AHIP FINAL EXAM LATEST (2025/2026) | 50 VERIFIED
QUESTIONS AND CORRECT ANSWERS | A+ GRADED
Mrs. West wears glasses and dentures and has enjoyed 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? - CORRECT ANSWER-Medicare does not
cover acupuncture, or, in general, glasses or dentures.
Mr. Bickford did not quite qualify for the extra help low-income
subsidy under the Medicare Part D Prescription Drug program and he
is wondering if there is any other option he has for obtaining help
with his considerable drug costs. What should you tell him? -
CORRECT ANSWER-He could check with the manufacturers of his
medications to see if they offer an assistance program to help people
with limited means obtain the medications they need. Alternatively,
he could check to see whether his state has a pharmacy assistance
program to help him with his expenses.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan
that you represent. It is one of three plans operated by the same
organization in Mr. Lombardi's area. The MA PPO plan does not
include drug coverage, but the other two plans do. Mr. Lombardi likes
the PPO plan that does not include drug coverage and intends to
obtain his drug coverage through a stand-alone Medicare
prescription drug plan. What should you tell him about this situation?
- CORRECT ANSWER-He could enroll in one of the MA plans that
include prescription drug coverage or a Medigap plan and a stand-
, alone prescription drug plan, but he cannot enroll in the MA-only
PPO plan and a stand-alone prescription drug plan.
Mr. Torres has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal
from his savings account until it is exhausted, and then have his
premiums withheld from his Social Security check. What should you
tell him? - CORRECT ANSWER-In general, he must select a single Part
D premium payment mechanism that will be used throughout the
year.
Agent Jennings makes a presentation on Medicare advertised as an
educational event. Agent Jennings distributes materials that are
solely educational in nature. However, she gives a brief presentation
that mentions plan-specific premiums. Is this a prohibited activity at
an event that has been advertised as educational? - CORRECT
ANSWER-Yes. When an event has been advertised as "educational,"
discussing plan-specific premiums is impermissible.
Mrs. Mulcahy is concerned that she may not qualify for enrollment in
a Medicare prescription drug plan because, although she is entitled
to Part A, she is not enrolled under Medicare Part B. What should
you tell her? - CORRECT ANSWER-Everyone who is entitled to Part A
or enrolled under Part B is eligible to enroll in a Medicare
prescription drug plan. As long as Mrs. Mulcahy is entitled to Part A,
she does not need to enroll under Part B before enrolling in a
prescription drug plan.
Mr. Jacob understands that there is a standard Medicare Part D
prescription drug benefit, but when he looks at information on
QUESTIONS AND CORRECT ANSWERS | A+ GRADED
Mrs. West wears glasses and dentures and has enjoyed 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? - CORRECT ANSWER-Medicare does not
cover acupuncture, or, in general, glasses or dentures.
Mr. Bickford did not quite qualify for the extra help low-income
subsidy under the Medicare Part D Prescription Drug program and he
is wondering if there is any other option he has for obtaining help
with his considerable drug costs. What should you tell him? -
CORRECT ANSWER-He could check with the manufacturers of his
medications to see if they offer an assistance program to help people
with limited means obtain the medications they need. Alternatively,
he could check to see whether his state has a pharmacy assistance
program to help him with his expenses.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan
that you represent. It is one of three plans operated by the same
organization in Mr. Lombardi's area. The MA PPO plan does not
include drug coverage, but the other two plans do. Mr. Lombardi likes
the PPO plan that does not include drug coverage and intends to
obtain his drug coverage through a stand-alone Medicare
prescription drug plan. What should you tell him about this situation?
- CORRECT ANSWER-He could enroll in one of the MA plans that
include prescription drug coverage or a Medigap plan and a stand-
, alone prescription drug plan, but he cannot enroll in the MA-only
PPO plan and a stand-alone prescription drug plan.
Mr. Torres has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal
from his savings account until it is exhausted, and then have his
premiums withheld from his Social Security check. What should you
tell him? - CORRECT ANSWER-In general, he must select a single Part
D premium payment mechanism that will be used throughout the
year.
Agent Jennings makes a presentation on Medicare advertised as an
educational event. Agent Jennings distributes materials that are
solely educational in nature. However, she gives a brief presentation
that mentions plan-specific premiums. Is this a prohibited activity at
an event that has been advertised as educational? - CORRECT
ANSWER-Yes. When an event has been advertised as "educational,"
discussing plan-specific premiums is impermissible.
Mrs. Mulcahy is concerned that she may not qualify for enrollment in
a Medicare prescription drug plan because, although she is entitled
to Part A, she is not enrolled under Medicare Part B. What should
you tell her? - CORRECT ANSWER-Everyone who is entitled to Part A
or enrolled under Part B is eligible to enroll in a Medicare
prescription drug plan. As long as Mrs. Mulcahy is entitled to Part A,
she does not need to enroll under Part B before enrolling in a
prescription drug plan.
Mr. Jacob understands that there is a standard Medicare Part D
prescription drug benefit, but when he looks at information on
