AHIP 2025 FINAL ASSESSMENT FULLY REVIEWED
Types of Medicare Advantage Plans - answers✔✔PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - answers✔✔Serve both Medicare and Medicaid individuals. Include
Part D coverage. Individuals sometimes referred to as dual eligibles
Medicare Cost Plan - answers✔✔Type of Medicare health plan. Have Part B to enroll. Can join
anytime plan is accepting new members. A non network provider will can charge higher
coinsurances and deuctibles. 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 - answers✔✔Individuals with ESRD may sign
up at anytime. Date on which coverage begins is the fourth month after dialysis begins.
Medicare Enrollment Period - answers✔✔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 - answers✔✔Individuals who have group
health coveage 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 - answers✔✔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.
Types of Medicare Advantage Plans - answers✔✔PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - answers✔✔Serve both Medicare and Medicaid individuals. Include
Part D coverage. Individuals sometimes referred to as dual eligibles
Medicare Cost Plan - answers✔✔Type of Medicare health plan. Have Part B to enroll. Can join
anytime plan is accepting new members. A non network provider will can charge higher
coinsurances and deuctibles. 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 - answers✔✔Individuals with ESRD may sign
up at anytime. Date on which coverage begins is the fourth month after dialysis begins.
Medicare Enrollment Period - answers✔✔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 - answers✔✔Individuals who have group
health coveage 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 - answers✔✔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.
