AHIP FINAL EXAM LATEST 2024 ACTUAL QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED GRADED A+
1. When you market Medicare Advantage and Part D plans, what may you offer as a gift to
induce enrollment in a plan?(ANSWER) You may provide gifts or prizes to all potential
enrollees during an event that does not exceed $15 in retail value.
2. By contacting plans available in your area, you have learned that the plan you represent
has a significantly lower monthly premium than the others. Fur- thermore, you see that the
plan you represent has a unique benefits package. What should you do to make sure your
#$%^&*(
clients know about these pieces of information?(ANSWER) You may make comparisons
)
between plans if you can support them by studies or statistical data and such comparisons
are factually based.
3. Mr. Cole has been a Medicaid beneficiary for some time, and recently quali- fied for
Medicare as well. He is concerned about changes in his cost-sharing. What should you tell
him?(ANSWER) He should know that Medicaid will pay cost sharing only for services
provided by Medicaid participating providers.
4. If a beneficiary is enrolled in a stand-alone prescription drug plan and wants to keep that
plan, what type of Medicare health plan could the individual
also enroll in, without being automatically disenrolled from the stand-alone prescription dru
plan?(ANSWER) The beneficiary could enroll in a private fee-for-service (PFFS) plan that
does not include prescription drug coverage; a cost plan; or a Medicare Medical Savings
Account (MSA) plan.
5. Which of the following statements about Medicare Part D are correct?
I. Part D plans must enroll any eligible beneficiary who applies regardless of health status
except in limited circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but
may choose to have one.
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only
obtain Part D benefits through a standalone PDP.
IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a standalone
PDP or through their plan.(ANSWER) I, II, and III only
6. Mr. Olsen is concerned that a Medicare Advantage plan will not cover the same range
of services that would be covered under Original fee-for-service Medicare. What should
you tell him?(ANSWER) Though their cost-sharing may differ from Original Medicare's,
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CORRECT ANSWERS 100% VERIFIED GRADED A+
1. When you market Medicare Advantage and Part D plans, what may you offer as a gift to
induce enrollment in a plan?(ANSWER) You may provide gifts or prizes to all potential
enrollees during an event that does not exceed $15 in retail value.
2. By contacting plans available in your area, you have learned that the plan you represent
has a significantly lower monthly premium than the others. Fur- thermore, you see that the
plan you represent has a unique benefits package. What should you do to make sure your
#$%^&*(
clients know about these pieces of information?(ANSWER) You may make comparisons
)
between plans if you can support them by studies or statistical data and such comparisons
are factually based.
3. Mr. Cole has been a Medicaid beneficiary for some time, and recently quali- fied for
Medicare as well. He is concerned about changes in his cost-sharing. What should you tell
him?(ANSWER) He should know that Medicaid will pay cost sharing only for services
provided by Medicaid participating providers.
4. If a beneficiary is enrolled in a stand-alone prescription drug plan and wants to keep that
plan, what type of Medicare health plan could the individual
also enroll in, without being automatically disenrolled from the stand-alone prescription dru
plan?(ANSWER) The beneficiary could enroll in a private fee-for-service (PFFS) plan that
does not include prescription drug coverage; a cost plan; or a Medicare Medical Savings
Account (MSA) plan.
5. Which of the following statements about Medicare Part D are correct?
I. Part D plans must enroll any eligible beneficiary who applies regardless of health status
except in limited circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but
may choose to have one.
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only
obtain Part D benefits through a standalone PDP.
IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a standalone
PDP or through their plan.(ANSWER) I, II, and III only
6. Mr. Olsen is concerned that a Medicare Advantage plan will not cover the same range
of services that would be covered under Original fee-for-service Medicare. What should
you tell him?(ANSWER) Though their cost-sharing may differ from Original Medicare's,
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