AHIP Final Exam Questions and Correct
Answers 2025
Types ,of ,Medicare ,Advantage ,Plans ,- ,CORRECT ,ANSWER-PPO, ,HMO, ,MSA,
,Cost ,Plan, ,PFFS
Medicare-Medicaid ,plans ,- ,CORRECT ,ANSWER-Serve ,both ,Medicare ,and
,Medicaid ,individuals. ,Include ,Part ,D ,coverage. ,Individuals ,sometimes ,referred
,to ,as ,dual ,eligibles
Medicare ,Cost ,Plan ,- ,CORRECT ,ANSWER-Type ,of ,Medicare ,health ,plan. ,Have
,Part ,B ,to ,enroll. ,Can ,join ,anytime ,plan ,is ,accepting ,new ,members. ,A ,non
,network ,provider ,can ,charge ,higher ,coinsurances ,and ,deductibles. ,Different
,enrollment/disenrollment ,periods ,apply. ,Can ,get ,Part ,D ,Rx ,coverage ,if
,available, ,or ,apply ,for ,a ,separate ,PDP.
Medicare ,Entitlement/Enrollment ,- ,Part ,A ,& ,Part ,B ,- ,CORRECT ,ANSWER-
Individuals ,with ,ESRD ,may ,sign ,up ,at ,any ,time. ,The ,date ,on ,which ,coverage
,begins ,is ,the ,fourth ,month ,after ,dialysis ,begins.
Medicare ,Enrollment ,Period ,- ,CORRECT ,ANSWER-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. ,Coverage ,begins ,July ,1st ,of ,that ,year.
Medicare ,Enrollment ,Period ,- ,Group ,Health ,Coverage ,- ,CORRECT ,ANSWER-
Individuals ,who ,have ,group ,health ,coverage ,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.
Medicare ,Part ,A ,Premium ,- ,CORRECT ,ANSWER-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 ,quarters. ,Premium ,is ,$437.00 ,for
,less ,than ,30 ,quarters.
Medicare ,Part ,A ,Penalty ,- ,CORRECT ,ANSWER-Don't ,enroll ,in ,Part ,A ,when ,first
,eligible, ,will ,pay ,a ,late ,penalty ,of ,up ,to ,10% ,unless ,enrolled ,during ,a ,Special
,Enrollment ,Period.
Answers 2025
Types ,of ,Medicare ,Advantage ,Plans ,- ,CORRECT ,ANSWER-PPO, ,HMO, ,MSA,
,Cost ,Plan, ,PFFS
Medicare-Medicaid ,plans ,- ,CORRECT ,ANSWER-Serve ,both ,Medicare ,and
,Medicaid ,individuals. ,Include ,Part ,D ,coverage. ,Individuals ,sometimes ,referred
,to ,as ,dual ,eligibles
Medicare ,Cost ,Plan ,- ,CORRECT ,ANSWER-Type ,of ,Medicare ,health ,plan. ,Have
,Part ,B ,to ,enroll. ,Can ,join ,anytime ,plan ,is ,accepting ,new ,members. ,A ,non
,network ,provider ,can ,charge ,higher ,coinsurances ,and ,deductibles. ,Different
,enrollment/disenrollment ,periods ,apply. ,Can ,get ,Part ,D ,Rx ,coverage ,if
,available, ,or ,apply ,for ,a ,separate ,PDP.
Medicare ,Entitlement/Enrollment ,- ,Part ,A ,& ,Part ,B ,- ,CORRECT ,ANSWER-
Individuals ,with ,ESRD ,may ,sign ,up ,at ,any ,time. ,The ,date ,on ,which ,coverage
,begins ,is ,the ,fourth ,month ,after ,dialysis ,begins.
Medicare ,Enrollment ,Period ,- ,CORRECT ,ANSWER-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. ,Coverage ,begins ,July ,1st ,of ,that ,year.
Medicare ,Enrollment ,Period ,- ,Group ,Health ,Coverage ,- ,CORRECT ,ANSWER-
Individuals ,who ,have ,group ,health ,coverage ,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.
Medicare ,Part ,A ,Premium ,- ,CORRECT ,ANSWER-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 ,quarters. ,Premium ,is ,$437.00 ,for
,less ,than ,30 ,quarters.
Medicare ,Part ,A ,Penalty ,- ,CORRECT ,ANSWER-Don't ,enroll ,in ,Part ,A ,when ,first
,eligible, ,will ,pay ,a ,late ,penalty ,of ,up ,to ,10% ,unless ,enrolled ,during ,a ,Special
,Enrollment ,Period.
