AHIP Final Exam Questions & Answers
1. PPO, HMO, MSA, Cost Plan, PFFS
ANS Types of Medicare Advantage Plans
2. Serve both Medicare and Medicaid individuals. Include Part D coverage.
Individuals sometimes referred to as dual eligibles
ANS Medicare-Medicaid plans
3. Type of Medicare health plan. Have Part B to enroll. Can join anytime plan
is accepting new members. A non network provider will can charge higher
coin- surances and deuctibles. Different enrollment/disenrollment periods
apply. Can get Part D Rx coverage if available, or apply for a separate PDP.
ANS Medicare Cost Plan
4. Individuals with ESRD may sign up at anytime. Date on which coverage
be- gins is the fourth month after dialysis begins.
ANS Medicare Entitlement/Enrollment
- Part A & Part B
5. Individuals who do not enroll in Part B when first eligible can enroll
during a General Enrollment Period, Jan 1st to Mar 31st each year.
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, Coverage begins July 1st of that year.
ANS Medicare Enrollment Period
6. Individuals who have group health coveage through employer may enroll
in Part A and/or Part B anytime while on group coverage during a Special
Enrollment Period. Occurs during the 8 month period following last month
of group coverage.
ANS Medicare Enrollment Period - Group Health Coverage
7. Free if worked 40 quarters of your life and paid Medicare taxes. Premium
is
$240.00 for individuals or spouses who paid Medicare taxes for 30 - 39
quar- ters. Premium is $437.00 for less than 30 quarters.
ANS Medicare Part A Premium
8. Don't enroll in Part A when fist eligible, will pay a late penalty of up to
10% unless enroll during a Special Enrollment Period.
ANS Medicare Part A Penalty
9. In 2019, the standard monthly premium is $135.50 or higher depending on
income. Deducted from S.S. check or Railroad Retirement check. Do not
enroll when first eligible, premium is increased 10% for each 12 month
period not enrolled. Deductible for 2019 is $185.00
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1. PPO, HMO, MSA, Cost Plan, PFFS
ANS Types of Medicare Advantage Plans
2. Serve both Medicare and Medicaid individuals. Include Part D coverage.
Individuals sometimes referred to as dual eligibles
ANS Medicare-Medicaid plans
3. Type of Medicare health plan. Have Part B to enroll. Can join anytime plan
is accepting new members. A non network provider will can charge higher
coin- surances and deuctibles. Different enrollment/disenrollment periods
apply. Can get Part D Rx coverage if available, or apply for a separate PDP.
ANS Medicare Cost Plan
4. Individuals with ESRD may sign up at anytime. Date on which coverage
be- gins is the fourth month after dialysis begins.
ANS Medicare Entitlement/Enrollment
- Part A & Part B
5. Individuals who do not enroll in Part B when first eligible can enroll
during a General Enrollment Period, Jan 1st to Mar 31st each year.
1/3
, Coverage begins July 1st of that year.
ANS Medicare Enrollment Period
6. Individuals who have group health coveage through employer may enroll
in Part A and/or Part B anytime while on group coverage during a Special
Enrollment Period. Occurs during the 8 month period following last month
of group coverage.
ANS Medicare Enrollment Period - Group Health Coverage
7. Free if worked 40 quarters of your life and paid Medicare taxes. Premium
is
$240.00 for individuals or spouses who paid Medicare taxes for 30 - 39
quar- ters. Premium is $437.00 for less than 30 quarters.
ANS Medicare Part A Premium
8. Don't enroll in Part A when fist eligible, will pay a late penalty of up to
10% unless enroll during a Special Enrollment Period.
ANS Medicare Part A Penalty
9. In 2019, the standard monthly premium is $135.50 or higher depending on
income. Deducted from S.S. check or Railroad Retirement check. Do not
enroll when first eligible, premium is increased 10% for each 12 month
period not enrolled. Deductible for 2019 is $185.00
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