AHIP Review Final Exam Test
Questions Answers
[COMPANY NAME] [Company address]
, AHIP Review Final Exam Test Questions
Answers
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? - correct answer 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? - correct answer 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? - correct answer 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? - correct answer 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? - correct answer Yes. When an event has been advertised as "educational," discussing plan-
specific premiums is impermissible.
Questions Answers
[COMPANY NAME] [Company address]
, AHIP Review Final Exam Test Questions
Answers
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? - correct answer 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? - correct answer 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? - correct answer 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? - correct answer 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? - correct answer Yes. When an event has been advertised as "educational," discussing plan-
specific premiums is impermissible.
