AHIP FINAL EXAM 2025/2026 ACTUAL COMPLETE REAL EXAM
QUESTIONS AND (100% CORRECT ANSWERS (VERIFIED
ANSWERS )NEWEST VERSION!!.
You are doing a sales presentation for Mrs. Pearson. You know
that Medicare marketing guidelines prohibit certain types of
statements. Apply those guidelines to the following statements
and identify which would be prohibited. - ANSWER-"If you're not
in very good health, you will probably do better with a different
product."
Mrs. Margolis contacts you in August because she will become
eligible for Medicare for the first time in November. She would
like to meet and discuss plan choices with you. What advice
should you give her? - ANSWER-Tell her to wait until October to
discuss plan choices with you so that you can share plan
benefits for the current year as well as any changes for the
following year that may impact her choice.
ABC is a Medicare Advantage (MA) plan sponsor. It would like to
use its enrollees' information to market non-health related
products such as life insurance and annuities. Which statement
,best describes ABC's obligation to its enrollees regarding
marketing such products? - ANSWER-It must obtain a HIPAA
compliant authorization from an enrollee that indicates the plan
or plan sponsor may use their information for marketing
purposes.
You have been providing a pre-Thanksgiving meal during sales
presentations in November for many years and your clients look
forward to attending this annual event. When marketing
Medicare Advantage and Part D plans, what are you permitted to
do with respect to meals? - ANSWER-You may provide light
snacks, but a Thanksgiving style meal would be prohibited,
regardless of who provides or pays for the meal.
Mrs. Kumar would like her daughter, who lives in another state,
to meet with you during the Annual Election Period to help her
complete her enrollment in a Part D plan. She asked you when
she should have her daughter plan to visit. What could you tell
her? - ANSWER-Her daughter should come in November.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage
plan and her MA Initial Coverage Election Period (ICEP) has just
begun. Which of the following can she not do during the ICEP? -
ANSWER-She can enroll in a Medigap plan to supplement the
benefits of the MA plan that she's also enrolling in.
,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 records 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-You can only ask Mrs. Midler
questions about conditions that affect eligibility, specifically,
whether she has one of the conditions that would qualify her for
a special needs plan.
Mrs. Goodman enrolled in an MA-PD plan during the Annual
Election Period. In mid-January of the following year, she wants
to switch back to Original Medicare and enroll in a stand-alone
prescription drug plan. What should you tell her? - ANSWER-
During the MA Open Enrollment Period, from January 1 - March
31, she may disenroll from the MA-PD plan into Original
Medicare and also may add a stand-alone prescription drug plan.
Edna, Felix, George, and Harriet are Medicare beneficiaries.
Edna lives in an area that has suffered from major flooding that
has been declared a major disaster by both the Federal
government and her state. As a result of dealing with the
, flooding issues and being evacuated from her home, Edna
missed her
chance to enroll in MA during her Initial Coverage Election
Period. Felix lives in an area with a Medicare Advantage plan
with a 4-star rating that he would like to join. George dropped his
Medigap policy six months ago when he first enrolled in a
Medicare Advantage plan. He now wants to return to Original
Medicare. Harriet has recently developed diabetes and would
like to enroll in a Medicare
Advantage plan that focuses on care for those with that disease.
Which, if any, of these individuals would qualify for a special
election period (SEP)? – ANSWER-Edna would qualify for a SEP
because government officials have declared a major disaster for
her area and she did not enroll in MA during her ICEP due to the
emergency. George would qualify for an SEP because he
enrolled in Medicare Advantage (MA) plan for the first time and
would now like to return to Original Medicare within the first 12
months of his enrollment. Harriet would also qualify for a SEP to
enroll in a C-SNP because she has developed a chronic
condition. Felix would not qualify for a SEP since he seeks to
enroll in a 4-star not a 5-star MA plan.
Mr. Garrett has just entered his MA Initial Coverage Election
Period (ICEP). What action could you help him take during this
QUESTIONS AND (100% CORRECT ANSWERS (VERIFIED
ANSWERS )NEWEST VERSION!!.
You are doing a sales presentation for Mrs. Pearson. You know
that Medicare marketing guidelines prohibit certain types of
statements. Apply those guidelines to the following statements
and identify which would be prohibited. - ANSWER-"If you're not
in very good health, you will probably do better with a different
product."
Mrs. Margolis contacts you in August because she will become
eligible for Medicare for the first time in November. She would
like to meet and discuss plan choices with you. What advice
should you give her? - ANSWER-Tell her to wait until October to
discuss plan choices with you so that you can share plan
benefits for the current year as well as any changes for the
following year that may impact her choice.
ABC is a Medicare Advantage (MA) plan sponsor. It would like to
use its enrollees' information to market non-health related
products such as life insurance and annuities. Which statement
,best describes ABC's obligation to its enrollees regarding
marketing such products? - ANSWER-It must obtain a HIPAA
compliant authorization from an enrollee that indicates the plan
or plan sponsor may use their information for marketing
purposes.
You have been providing a pre-Thanksgiving meal during sales
presentations in November for many years and your clients look
forward to attending this annual event. When marketing
Medicare Advantage and Part D plans, what are you permitted to
do with respect to meals? - ANSWER-You may provide light
snacks, but a Thanksgiving style meal would be prohibited,
regardless of who provides or pays for the meal.
Mrs. Kumar would like her daughter, who lives in another state,
to meet with you during the Annual Election Period to help her
complete her enrollment in a Part D plan. She asked you when
she should have her daughter plan to visit. What could you tell
her? - ANSWER-Her daughter should come in November.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage
plan and her MA Initial Coverage Election Period (ICEP) has just
begun. Which of the following can she not do during the ICEP? -
ANSWER-She can enroll in a Medigap plan to supplement the
benefits of the MA plan that she's also enrolling in.
,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 records 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-You can only ask Mrs. Midler
questions about conditions that affect eligibility, specifically,
whether she has one of the conditions that would qualify her for
a special needs plan.
Mrs. Goodman enrolled in an MA-PD plan during the Annual
Election Period. In mid-January of the following year, she wants
to switch back to Original Medicare and enroll in a stand-alone
prescription drug plan. What should you tell her? - ANSWER-
During the MA Open Enrollment Period, from January 1 - March
31, she may disenroll from the MA-PD plan into Original
Medicare and also may add a stand-alone prescription drug plan.
Edna, Felix, George, and Harriet are Medicare beneficiaries.
Edna lives in an area that has suffered from major flooding that
has been declared a major disaster by both the Federal
government and her state. As a result of dealing with the
, flooding issues and being evacuated from her home, Edna
missed her
chance to enroll in MA during her Initial Coverage Election
Period. Felix lives in an area with a Medicare Advantage plan
with a 4-star rating that he would like to join. George dropped his
Medigap policy six months ago when he first enrolled in a
Medicare Advantage plan. He now wants to return to Original
Medicare. Harriet has recently developed diabetes and would
like to enroll in a Medicare
Advantage plan that focuses on care for those with that disease.
Which, if any, of these individuals would qualify for a special
election period (SEP)? – ANSWER-Edna would qualify for a SEP
because government officials have declared a major disaster for
her area and she did not enroll in MA during her ICEP due to the
emergency. George would qualify for an SEP because he
enrolled in Medicare Advantage (MA) plan for the first time and
would now like to return to Original Medicare within the first 12
months of his enrollment. Harriet would also qualify for a SEP to
enroll in a C-SNP because she has developed a chronic
condition. Felix would not qualify for a SEP since he seeks to
enroll in a 4-star not a 5-star MA plan.
Mr. Garrett has just entered his MA Initial Coverage Election
Period (ICEP). What action could you help him take during this
