AHIP 2023 FINAL EXAM ANSWERS
1.Mrs. gWest gwears gglasses gand gdentures gand ghas genjoyed gconsiderable
gpain grelief gfrom garthritis gthrough gacupuncture. gShe gis gconcerned gabout
gwhether gor gnot gMedicare gwill gcover gthese gitems gand gservices. gWhat
gshould gyou gtell gher?:
g g g g gAns>> gMedicare gdoes gnot gcover gacupuncture, gor, gin ggeneral,
gglasses gor gdentures.
2.Mr. gBickford gdid gnot gquite gqualify gfor gthe gextra ghelp glow-income
gsubsidy gunder gthe gMedicare gPart gD gPrescription gDrug gprogram gand ghe
gis gwondering gif gthere gis gany gother goption ghe ghas gfor gobtaining ghelp
gwith ghis gconsiderable gdrug gcosts. gWhat gshould gyou gtell ghim?:
g g g g g g gAns>> g gHe gcould gcheck gwith gthe gmanufacturers gof ghis
gmedications gto gsee gif gthey goffer gan gassistance gprogram gto ghelp
gpeople gwith
limited gmeans gobtain gthe gmedications gthey gneed. gAlternatively, ghe gcoul
gcheck gto gsee gwhether ghis gstate ghas ga gpharmacy gassistance gprogram gto
ghelp ghim gwith ghis gexpenses.
3.Mr. gLombardi gis ginterested gin ga gMedicare gAdvantage g(MA) gPPO gplan
gthat gyou grepresent. gIt gis gone gof gthree gplans goperated gby gthe gsame
gorganization gin gMr. gLombardi's garea. gThe gMA gPPO gplan gdoes gnot
ginclude gdrug gcoverage, gbut gthe gother gtwo gplans gdo. gMr. gLombardi
glikes gthe gPPO gplan gthat gdoes gnot ginclude gdrug gcoverage gand gintends
gto gobtain ghis gdrug gcoverage gthrough ga
stand-alone gMedicare gprescription gdrug gplan. gWhat gshould gyou gtell ghim
gabout gthis gsituation?:
g g g g g g gAns>> g gHe gcould genroll gin gone gof gthe gMA gplans gthat ginclude
gprescription gdrug gcoverage gor ga gMedigap gplan gand ga gstand-alone
gprescription gdrug gplan, gbut ghe gcannot genroll gin gthe gMA-only gPPO gplan
gand ga gstand-alone gprescription gdrug gplan.
4.Mr. gTorres ghas ga gsmall gsavings gaccount. gHe gwould glike gto gpay gfor ghis
gmonthly gPart gD gpremiums gwith gan gautomatic gmonthly gwithdrawal gfrom
ghis gsavings gaccount guntil git gis gexhausted, gand gthen ghave ghis gpremiums
gwithheld gfrom ghis gSocial gSecurity gcheck. gWhat gshould gyou gtell ghim?:
g g g g gAns>> g gIn ggeneral, ghe gmust gselect ga gsingle gPart gD gpremium
gpayment gmechanism gthat gwill gbe gused gthroughout gthe gyear.
1 g/
g15
,AHIP 2023 FINAL EXAM ANSWERS
5.Agent gJennings gmakes ga gpresentation gon gMedicare gadvertised gas gan
geduca- gtional gevent. gAgent gJennings gdistributes gmaterials gthat gare gsolely
geducational gin gnature. gHowever, gshe ggives ga gbrief gpresentation gthat
gmentions gplan-specific gpremiums. gIs gthis ga gprohibited gactivity gat gan
gevent gthat ghas gbeen gadvertised gas geducational?:
g g g g g g g gAns>> g gYes. gWhen gan gevent ghas gbeen gadvertised gas
g"educational," gdis- gcussing gplan-specific gpremiums gis gimpermissible.
6.Mrs. gMulcahy gis gconcerned gthat gshe gmay gnot gqualify gfor genrollment gin
ga gMedicare gprescription gdrug gplan gbecause, galthough gshe gis gentitled gto
gPart gA, gshe gis gnot genrolled gunder gMedicare gPart gB. gWhat gshould gyou gtell
gher?:
g g g g g g gAns>> g gEveryone gwho gis gentitled gto gPart gA gor genrolled gunder
gPart gB gis geligible gto genroll gin ga gMedicare gprescription gdrug gplan. gAs
glong gas gMrs. gMulcahy gis gentitled gto gPart gA, gshe gdoes gnot gneed gto
genroll gunder gPart gB gbefore genrolling gin ga gprescription gdrug gplan.
7.Mr. gJacob gunderstands gthat gthere gis ga gstandard gMedicare gPart gD
gprescription gdrug gbenefit, gbut gwhen ghe glooks gat ginformation gon gvarious
gplans gavailable gin
2 g/
g15
1.Mrs. gWest gwears gglasses gand gdentures gand ghas genjoyed gconsiderable
gpain grelief gfrom garthritis gthrough gacupuncture. gShe gis gconcerned gabout
gwhether gor gnot gMedicare gwill gcover gthese gitems gand gservices. gWhat
gshould gyou gtell gher?:
g g g g gAns>> gMedicare gdoes gnot gcover gacupuncture, gor, gin ggeneral,
gglasses gor gdentures.
2.Mr. gBickford gdid gnot gquite gqualify gfor gthe gextra ghelp glow-income
gsubsidy gunder gthe gMedicare gPart gD gPrescription gDrug gprogram gand ghe
gis gwondering gif gthere gis gany gother goption ghe ghas gfor gobtaining ghelp
gwith ghis gconsiderable gdrug gcosts. gWhat gshould gyou gtell ghim?:
g g g g g g gAns>> g gHe gcould gcheck gwith gthe gmanufacturers gof ghis
gmedications gto gsee gif gthey goffer gan gassistance gprogram gto ghelp
gpeople gwith
limited gmeans gobtain gthe gmedications gthey gneed. gAlternatively, ghe gcoul
gcheck gto gsee gwhether ghis gstate ghas ga gpharmacy gassistance gprogram gto
ghelp ghim gwith ghis gexpenses.
3.Mr. gLombardi gis ginterested gin ga gMedicare gAdvantage g(MA) gPPO gplan
gthat gyou grepresent. gIt gis gone gof gthree gplans goperated gby gthe gsame
gorganization gin gMr. gLombardi's garea. gThe gMA gPPO gplan gdoes gnot
ginclude gdrug gcoverage, gbut gthe gother gtwo gplans gdo. gMr. gLombardi
glikes gthe gPPO gplan gthat gdoes gnot ginclude gdrug gcoverage gand gintends
gto gobtain ghis gdrug gcoverage gthrough ga
stand-alone gMedicare gprescription gdrug gplan. gWhat gshould gyou gtell ghim
gabout gthis gsituation?:
g g g g g g gAns>> g gHe gcould genroll gin gone gof gthe gMA gplans gthat ginclude
gprescription gdrug gcoverage gor ga gMedigap gplan gand ga gstand-alone
gprescription gdrug gplan, gbut ghe gcannot genroll gin gthe gMA-only gPPO gplan
gand ga gstand-alone gprescription gdrug gplan.
4.Mr. gTorres ghas ga gsmall gsavings gaccount. gHe gwould glike gto gpay gfor ghis
gmonthly gPart gD gpremiums gwith gan gautomatic gmonthly gwithdrawal gfrom
ghis gsavings gaccount guntil git gis gexhausted, gand gthen ghave ghis gpremiums
gwithheld gfrom ghis gSocial gSecurity gcheck. gWhat gshould gyou gtell ghim?:
g g g g gAns>> g gIn ggeneral, ghe gmust gselect ga gsingle gPart gD gpremium
gpayment gmechanism gthat gwill gbe gused gthroughout gthe gyear.
1 g/
g15
,AHIP 2023 FINAL EXAM ANSWERS
5.Agent gJennings gmakes ga gpresentation gon gMedicare gadvertised gas gan
geduca- gtional gevent. gAgent gJennings gdistributes gmaterials gthat gare gsolely
geducational gin gnature. gHowever, gshe ggives ga gbrief gpresentation gthat
gmentions gplan-specific gpremiums. gIs gthis ga gprohibited gactivity gat gan
gevent gthat ghas gbeen gadvertised gas geducational?:
g g g g g g g gAns>> g gYes. gWhen gan gevent ghas gbeen gadvertised gas
g"educational," gdis- gcussing gplan-specific gpremiums gis gimpermissible.
6.Mrs. gMulcahy gis gconcerned gthat gshe gmay gnot gqualify gfor genrollment gin
ga gMedicare gprescription gdrug gplan gbecause, galthough gshe gis gentitled gto
gPart gA, gshe gis gnot genrolled gunder gMedicare gPart gB. gWhat gshould gyou gtell
gher?:
g g g g g g gAns>> g gEveryone gwho gis gentitled gto gPart gA gor genrolled gunder
gPart gB gis geligible gto genroll gin ga gMedicare gprescription gdrug gplan. gAs
glong gas gMrs. gMulcahy gis gentitled gto gPart gA, gshe gdoes gnot gneed gto
genroll gunder gPart gB gbefore genrolling gin ga gprescription gdrug gplan.
7.Mr. gJacob gunderstands gthat gthere gis ga gstandard gMedicare gPart gD
gprescription gdrug gbenefit, gbut gwhen ghe glooks gat ginformation gon gvarious
gplans gavailable gin
2 g/
g15