AHIP Final Exam Questions and Correct
Answers
Types of Medicare Advantage Plans - correct answers:PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - correct answers:Serve both Medicare and Medicaid individuals. Include Part
D coverage. Individuals sometimes referred to as dual eligibles
Medicare Cost Plan - correct 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 - correct answers:Individuals with ESRD may sign up
at anytime. Date on which coverage begins is the fourth month after dialysis begins.
Medicare Enrollment Period - correct 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 - correct 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 - correct 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.
Medicare Part A Penalty - correct answers:Don't enroll in Part A when fist eligible, will pay a late penalty
of up to 10% unless enroll during a Special Enrollment Period.
Answers
Types of Medicare Advantage Plans - correct answers:PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - correct answers:Serve both Medicare and Medicaid individuals. Include Part
D coverage. Individuals sometimes referred to as dual eligibles
Medicare Cost Plan - correct 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 - correct answers:Individuals with ESRD may sign up
at anytime. Date on which coverage begins is the fourth month after dialysis begins.
Medicare Enrollment Period - correct 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 - correct 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 - correct 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.
Medicare Part A Penalty - correct answers:Don't enroll in Part A when fist eligible, will pay a late penalty
of up to 10% unless enroll during a Special Enrollment Period.
