LATEST AHIP / AHIP PRACTICE EXAM COMPLETE 50
REAL QUESTIONS AND WELL ELABORATED
ANSWERS (CORRECT VERIFIED ANSWERS) LATEST
UPDATES 2024-2025 |GUARANTEED SUCCESS. (FULL
REVISED EXAM) AHIP PRACTICE EXAM
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? - answer-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.
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? - answer-The Medicare Advantage plan received
a 5-star rating in customer service and care coordination with
an overall performance rating of 4-stars
,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? - answer-She may enroll at any time while she
is covered under her employer plan, but she will have a special
eight-month enrollment period that differs from the standard
general enrollment period, during which she may enroll in
Medicare Part B
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? - 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.
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: - answer-Betty and Denise, but not Alice (the
employee) or Carl or Edward (to whom exceptions apply).
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? - answer-Mrs.
Valentino can submit a written request to Medicare to be
disenrolled from the Cost plan and enroll in Original Medicare.
When Myra first became eligible for Medicare, she enrolled in
Original Medicare (Parts A and B). She is now 67 and will turn
68 on July 1. She would now like to enroll in a Medicare
Advantage (MA) plan and approaches you about her options.
What advice would you give her? - answer-She should remain
in Original Medicare until the annual election period running
from October 15 to December 7, during which she can select an
MA plan.
Mrs. Tanner is enrolled in a Medicare Advantage HMO that
offers a point of service options. This allows Mrs. Tanner to do
which of the following? - answer-Mrs. Tanner can go to non-
plan doctors for certain services without receiving prior
approval
REAL QUESTIONS AND WELL ELABORATED
ANSWERS (CORRECT VERIFIED ANSWERS) LATEST
UPDATES 2024-2025 |GUARANTEED SUCCESS. (FULL
REVISED EXAM) AHIP PRACTICE EXAM
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? - answer-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.
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? - answer-The Medicare Advantage plan received
a 5-star rating in customer service and care coordination with
an overall performance rating of 4-stars
,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? - answer-She may enroll at any time while she
is covered under her employer plan, but she will have a special
eight-month enrollment period that differs from the standard
general enrollment period, during which she may enroll in
Medicare Part B
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? - 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.
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: - answer-Betty and Denise, but not Alice (the
employee) or Carl or Edward (to whom exceptions apply).
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? - answer-Mrs.
Valentino can submit a written request to Medicare to be
disenrolled from the Cost plan and enroll in Original Medicare.
When Myra first became eligible for Medicare, she enrolled in
Original Medicare (Parts A and B). She is now 67 and will turn
68 on July 1. She would now like to enroll in a Medicare
Advantage (MA) plan and approaches you about her options.
What advice would you give her? - answer-She should remain
in Original Medicare until the annual election period running
from October 15 to December 7, during which she can select an
MA plan.
Mrs. Tanner is enrolled in a Medicare Advantage HMO that
offers a point of service options. This allows Mrs. Tanner to do
which of the following? - answer-Mrs. Tanner can go to non-
plan doctors for certain services without receiving prior
approval
