AHIP EXAM REVIEW UNIT 1 TO 5 - EXAMINATION
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Mr. and Mrs. Nunez attended one of your sales
presentations. They've asked you to come to their home to clear up
a few questions. During the presentation, Mrs. Nunez feels tired
and tells you that her husband can finish things up. She goes to
bed. At the end of your discussion, Mr. Nunez says that he wants to
enroll both himself and his wife. What should you do?
Answer:
d. As long as she is able to do so, only Mrs. Nunez can sign her
enrollment form. Mrs. Nunez will have to wake up to sign her form or do
so at another time. Correct
Question 2: You are visiting with Mr. Tully and his daughter at her
request. He has advanced Alzheimer's and is incapable of
understanding the implications of choosing a Medicare Advantage
or prescription drug plan. Can his daughter fill out the enrollment
form and sign it for him?
Answer:
c. Mr. Tully's daughter can do so only, if she is authorized under state
law as a court-appointed legal guardian, has durable power of attorney
for health care decisions, or is authorized under state surrogate consent
laws to make health decisions. Correct
,Question 3: You are meeting with Ms. Berlin and she has completed
an enrollment form for a MA-PD plan you represent. You notice that
her handwriting is illegible and as a result, the spelling of her street
looks incorrect. She asks you to fill in the corrected street name.
What should you do?
Answer:
c. You may correct this information as long as you add your initials and
date next to the correction Correct Phiona works in the IT Department of
BestCare Health Plan. Phiona is placed in charge of BestCare's efforts
to facilitate electronic enrollment in its Medicare Advantage plans. In
setting up the enrollment site, which of the following must Phiona
consider? I. If a legal representative is completing an electronic
enrollment request, he or she must first upload proof of his or her
authority. II. All data elements required to complete an enrollment
request must be captured. III. The process must include a clear and
distinct step that requires the applicant to activate an "Enroll Now" or "I
Agree" type of button or tool.
Question 4: IV. The mechanism must capture an accurate time and
date stamp at the time the applicant enters the online site.
Answer:
b. II and III only Correct
Question 5: Mr. Block is currently enrolled in a Medicare Advantage
plan that includes drug coverage. He found a stand-alone Medicare
prescription drug plan in his area that offers better coverage than
that available through his MA-PD plan and in addition has a low
premium. It won't cost him much more and, because he has the
,means to do so, he wishes to enroll in the stand-alone prescription
drug plan in addition to his MA-PD plan. What should you tell him?
Answer:
c. If Mr. Block enrolls in the stand-alone Medicare prescription drug plan,
he will be disenrolled from the Medicare Advantage plan. Correct
Question 6: You are doing a sales presentation for Mrs. Pearson.
You know that the Medicare marketing guidelines prohibit certain
types of statements. Apply those guidelines to the following
statements and identify which would be prohibited.
Answer:
d. "If you're not in very good health, you will probably do better with a
different product." Correct
Question 7: You have come to Mrs. Midler's home for a sales
presentation. At the beginning of the presentation, Mrs. Midler tells
you that she has a copy of her medical record available because
she thinks this will help you understand her needs. She suggests
that you will know which questions to ask her about her health
status in order to best assist her in selecting a plan. What should
you do?
Answer:
b. You can only ask Mrs. Midler questions about conditions that affect
eligibility, specifically, whether she has end stage renal disease or one of
the conditions that would qualify her for a special needs plan. Correct
, Question 8: Willard works as a representative focused on the
senior marketplace. What would be considered prohibited activity
by Willard?
Answer:
a. Implying that only seniors can enroll in a Medicare Advantage plan
when meeting with Mr. Hernandez, who is 58 but qualifies for Medicare
because she is disabled. Correct
Question 9: Mr. Garrett has just entered his MA Initial Coverage
Election Period (ICEP). What action could you help him take during
this time?
Answer:
c. He will have one opportunity to enroll in a Medicare Advantage plan
Correct
Question 10: Mrs. Kendrick is six months away from turning 65.
She wants to know what she will have to do to enroll in a Medicare
Advantage (MA) plan as soon as possible. What could you tell her?
Answer:
c. She may enroll in an MA plan beginning three months immediately
before her first entitlement to both Medicare Part A and Part B. Correct
Question 11: Mr. Ziegler is turning 65 next month and has asked
you what he can do, and when he must do it, with respect to
enrolling in Part D. What could you tell him?
Answer:
COMPLETE QUESTIONS AND DETAILED SOLUTIONS
LATEST UPDATE THIS YEAR JUST RELEASED
Question 1: Mr. and Mrs. Nunez attended one of your sales
presentations. They've asked you to come to their home to clear up
a few questions. During the presentation, Mrs. Nunez feels tired
and tells you that her husband can finish things up. She goes to
bed. At the end of your discussion, Mr. Nunez says that he wants to
enroll both himself and his wife. What should you do?
Answer:
d. As long as she is able to do so, only Mrs. Nunez can sign her
enrollment form. Mrs. Nunez will have to wake up to sign her form or do
so at another time. Correct
Question 2: You are visiting with Mr. Tully and his daughter at her
request. He has advanced Alzheimer's and is incapable of
understanding the implications of choosing a Medicare Advantage
or prescription drug plan. Can his daughter fill out the enrollment
form and sign it for him?
Answer:
c. Mr. Tully's daughter can do so only, if she is authorized under state
law as a court-appointed legal guardian, has durable power of attorney
for health care decisions, or is authorized under state surrogate consent
laws to make health decisions. Correct
,Question 3: You are meeting with Ms. Berlin and she has completed
an enrollment form for a MA-PD plan you represent. You notice that
her handwriting is illegible and as a result, the spelling of her street
looks incorrect. She asks you to fill in the corrected street name.
What should you do?
Answer:
c. You may correct this information as long as you add your initials and
date next to the correction Correct Phiona works in the IT Department of
BestCare Health Plan. Phiona is placed in charge of BestCare's efforts
to facilitate electronic enrollment in its Medicare Advantage plans. In
setting up the enrollment site, which of the following must Phiona
consider? I. If a legal representative is completing an electronic
enrollment request, he or she must first upload proof of his or her
authority. II. All data elements required to complete an enrollment
request must be captured. III. The process must include a clear and
distinct step that requires the applicant to activate an "Enroll Now" or "I
Agree" type of button or tool.
Question 4: IV. The mechanism must capture an accurate time and
date stamp at the time the applicant enters the online site.
Answer:
b. II and III only Correct
Question 5: Mr. Block is currently enrolled in a Medicare Advantage
plan that includes drug coverage. He found a stand-alone Medicare
prescription drug plan in his area that offers better coverage than
that available through his MA-PD plan and in addition has a low
premium. It won't cost him much more and, because he has the
,means to do so, he wishes to enroll in the stand-alone prescription
drug plan in addition to his MA-PD plan. What should you tell him?
Answer:
c. If Mr. Block enrolls in the stand-alone Medicare prescription drug plan,
he will be disenrolled from the Medicare Advantage plan. Correct
Question 6: You are doing a sales presentation for Mrs. Pearson.
You know that the Medicare marketing guidelines prohibit certain
types of statements. Apply those guidelines to the following
statements and identify which would be prohibited.
Answer:
d. "If you're not in very good health, you will probably do better with a
different product." Correct
Question 7: You have come to Mrs. Midler's home for a sales
presentation. At the beginning of the presentation, Mrs. Midler tells
you that she has a copy of her medical record available because
she thinks this will help you understand her needs. She suggests
that you will know which questions to ask her about her health
status in order to best assist her in selecting a plan. What should
you do?
Answer:
b. You can only ask Mrs. Midler questions about conditions that affect
eligibility, specifically, whether she has end stage renal disease or one of
the conditions that would qualify her for a special needs plan. Correct
, Question 8: Willard works as a representative focused on the
senior marketplace. What would be considered prohibited activity
by Willard?
Answer:
a. Implying that only seniors can enroll in a Medicare Advantage plan
when meeting with Mr. Hernandez, who is 58 but qualifies for Medicare
because she is disabled. Correct
Question 9: Mr. Garrett has just entered his MA Initial Coverage
Election Period (ICEP). What action could you help him take during
this time?
Answer:
c. He will have one opportunity to enroll in a Medicare Advantage plan
Correct
Question 10: Mrs. Kendrick is six months away from turning 65.
She wants to know what she will have to do to enroll in a Medicare
Advantage (MA) plan as soon as possible. What could you tell her?
Answer:
c. She may enroll in an MA plan beginning three months immediately
before her first entitlement to both Medicare Part A and Part B. Correct
Question 11: Mr. Ziegler is turning 65 next month and has asked
you what he can do, and when he must do it, with respect to
enrolling in Part D. What could you tell him?
Answer:
