug plan,
but he cannot enroll in the MA-only PPO plan and a stand-alone prescription
drug plan.
Mr. Torres has a small savings account. He would like to pay for his monthly
Part D premiums with an automatic monthly withdrawal from his savings
account until it is exhausted, and then have his premiums withheld from his
Social Security check. What should you tell him? - In general, he must select
a single Part D premium payment mechanism that will be used throughout
the year.
Agent Jennings makes a presentation on Medicare advertised as an
educational event. Agent Jennings distributes materials that are solely
educational in nature. However, she gives a brief presentation that mentions
plan-specific premiums. Is this a prohibited activity at an event that has
been advertised as educational? - Yes. When an event has been advertised
as "educational," discussing plan-specific premiums is impermissible.
Mrs. Mulcahy is concerned that she may not qualify for enrollment in a
Medicare prescription drug plan because, although she is entitled to Part A,
This study source was downloaded by 100000852681095 from CourseHero.com on 11-26-2022 06:09:20 GMT -06:00
https://www.coursehero.com/file/169679044/AHIP-Final-Exam-Test-Questions-with-complete-solution-2022docx/
, she is not enrolled under Medicare Part B. What should you tell her? -
Everyone who is entitled to Part A or enrolled under Part B is eligible to enroll
in a Medicare prescription drug plan. As long
This study source was downloaded by 100000852681095 from CourseHero.com on 11-26-2022 06:09:20 GMT -06:00
https://www.coursehero.com/file/169679044/AHIP-Final-Exam-Test-Questions-with-complete-solution-2022docx/
with complete solution 2022/2023
(100% solved)
Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through acupuncture. She is concerned about whether or
not Medicare will cover these items and services. What should you tell her? -
Medicare does not cover acupuncture, or, in general, glasses or dentures.
Mr. Bickford did not quite qualify for the extra help low-income subsidy
under the Medicare Part D Prescription Drug program and he is wondering if
there is any other option he has for obtaining help with his considerable
drug costs. What should you tell him? - He could check with the
manufacturers of his medications to see if they offer an assistance program
to help people with limited means obtain the medications they need.
Alternatively, he could check to see whether his state has a pharmacy
assistance program to help him with his expenses.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you
represent. It is one of three plans operated by the same organization in Mr.
Lombardi's area. The MA PPO plan does not include drug coverage, but the
other two plans do. Mr. Lombardi likes the PPO plan that does not include
drug coverage and intends to obtain his drug coverage through a stand-
alone Medicare prescription drug plan. What should you tell him about this
situation? - He could enroll in one of the MA plans that include prescription
drug coverage or a Medigap plan and a stand-alone prescription drug plan,
but he cannot enroll in the MA-only PPO plan and a stand-alone prescription
drug plan.
Mr. Torres has a small savings account. He would like to pay for his monthly
Part D premiums with an automatic monthly withdrawal from his savings
account until it is exhausted, and then have his premiums withheld from his
Social Security check. What should you tell him? - In general, he must select
a single Part D premium payment mechanism that will be used throughout
the year.
Agent Jennings makes a presentation on Medicare advertised as an
educational event. Agent Jennings distributes materials that are solely
educational in nature. However, she gives a brief presentation that mentions
plan-specific premiums. Is this a prohibited activity at an event that has
been advertised as educational? - Yes. When an event has been advertised
as "educational," discussing plan-specific premiums is impermissible.
Mrs. Mulcahy is concerned that she may not qualify for enrollment in a
Medicare prescription drug plan because, although she is entitled to Part A,
This study source was downloaded by 100000852681095 from CourseHero.com on 11-26-2022 06:09:20 GMT -06:00
https://www.coursehero.com/file/169679044/AHIP-Final-Exam-Test-Questions-with-complete-solution-2022docx/
, she is not enrolled under Medicare Part B. What should you tell her? -
Everyone who is entitled to Part A or enrolled under Part B is eligible to enroll
in a Medicare prescription drug plan. As long
This study source was downloaded by 100000852681095 from CourseHero.com on 11-26-2022 06:09:20 GMT -06:00
https://www.coursehero.com/file/169679044/AHIP-Final-Exam-Test-Questions-with-complete-solution-2022docx/
