AHIP (America’s Health Insurance Plans) Final Exam 2027 | Questions & Verified Solutions | Latest Update

AHIP




AHIP FINAL EXAM 2027 QUESTIONS
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Mr. cSchmidt cwould clike cto cplan cfor cretirement cand chas casked cyou cwhat
c is ccovered cunder cOriginal cFee-for-Service c(FFS) cMedicare? cWhat ccould
you ctell chim? c- cANS
c Part cA, cwhich ccovers chospital, cskilled cnursing
facility, chospice cand chome chealth cservices cand cPart cB, cwhich ccovers
c


professional cservices csuch cas cthose cprovided cby ca cdoctor care ccovered cunder
c


Original cMedicare.
c




You care cseeking cto crepresent can cindividual cMedicare cAdvantage cplan cand
an cindividual cPart cD cplan cin cyour cstate. cYou chave ccompleted cthe
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c required ctraining cfor ceach cplan, cbut cyou cdid cnot cachieve ca cpassing
c score con cthe ctests cthat ccame cafter cthe ctraining. cWhat ccan cyou cdo cin
c this csituation? c- cANS You
will cnot cbe cable cto crepresent cany cMedicare cAdvantage cor cPart cD cplan cuntil
c


you ccomplete cthe ctraining cand cachieve can cadequate cscore, calthough cyou cwill
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not chave cto ctake ca ctest cif cyou cexclusively cmarket cemployer/union cgroup
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plans cand cthe ccompanies cdo cnot crequire ctesting.
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Mr. cChen cis cenrolled cin chis cemployer's cgroup chealth cplan cand cwill cbe
retiring csoon. cHe cwould clike cto cknow chis coptions csince che chas cdecided
c


c to cdrop chis cretiree ccoverage cand cis celigible cfor cMedicare. cWhat cshould
c you ctell chim? c- cANS Mr. cChen ccan cdisenroll cfrom chis cemployer-
sponsored ccoverage cto celect ca cMedicare cAdvantage cor cPart cD cplan cwithin c2
months cof chis cdisenrollment, cbut che cshould crevaluate cif che creally cwants cto
c

,drop chis cemployer ccoverage.
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Mr. cDavis cis c52 cyears cold cand chas crecently cbeen cdiagnosed cwith cend-
stage crenal cdisease c(ESRD) cand cwill csoon cbegin cdialysis. cHe cis
wondering cif che ccan cobtain ccoverage cunder cMedicare. cWhat cshould cyou
c


c tell chim? c- cANS He
may csign-up cfor cMedicare cat cany ctime chowever ccoverage cusually cbegins con
c


the cfourth cmonth cafter cdialysis ctreatments cstart.
c




Mr. cJohannsen cis centitled cto cMedicare cPart cA cand cPart cB. cHe cgains cthe
Part cD clow-income csubsidy. cHow cdoes cthat caffect chis cability cto cenroll cor
c


disenroll cin ca cPart cD cplan? c- cANS He cqualifies cfor ca cspecial celection
c


period cand ccan cenroll cin cor cdisenroll cfrom ca cPart cD cplan conce cduring cthat
c


period.
c




Mr. cLopez, cwho cis cfairly cwell-off cfinancially, cwould clike cto cenroll cin ca
c Medicare cprescription cdrug cplan cyou crepresent cand csimply cgive cyou ca
check cto ccover chis cpremiums cfor cthe centire cyear. cWhat cshould cyou ctell
c


c him? c- cANS
Enrollees cshould cpay cusing cautomatic cwithdrawal cfrom ca cbank caccount cor
credit cor cdebit ccard, cdirect cmonthly cbilling cfrom cthe cplan, cor cdeductions cfrom
c


their cSocial cSecurity ccheck.
c




You chave capproached ca chospital cadministrator cabout cmarketing cin cher
c facility. cThe cadministrator cis cuncomfortable cwith cthe csuggestion. cHow
could cyou caddress cher cconcerns? c- cANS Tell cher cthat cMedicare cguidelines
c


allow cyou cto cconduct cmarketing cactivities cin ccommon careas cof ca cprovider's
c


facility.
c

, You chave ccome cto cMrs. cMidler's chome cfor ca csales cpresentation. cAt cthe
c beginning cof cthe cpresentation, cMrs. cMidler ctells cyou cthat cshe chas ca ccopy
of cher cmedical crecord cavailable cbecause cshe cthinks cthis cwill chelp cyou
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understand cher cneeds. cShe csuggests cthat cyou cwill cknow cwhich
questions cto cask cher cabout cher chealth cstatus cin corder cto cbest cassist
c


c her cin cselecting ca cplan. cWhat cshould cyou cdo? c- cANS You ccan conly
ask cMrs. cMidler cquestions cabout cconditions cthat caffect celigibility,
c


specifically, cwhether cshe chas cend cstage crenal cdisease cor cone cof cthe
c


conditions cthat cwould cqualify cher cfor ca cspecial cneeds cplan.
c




Mrs. cReeves cis cnewly celigible cto cenroll cin ca cMedicare cAdvantage cplan cand
her cMA cInitial cCoverage cElection cPeriod c(ICEP) chas cjust cbegun. cWhich
c


c of cthe cfollowing ccan cshe cnot cdo cduring cthe cICEP? c- cANS She ccan cenroll
in ca cMedigap cplan cto csupplement cthe cbenefits cof cthe cMA cplan cthat cshe's calso
c


enrolling cin.
c




Mrs. cChi cis cage c75 cand cenjoys ca ccomfortable cbut cnot cextremely chigh-
income clevel. cShe cwishes cto cenroll cin ca cMA cMSA cplan cthat cshe cheard
c about cfrom cher cneighbor. cShe calso cwants cto chave cprescription cdrug
c coverage csince cher cdoctor crecently cprescribed cseveral cexpensive
medications. cCurrently, cshe cis cenrolled cin cOriginal cMedicare cand ca
c


standalone cPart cD cplan. cHow cwould cyou cadvise cMrs. cChi? c- cANS Mrs. cChi
c


may cenroll cin ca cMS cMSA cplan cand cremain cin cher ccurrent cstandalone cPart cD
c


prescription cdrug cplan.
c




Alice cis cenrolled cin ca cMA-PD cplan. cShe cmakes ca cpermanent cmove
c across cthe ccountry cand cwonders cwhat cher coptions care cfor ccontinuing