AHIP Final Exam Test Questions Questions and
Certified Answer
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through
acupuncture. She is concerned about whether or not Medicare will cover these items and services. What
should you tell her?
Ans: Medicare does not cover acupuncture, or, in general, glasses or dentures.
Quiz Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D
Prescription Drug program and he is wondering if there is any other option he has for obtaining help
with his considerable drug costs. What should you tell him?
Ans: He could check with the manufacturers of his medications to see if they offer an assistance
program to help people with limited means obtain the medications they need. Alternatively, he could
check to see whether his state has a pharmacy assistance program to help him with his expenses.
Quiz Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent. It is one of
three plans operated by the same organization in Mr. Lombardi's area. The MA PPO plan does not
include drug coverage, but the other two plans do. Mr. Lombardi likes the PPO plan that does not
include drug coverage and intends to obtain his drug coverage through a stand-alone Medicare
prescription drug plan. What should you tell him about this situation?
, Ans: He could enroll in one of the MA plans that include prescription drug coverage or a Medigap plan
and a stand-alone prescription drug plan, but he cannot enroll in the MA-only PPO plan and a stand-
alone prescription drug plan.
Quiz Mr. Torres has a small savings account. He would like to pay for his monthly Part D premiums with
an automatic monthly withdrawal from his savings account until it is exhausted, and then have his
premiums withheld from his Social Security check. What should you tell him?
Ans: In general, he must select a single Part D premium payment mechanism that will be used
throughout the year.
Quiz Agent Jennings makes a presentation on Medicare advertised as an educational event. Agent
Jennings distributes materials that are solely educational in nature. However, she gives a brief
presentation that mentions plan-specific premiums. Is this a prohibited activity at an event that has
been advertised as educational?
Ans: Yes. When an event has been advertised as "educational," discussing plan-specific premiums is
impermissible.
Quiz Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare prescription drug
plan because, although she is entitled to Part A, she is not enrolled under Medicare Part B. What should
you tell her?
Ans: Everyone who is entitled to Part A or 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 need to enroll under
Part B before enrolling in a prescription drug plan.
Quiz Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but
when he looks at information on various plans available in his area, he sees a wide range in what they
charge for deductibles, premiums and cost sharing. How can you explain this to him?
Certified Answer
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through
acupuncture. She is concerned about whether or not Medicare will cover these items and services. What
should you tell her?
Ans: Medicare does not cover acupuncture, or, in general, glasses or dentures.
Quiz Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D
Prescription Drug program and he is wondering if there is any other option he has for obtaining help
with his considerable drug costs. What should you tell him?
Ans: He could check with the manufacturers of his medications to see if they offer an assistance
program to help people with limited means obtain the medications they need. Alternatively, he could
check to see whether his state has a pharmacy assistance program to help him with his expenses.
Quiz Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent. It is one of
three plans operated by the same organization in Mr. Lombardi's area. The MA PPO plan does not
include drug coverage, but the other two plans do. Mr. Lombardi likes the PPO plan that does not
include drug coverage and intends to obtain his drug coverage through a stand-alone Medicare
prescription drug plan. What should you tell him about this situation?
, Ans: He could enroll in one of the MA plans that include prescription drug coverage or a Medigap plan
and a stand-alone prescription drug plan, but he cannot enroll in the MA-only PPO plan and a stand-
alone prescription drug plan.
Quiz Mr. Torres has a small savings account. He would like to pay for his monthly Part D premiums with
an automatic monthly withdrawal from his savings account until it is exhausted, and then have his
premiums withheld from his Social Security check. What should you tell him?
Ans: In general, he must select a single Part D premium payment mechanism that will be used
throughout the year.
Quiz Agent Jennings makes a presentation on Medicare advertised as an educational event. Agent
Jennings distributes materials that are solely educational in nature. However, she gives a brief
presentation that mentions plan-specific premiums. Is this a prohibited activity at an event that has
been advertised as educational?
Ans: Yes. When an event has been advertised as "educational," discussing plan-specific premiums is
impermissible.
Quiz Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare prescription drug
plan because, although she is entitled to Part A, she is not enrolled under Medicare Part B. What should
you tell her?
Ans: Everyone who is entitled to Part A or 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 need to enroll under
Part B before enrolling in a prescription drug plan.
Quiz Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but
when he looks at information on various plans available in his area, he sees a wide range in what they
charge for deductibles, premiums and cost sharing. How can you explain this to him?
