AHIP FINAL EXAM TEST QUESTIONS LATEST VERSION 2022 -2025 / AHIP FINAL EXAM TEST REAL EXAM QUESTIONS AND ANSWERS GRADED A+ Ms. Gardner is currently enrolled in an MA -PD plan. However, she wants to disenroll from the MAPD plan and instead enroll in a Part D only plan and go back to Original Medicare. According to Medicare's enrollment guidelines, when could she do this? -CORRECT ANSWER -- : She may make such a change during the Annual Election Period that runs from Oct. 15 to December 7, or during the MA Open Enrollment Period which takes place from January 1 - March 31 of each year (beginning in 2019). Agent Lopez helps Ralph to enroll in Top Choice Medicare Advantage plan during the Annual Open Enrollment Period. Ralph's effective enrollment date is January 1st. Ralph disenrolls on February 12th because he did not understand that the plan did not cover services furnished by several of his longtime providers. Which of the following statements best describes the impact of Ralph's action upon Agent Lopez's compensation? -CORRECT ANSWER -- Answer: Agent Lopez's entire compensation must be recouped because Ralph disenrolled within 3 months of enrollment. 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? - ANS - 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? - ANS -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? - ANS -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.
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? - ANS -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? - ANS -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.
