AHIP FINAL EXAM QUESTIONS 2024/25
WITH VERIFIED ANSWERS
TypesLof Medicare Advantage Plans -Lcorrect answer-PPO, HMO, MSA, CostLPlan, PFFS
Medicare-Medicaid plans - correct answer-
Serve both Medicare and Medicaid individuals. Include Part D coverage. IndividualsLsometimes 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 n
on network provider will can charge higher coinsurances and deuctibles. Different enrollment/disenrollm
ent periodsLapply. 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 anytime. Date on which coverage begins is the fourth month after dia
lysis begins.
Medicare Enrollment Period - correct answer-
Individuals who do not enroll in Part B when first eligible can enroll duringLa General Enrollment Period, Ja
n 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 coveageLthrough employer may enroll in Part A and/or Part B anytime
while on group coverage during a Special Enrollment Period. Occurs during the 8Lmonth period following l
ast month of group coverage.
Medicare PartLA Premium - correct answer-
Free if worked 40 quarters of your lifeLand paid Medicare taxes. Premium is $240.00 for individuals or spo
uses who paid Medicare taxes for 30L- 39 quarters. Premium is $437.00 for less than 30 quarters.
Medicare PartLA Penalty - correct answer-
Don't enroll in Part A when fist eligible, will pay a late penalty of up to 10% unless enroll during a Special E
nrollment Period.
WITH VERIFIED ANSWERS
TypesLof Medicare Advantage Plans -Lcorrect answer-PPO, HMO, MSA, CostLPlan, PFFS
Medicare-Medicaid plans - correct answer-
Serve both Medicare and Medicaid individuals. Include Part D coverage. IndividualsLsometimes 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 n
on network provider will can charge higher coinsurances and deuctibles. Different enrollment/disenrollm
ent periodsLapply. 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 anytime. Date on which coverage begins is the fourth month after dia
lysis begins.
Medicare Enrollment Period - correct answer-
Individuals who do not enroll in Part B when first eligible can enroll duringLa General Enrollment Period, Ja
n 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 coveageLthrough employer may enroll in Part A and/or Part B anytime
while on group coverage during a Special Enrollment Period. Occurs during the 8Lmonth period following l
ast month of group coverage.
Medicare PartLA Premium - correct answer-
Free if worked 40 quarters of your lifeLand paid Medicare taxes. Premium is $240.00 for individuals or spo
uses who paid Medicare taxes for 30L- 39 quarters. Premium is $437.00 for less than 30 quarters.
Medicare PartLA Penalty - correct answer-
Don't enroll in Part A when fist eligible, will pay a late penalty of up to 10% unless enroll during a Special E
nrollment Period.
