AHIP FINAL EXAM TEST QUESTIONS 2024/2025
ALREADY GRADED A+
1. Mrs.West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through acupuncture. She is
f f f f f f f f f f f f f f f f f
f concerned about whether or not Medicare will cover these items and services.What should you tell her?: Medicare does not
f f f f f f f f f f f f f f f f f f f
f cover acupuncture, or, in general, glasses or dentures.
f f f f f f f
2. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug
f f f f f f f f f f f f f f f f f f
f program and he is wondering if there is any other option he has for obtaining help with his considerable drug costs.What
f f f f f f f f f f f f f f f f f f f f f
should you tell him?:He could check with the manufacturers of his medications to see if they offer an assistance program to help
f f f f f f f f f f f f f f f f f f f f f f f
f people with f
limitedmeans obtainthemedications theyneed.Alternatively, hecouldcheck tosee
f f f f f f f f f f f f
whetherhisstatehasapharmacyassistanceprogramtohelphimwithhisexpenses.
f f f f f f f f f f f f f f
, 3. Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent. It is one of three plans operated
f f f f f f f f f f f f f f f f f f f f
f by the same organization inMr.Lombardi's area.The MA PPO plan does not include drug coverage, but the other two plans
f f f f f f f f f f f f f f f f f f f f f
f do. Mr. Lombardi likes the PPO plan that does not include drug coverage and intends to obtain his drug coverage through
f f f f f f f f f f f f f f f f f f f f
f a
stand-alone Medicare prescription drug plan.What should you tell him about this situation?: He could enroll in one of the MA plans
f f f f f f f f f f f f f f f f f f f f f
f that include prescription drug coverage or a Medigap plan and a stand-alone prescription drug plan, but he cannot enroll in the MA-only
f f f f f f f f f f f f f f f f f f f f f
f PPO plan and a stand-alone prescription drug plan.
f f f f f f f
4. Mr.Torreshasasmallsavingsaccount.Hewouldliketopayforhismonthly Part D premiums with an automatic monthly
f f f f f f f f f f f f f f f f f f f f f
f withdrawal from his savings account until it is exhausted, and then have his premiums withheld from his Social Security
f f f f f f f f f f f f f f f f f f
f check.What should you tell him?: In general, he must select a single Part D premium payment mechanism that will be used
f f f f f f f f f f f f f f f f f f f f f
f throughout the year. f f
5. AgentJenningsmakesapresentationonMedicareadvertisedasaneduca- tional event.Agent Jennings distributes materials
f f f f f f f f f f f f f f f f
fthat are solely educational innature.However,she gives a brief presentation that mentions plan-specific premiums. Is this a
f f f f f f f f f f f f f f f f f f
f prohibited activity at an event that has been advertised as educational?: Yes.W hen an event has been advertised as
f f f f f f f f f f f f f f f f f f
f "educational," dis- cussing plan-specific premiums is impermissible. f f f f f f
6. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare prescription drug plan because, although
f f f f f f f f f f f f f f f f f f
f she is entitled to Part A, sheisnotenrolledunderMedicarePartB.Whatshouldyoutellher?:Everyone who is entitled to Part A or
f f f f f f f f f f f f f f f f f f f f f f f f f f
f enrolled under Part B is eligible to enroll in a Medicare prescription drug plan. As long as Mrs. Mulcahy is entitled to Part A, she does not
f f f f f f f f f f f f f f f f f f f f f f f f f f
f need to enroll under Part B before enrolling in a prescription drug plan.
f f f f f f f f f f f f
7. Mr.JacobunderstandsthatthereisastandardMedicarePartDprescription drug benefit, but when he looks at information on
f f f f f f f f f f f f f f f f f f f f
f various plans available in f f f
ALREADY GRADED A+
1. Mrs.West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through acupuncture. She is
f f f f f f f f f f f f f f f f f
f concerned about whether or not Medicare will cover these items and services.What should you tell her?: Medicare does not
f f f f f f f f f f f f f f f f f f f
f cover acupuncture, or, in general, glasses or dentures.
f f f f f f f
2. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug
f f f f f f f f f f f f f f f f f f
f program and he is wondering if there is any other option he has for obtaining help with his considerable drug costs.What
f f f f f f f f f f f f f f f f f f f f f
should you tell him?:He could check with the manufacturers of his medications to see if they offer an assistance program to help
f f f f f f f f f f f f f f f f f f f f f f f
f people with f
limitedmeans obtainthemedications theyneed.Alternatively, hecouldcheck tosee
f f f f f f f f f f f f
whetherhisstatehasapharmacyassistanceprogramtohelphimwithhisexpenses.
f f f f f f f f f f f f f f
, 3. Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent. It is one of three plans operated
f f f f f f f f f f f f f f f f f f f f
f by the same organization inMr.Lombardi's area.The MA PPO plan does not include drug coverage, but the other two plans
f f f f f f f f f f f f f f f f f f f f f
f do. Mr. Lombardi likes the PPO plan that does not include drug coverage and intends to obtain his drug coverage through
f f f f f f f f f f f f f f f f f f f f
f a
stand-alone Medicare prescription drug plan.What should you tell him about this situation?: He could enroll in one of the MA plans
f f f f f f f f f f f f f f f f f f f f f
f that include prescription drug coverage or a Medigap plan and a stand-alone prescription drug plan, but he cannot enroll in the MA-only
f f f f f f f f f f f f f f f f f f f f f
f PPO plan and a stand-alone prescription drug plan.
f f f f f f f
4. Mr.Torreshasasmallsavingsaccount.Hewouldliketopayforhismonthly Part D premiums with an automatic monthly
f f f f f f f f f f f f f f f f f f f f f
f withdrawal from his savings account until it is exhausted, and then have his premiums withheld from his Social Security
f f f f f f f f f f f f f f f f f f
f check.What should you tell him?: In general, he must select a single Part D premium payment mechanism that will be used
f f f f f f f f f f f f f f f f f f f f f
f throughout the year. f f
5. AgentJenningsmakesapresentationonMedicareadvertisedasaneduca- tional event.Agent Jennings distributes materials
f f f f f f f f f f f f f f f f
fthat are solely educational innature.However,she gives a brief presentation that mentions plan-specific premiums. Is this a
f f f f f f f f f f f f f f f f f f
f prohibited activity at an event that has been advertised as educational?: Yes.W hen an event has been advertised as
f f f f f f f f f f f f f f f f f f
f "educational," dis- cussing plan-specific premiums is impermissible. f f f f f f
6. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare prescription drug plan because, although
f f f f f f f f f f f f f f f f f f
f she is entitled to Part A, sheisnotenrolledunderMedicarePartB.Whatshouldyoutellher?:Everyone who is entitled to Part A or
f f f f f f f f f f f f f f f f f f f f f f f f f f
f enrolled under Part B is eligible to enroll in a Medicare prescription drug plan. As long as Mrs. Mulcahy is entitled to Part A, she does not
f f f f f f f f f f f f f f f f f f f f f f f f f f
f need to enroll under Part B before enrolling in a prescription drug plan.
f f f f f f f f f f f f
7. Mr.JacobunderstandsthatthereisastandardMedicarePartDprescription drug benefit, but when he looks at information on
f f f f f f f f f f f f f f f f f f f f
f various plans available in f f f
