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AHIP 2026 Exam structured questions with their correct answers

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AHIP 2026 Exam structured questions with their correct answers

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, AHIP 2026 Exam structured questions with their correct answers
1. PPO, HMO, MSA, Cost Plan, PFFS Answer: Types of Medicare Advantage Plans
2. Serve both Medicare and Medicaid individuals. Include Part D
coverage. Indi- viduals sometimes referred to as dual eligibles Answer:
Medicare-Medicaid plans
3. 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 ap-
ply. Can get Part D Rx coverage if available, or apply for a separate PDP.
Answer: Medicare
Cost Plan
4. Individuals with ESRD may sign up at anytime. Date on which
coverage begins is the fourth month after dialysis begins. Answer: Medicare
Entitlement/Enrollment - Part A & Part B
5. 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. Answer: Medicare Enrollment
Period
6. 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. Answer: Medicare Enrollment
Period - Group Health Coverage
7. 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. Answer: Medicare
Part A Premium
8. 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. Answer:
Medicare Part A Penalty
9. In 2019, the standard monthly premium is $135.50 or higher
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