AHIP
AHIP MEDICARE TRAINING EXAM QUESTIONS AND ANSWERS
Ms. Jensen has heard about "Original Fee-for-Service Medicare"
and "Private Fee-for-Service" plans. She wants to know what
the difference is if any. What should you tell her? - correct answer
PFFS plans are a type of Medicare Advantage plan offered by
private companies.
This year you decide to focus your efforts on marketing to
employer and union groups. Which of the following statements
best describes what you can and cannot do in order to stay in
compliance? - correct answer You are not required to submit
communication and marketing materials specific only to those
employer plans to CMS at the time of use, but CMS may request
and review copies if employee complaints occur.
,AHIP
Agent Suma has recently had several clients request his
assistance in completing their paper enrollment form. What
advice would you give him? - correct answer Agent Suma is only
permitted to fill out the applicant's name and contact
information. The applicant must fill in the remaining
information in order to protect his or her privacy.
Mrs. Quinn recently turned 66 and decided after many years of
work to begin receiving Social Security benefits. Shortly
thereafter Mrs. Quinn received a letter informing her that she
has been automatically enrolled in Medicare Part B. She wants
to understand what this means. What should you tell Mrs.
Quinn? - correct answer Part B primarily covers physician services.
She will be paying a monthly premium and, with the exception
of many preventive and screening tests, generally will have 20%
coinsurance for these services, in addition to an annual
deductible.
Mrs. Turner is comparing her employer's retiree insurance to
Original Medicare and would like to know which of the
following services Original Medicare will cover if the
appropriate criteria are met? What could you tell her? - correct
answer Original Medicare covers ambulance services.
,AHIP
Mr. Diaz continued working with his company and was insured
under his employer's group plan until he reached age 68. He
has heard that there is a premium penalty for those who did
not sign up for Part B when first eligible and wants to know how
much he will have to pay. What should you tell him? - correct
answer Mr. Diaz will not pay any penalty because he had
continuous coverage under his employer's plan.
Anita Magri will turn age 65 in August 2020. Anita intends to
enroll in Original Medicare Part A and Part B. She would also
like to enroll in a Medicare Supplement (Medigap) plan. Anita's
older neighbor Mel has told her about the Medigap Part F plan
in which he is enrolled. It not only provides foreign travel
emergency benefits but also covers his Medicare Part B
deductible. Anita comes to you for advice. What should you tell
her - correct answer You are sorry to disappoint Anita but a
Medigap Part F plan is no longer available to those who turn
age 65 after January 1,2020. Anita might instead consider other
Medigap plans that offer foreign travel benefits but do not
cover the Part B deductible.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to
understand what coverage Medicare Supplemental Insurance
provides since his health care needs are different from his wife's
needs. What could you tell Mr. Moy? - correct answer Medicare
Supplemental Insurance would help cover his Part A and Part B
, AHIP
cost sharing in Original Fee-for-Service (FFS) Medicare as well as
possibly some services that Medicare does not cover.
Mr. Bauer is 49 years old, but eighteen months ago he was
declared disabled by the Social Security Administration and has
been receiving disability payments. He is wondering whether he
can obtain coverage under Medicare. What should you tell him?
- correct answer After receiving such disability payments for 24
months, he will be automatically enrolled in Medicare,
regardless of age.
Mr. Schmidt would like to plan for retirement and has asked you
what is covered under Original Fee-for-Service (FFS) Medicare?
What could you tell him? - correct answer Part A, which covers
hospital, skilled nursing facility, hospice, and home health
services and Part B, which covers professional services such as
those provided by a doctor are covered under Original
Medicare.
Ms. Moore plans to retire when she turns 65 in a few months.
She is in excellent health and will have considerable income
when she retires. She is concerned that her income will make it
impossible for her to qualify for Medicare. What could you tell
her to address her concern? - correct answer Medicare is a program
for people age 65 or older and those under age 65 with certain
AHIP MEDICARE TRAINING EXAM QUESTIONS AND ANSWERS
Ms. Jensen has heard about "Original Fee-for-Service Medicare"
and "Private Fee-for-Service" plans. She wants to know what
the difference is if any. What should you tell her? - correct answer
PFFS plans are a type of Medicare Advantage plan offered by
private companies.
This year you decide to focus your efforts on marketing to
employer and union groups. Which of the following statements
best describes what you can and cannot do in order to stay in
compliance? - correct answer You are not required to submit
communication and marketing materials specific only to those
employer plans to CMS at the time of use, but CMS may request
and review copies if employee complaints occur.
,AHIP
Agent Suma has recently had several clients request his
assistance in completing their paper enrollment form. What
advice would you give him? - correct answer Agent Suma is only
permitted to fill out the applicant's name and contact
information. The applicant must fill in the remaining
information in order to protect his or her privacy.
Mrs. Quinn recently turned 66 and decided after many years of
work to begin receiving Social Security benefits. Shortly
thereafter Mrs. Quinn received a letter informing her that she
has been automatically enrolled in Medicare Part B. She wants
to understand what this means. What should you tell Mrs.
Quinn? - correct answer Part B primarily covers physician services.
She will be paying a monthly premium and, with the exception
of many preventive and screening tests, generally will have 20%
coinsurance for these services, in addition to an annual
deductible.
Mrs. Turner is comparing her employer's retiree insurance to
Original Medicare and would like to know which of the
following services Original Medicare will cover if the
appropriate criteria are met? What could you tell her? - correct
answer Original Medicare covers ambulance services.
,AHIP
Mr. Diaz continued working with his company and was insured
under his employer's group plan until he reached age 68. He
has heard that there is a premium penalty for those who did
not sign up for Part B when first eligible and wants to know how
much he will have to pay. What should you tell him? - correct
answer Mr. Diaz will not pay any penalty because he had
continuous coverage under his employer's plan.
Anita Magri will turn age 65 in August 2020. Anita intends to
enroll in Original Medicare Part A and Part B. She would also
like to enroll in a Medicare Supplement (Medigap) plan. Anita's
older neighbor Mel has told her about the Medigap Part F plan
in which he is enrolled. It not only provides foreign travel
emergency benefits but also covers his Medicare Part B
deductible. Anita comes to you for advice. What should you tell
her - correct answer You are sorry to disappoint Anita but a
Medigap Part F plan is no longer available to those who turn
age 65 after January 1,2020. Anita might instead consider other
Medigap plans that offer foreign travel benefits but do not
cover the Part B deductible.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to
understand what coverage Medicare Supplemental Insurance
provides since his health care needs are different from his wife's
needs. What could you tell Mr. Moy? - correct answer Medicare
Supplemental Insurance would help cover his Part A and Part B
, AHIP
cost sharing in Original Fee-for-Service (FFS) Medicare as well as
possibly some services that Medicare does not cover.
Mr. Bauer is 49 years old, but eighteen months ago he was
declared disabled by the Social Security Administration and has
been receiving disability payments. He is wondering whether he
can obtain coverage under Medicare. What should you tell him?
- correct answer After receiving such disability payments for 24
months, he will be automatically enrolled in Medicare,
regardless of age.
Mr. Schmidt would like to plan for retirement and has asked you
what is covered under Original Fee-for-Service (FFS) Medicare?
What could you tell him? - correct answer Part A, which covers
hospital, skilled nursing facility, hospice, and home health
services and Part B, which covers professional services such as
those provided by a doctor are covered under Original
Medicare.
Ms. Moore plans to retire when she turns 65 in a few months.
She is in excellent health and will have considerable income
when she retires. She is concerned that her income will make it
impossible for her to qualify for Medicare. What could you tell
her to address her concern? - correct answer Medicare is a program
for people age 65 or older and those under age 65 with certain
