AHIP Practice Exam Questions and Answers
(2023) (Verified Answers)
1. Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage
(MA), not by the government. He likes Original Medicare and does not want
to sign up for an MA product, but he also wants prescription drug coverage.
What should you tell him ANS Mr. Carlini can stay with Original Medicare and
also enroll in a Medicare prescription drug plan through a private company that
has contracted with the government to provide only such drug coverage to eligible
Medicare beneficiaries.
2. During a sales presentation to Ms Daley for a Medicare Advantage plan that
has a 5-star rating in customer service and care coordination, and received
an overall plan performance of a 4-star, which of the following would be the
correct statement to say to her ANS The Medicare Advantage plan received a 5-
starrating in customer service and care coordination with an overall performance
ratingof 4-stars
3. Mrs. Pena is 66 years old, has coverage under an employer plan and will
retire next year. She heard she must enroll in Part B at the beginning of the year
to ensure no gap in coverage. What can you tell her ANS She may enroll at any
,timewhile she is covered under her employer plan, but she will have a special eight-
monthenrollment period that differs from the standard general enrollment period,
during which she may enroll in Medicare Part B
4. 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 ANS He could check with the
manufacturersof 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.
5. Alice is a marketing representative employed by a health plan. Betty is a
captive agent of a health plan who markets to multiple plans and sponsors.
Carl is a captive agent who markets to only one plan/sponsor. Denise is an
independent agent who markets to different types of groups. Edward is an
independent agent who markets only to employer and union groups. CMS
marketing representative compensation rules generally apply to ANS Betty
and Denise, but not Alice (the employee) or Carl or Edward (to whom exceptions
apply).
6. Mrs. Valentino is currently enrolled in a Medicare Cost plan. This plan is
no longer meeting her needs, but it is now mid-year and past the annual
election period (AEP). What would you say to Mrs. Valentino regarding her
options ANS Mrs. Valentino can submit a written request to Medicare to be
, disenrolledfrom the Cost plan and enroll in Original Medicare.
(2023) (Verified Answers)
1. Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage
(MA), not by the government. He likes Original Medicare and does not want
to sign up for an MA product, but he also wants prescription drug coverage.
What should you tell him ANS Mr. Carlini can stay with Original Medicare and
also enroll in a Medicare prescription drug plan through a private company that
has contracted with the government to provide only such drug coverage to eligible
Medicare beneficiaries.
2. During a sales presentation to Ms Daley for a Medicare Advantage plan that
has a 5-star rating in customer service and care coordination, and received
an overall plan performance of a 4-star, which of the following would be the
correct statement to say to her ANS The Medicare Advantage plan received a 5-
starrating in customer service and care coordination with an overall performance
ratingof 4-stars
3. Mrs. Pena is 66 years old, has coverage under an employer plan and will
retire next year. She heard she must enroll in Part B at the beginning of the year
to ensure no gap in coverage. What can you tell her ANS She may enroll at any
,timewhile she is covered under her employer plan, but she will have a special eight-
monthenrollment period that differs from the standard general enrollment period,
during which she may enroll in Medicare Part B
4. 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 ANS He could check with the
manufacturersof 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.
5. Alice is a marketing representative employed by a health plan. Betty is a
captive agent of a health plan who markets to multiple plans and sponsors.
Carl is a captive agent who markets to only one plan/sponsor. Denise is an
independent agent who markets to different types of groups. Edward is an
independent agent who markets only to employer and union groups. CMS
marketing representative compensation rules generally apply to ANS Betty
and Denise, but not Alice (the employee) or Carl or Edward (to whom exceptions
apply).
6. Mrs. Valentino is currently enrolled in a Medicare Cost plan. This plan is
no longer meeting her needs, but it is now mid-year and past the annual
election period (AEP). What would you say to Mrs. Valentino regarding her
options ANS Mrs. Valentino can submit a written request to Medicare to be
, disenrolledfrom the Cost plan and enroll in Original Medicare.
