AHIP ACTUAL EXAM QUESTIONS AND
VERIFIED ANSWERS | GRADED A+| PASS ON
FIRST ATTEMPT | BRAND NEW 2026/2027
UPDATE!!!!!
Save
Terms in this set (50)
Which of the following steps may a I. Identifying at risk individuals by using criteria
Part D sponsor adopt for that includes the number of opioid prescriptions
beneficiaries who are at risk of the beneficiary has and the number of
misusing or abusing frequently prescribers who have written those prescriptions.
abused drugs? II. Locking an at-risk beneficiary into one
pharmacy.
III. Locking an at-risk beneficiary into one
prescriber.
Mrs. Wolf wears glasses and Medicare does not cover acupuncture, or, in
dentures and has enjoyed general, glasses or dentures.
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?
Which statement best describes It includes comprehensive medical and social
PACE plans? service delivery systems using an interdisciplinary
team approach in an adult day health center,
supplemented by in-home and referral services.
, Mr. Shultz was still working when he Mr. Schultz should enroll in a Part D plan before
first qualified for Medicare. At that he has a 63-day break in coverage in order to
time, he had employer group avoid a premium penalty.
coverage that was creditable.
During his initial Part D eligibility
period, he decided not to enroll
because he was satisfied with his
drug coverage. It is now a year later
and Mr. Shultz has lost his employer
group coverage. How would you
advise him?
For which of the following Ms. Baker who is enrolled in Medicare Part B and
individuals would a Cost Plan be is willing to continue paying Part B premiums plus
most appropriate? any plan premiums.
Mrs. Berkowitz wants to enroll in a If the Medicare Advantage plan is a Private Fee-
Medicare Advantage plan that does for-Service (PFFS) plan that does not offer drug
not include drug coverage and also coverage or a Medical Savings Account, Mrs.
enroll in a stand-alone Medicare Berkowitz can do this.
prescription drug plan. Under what
circumstances can she do this?
VERIFIED ANSWERS | GRADED A+| PASS ON
FIRST ATTEMPT | BRAND NEW 2026/2027
UPDATE!!!!!
Save
Terms in this set (50)
Which of the following steps may a I. Identifying at risk individuals by using criteria
Part D sponsor adopt for that includes the number of opioid prescriptions
beneficiaries who are at risk of the beneficiary has and the number of
misusing or abusing frequently prescribers who have written those prescriptions.
abused drugs? II. Locking an at-risk beneficiary into one
pharmacy.
III. Locking an at-risk beneficiary into one
prescriber.
Mrs. Wolf wears glasses and Medicare does not cover acupuncture, or, in
dentures and has enjoyed general, glasses or dentures.
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?
Which statement best describes It includes comprehensive medical and social
PACE plans? service delivery systems using an interdisciplinary
team approach in an adult day health center,
supplemented by in-home and referral services.
, Mr. Shultz was still working when he Mr. Schultz should enroll in a Part D plan before
first qualified for Medicare. At that he has a 63-day break in coverage in order to
time, he had employer group avoid a premium penalty.
coverage that was creditable.
During his initial Part D eligibility
period, he decided not to enroll
because he was satisfied with his
drug coverage. It is now a year later
and Mr. Shultz has lost his employer
group coverage. How would you
advise him?
For which of the following Ms. Baker who is enrolled in Medicare Part B and
individuals would a Cost Plan be is willing to continue paying Part B premiums plus
most appropriate? any plan premiums.
Mrs. Berkowitz wants to enroll in a If the Medicare Advantage plan is a Private Fee-
Medicare Advantage plan that does for-Service (PFFS) plan that does not offer drug
not include drug coverage and also coverage or a Medical Savings Account, Mrs.
enroll in a stand-alone Medicare Berkowitz can do this.
prescription drug plan. Under what
circumstances can she do this?
