AHIP FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Types of Medicare Advantage Plans - ANSWER - >PPO,
HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - ANSWER - >Serve both
Medicare and Medicaid individuals. Include Part D
coverage. Individuals sometimes referred to as dual
eligibles
Medicare Cost Plan - ANSWER - >Type of Medicare health
plan. Have Part B to enroll. Can join anytime plan is
accepting new members. A non network provider will
can charge higher coinsurances and deuctibles. Different
enrollment/disenrollment periods apply. Can get Part D
Rx coverage if available, or apply for a separate PDP.
Medicare Entitlement/Enrollment - Part A & Part B -
ANSWER - >Individuals with ESRD may sign up at
anytime. Date on which coverage begins is the fourth
month after dialysis begins.
, Medicare Enrollment Period - ANSWER - >Individuals
who do not enroll in Part B when first eligible can enroll
during a General Enrollment Period, Jan 1st to Mar 31st
each year. Coverage begins July 1st of that year.
Medicare Enrollment Period - Group Health Coverage -
ANSWER - >Individuals who have group health coveage
through employer may enroll in Part A and/or Part B
anytime while on group coverage during a Special
Enrollment Period. Occurs during the 8 month period
following last month of group coverage.
Medicare Part A Premium - ANSWER - >Free if worked 40
quarters of your life and paid Medicare taxes. Premium is
$240.00 for individuals or spouses who paid Medicare
taxes for 30 - 39 quarters. Premium is $437.00 for less
than 30 quarters.
Medicare Part A Penalty - ANSWER - >Don't enroll in Part
A when fist eligible, will pay a late penalty of up to 10%
unless enroll during a Special Enrollment Period.
Medicare Part B Premium - ANSWER - >In 2019, the
standard monthly premium is $135.50 or higher
depending on income. Deducted from S.S. check or
Railroad Retirement check. Do not enroll when first
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
Types of Medicare Advantage Plans - ANSWER - >PPO,
HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - ANSWER - >Serve both
Medicare and Medicaid individuals. Include Part D
coverage. Individuals sometimes referred to as dual
eligibles
Medicare Cost Plan - ANSWER - >Type of Medicare health
plan. Have Part B to enroll. Can join anytime plan is
accepting new members. A non network provider will
can charge higher coinsurances and deuctibles. Different
enrollment/disenrollment periods apply. Can get Part D
Rx coverage if available, or apply for a separate PDP.
Medicare Entitlement/Enrollment - Part A & Part B -
ANSWER - >Individuals with ESRD may sign up at
anytime. Date on which coverage begins is the fourth
month after dialysis begins.
, Medicare Enrollment Period - ANSWER - >Individuals
who do not enroll in Part B when first eligible can enroll
during a General Enrollment Period, Jan 1st to Mar 31st
each year. Coverage begins July 1st of that year.
Medicare Enrollment Period - Group Health Coverage -
ANSWER - >Individuals who have group health coveage
through employer may enroll in Part A and/or Part B
anytime while on group coverage during a Special
Enrollment Period. Occurs during the 8 month period
following last month of group coverage.
Medicare Part A Premium - ANSWER - >Free if worked 40
quarters of your life and paid Medicare taxes. Premium is
$240.00 for individuals or spouses who paid Medicare
taxes for 30 - 39 quarters. Premium is $437.00 for less
than 30 quarters.
Medicare Part A Penalty - ANSWER - >Don't enroll in Part
A when fist eligible, will pay a late penalty of up to 10%
unless enroll during a Special Enrollment Period.
Medicare Part B Premium - ANSWER - >In 2019, the
standard monthly premium is $135.50 or higher
depending on income. Deducted from S.S. check or
Railroad Retirement check. Do not enroll when first
