AHIP STUDYGUIDE FINAL EXAM 2025
LATEST VERSION QUESTIONS WITH
GOLDEN TIPS SOLUTIONS AND
REVEIWRES
1. A Medicare beneficiary has walked into your workplace and asked that you take a seat
down along with her and speak her alternatives underneath the Medicare Advantage
application. Before engaging in the sort of discussion, what should you do? -
ANSWER-You should have her sign a scope of appointment form, indicating which
merchandise she desires to talk about. You may additionally then proceed with the
dialogue.
2. Agent Harriet Walker has currently began marketing Medicare Advantage and related
products aimed at meeting the needs of senior residents. Client Mildred Jones has
expressed hobby in a Medicare Advantage plan. It is now the beginning of September. If
you had been in Agent Walker's role, what could you do? - ANSWER-Inquire whether
or not the purchaser qualifies for a special enrollment period, and if no longer,
solicit an enrollment software once the once a year open enrollment election
period starts offevolved on October 15th.
3. Agent Jennings makes a presentation on Medicare advertised as an academic event.
Agent Jennings distributes substances that are entirely academic. However, she offers a
short presentation that mentions plan-specific charges. Is this a prohibited interest at an
occasion that has been marketed as instructional? - ANSWER-Yes. When an event has
been marketed as "instructional," discussing plan-particular charges is
impermissible.
4. Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original Medicare
Part A and Part B. She might also like to sign up for a Medicare Supplement (Medigap)
plan. Anita's older neighbor Mel has told her approximately the Medigap Plan F in which
he's enrolled. It now not most effective provides foreign journey emergency blessings
however also covers his Medicare Part B deductible. Anita involves you for
recommendation. What ought to you inform her? - ANSWER-You are sorry to
disappoint Anita, however a Medigap F plan is not available to folks that flip age
65 after January 1, 2020. Anita might alternatively consider different Medigap
plans that provide overseas journey advantages but do now not cowl the Part B
deductible.
5. By contacting plans to be had on your place, you've got found out that the plan you
constitute has a appreciably lower month-to-month premium than the others.
Furthermore, you notice that the plan you constitute has a completely unique benefits
package deal. What should you do to make sure your clients realize approximately these
, pieces of records? - ANSWER-You may make comparisons among plans if you can
guide them with research or statistical statistics and such comparisons are
factually based totally and referenced.
6. Dr. Elizabeth Brennan does no longer contract with the ABC PFFS plan however accepts
the plan's terms and conditions for price. Mary Rodgers sees Dr. Brennan for remedy.
How much can also Dr. Brennan charge? - ANSWER-Dr. Brennan can price Mary
Rogers no extra than the fee sharing designated in the PFFS plan's terms and
circumstance of fee which might also include stability billing as much as 15p.Cof
the Medicare rate.
7. During a income presentation to Ms. Daley for a Medicare Advantage plan that has a
five-superstar score in customer support and care coordination, and acquired an typical
plan overall performance score of a four-celebrity, which of the subsequent will be the
best assertion to mention to her? - ANSWER-The Medicare Advantage plan acquired
a five-megastar rating in customer support and care coordination with an normal
performance score of 4 stars.
8. Hank's Fish Store, Inc. Is a small enterprise with simply 15 personnel positioned in
Florida. Hank, the shop owner, has supplied extraordinary health benefits to the shop's
personnel. William, one in every of the store's lengthy-time personnel, will quickly be
attaining age sixty five and eligible for Medicare. William is in accurate health. He intends
to stay an active full-time employee, operating numerous years after becoming eligible
for Medicare. What type(s) of retiree fitness benefit will Hank's Fish Store be capable of
offer William? - ANSWER-Hank's can maintain to provide William the identical
employee health benefit plan, or, if William enrolls in Medicare Part B, it can join
him in a Medicare Advantage plan that is provided to the general public.
9. If you are to conform with Medicare's steering regarding academic occasions, which of
the following would be acceptable activities? - ANSWER-You may additionally
distribute enterprise playing cards to individuals who request records on how to
contact you for in addition info on the plan(s) you constitute.
10.Mr. Alonso receives some assist purchasing his two accepted prescribed drugs from his
organization's retiree insurance, however he desires to examine it to a Part D
prescription drug plan. He asks you what prices he might commonly count on to
encounter whilst enrolling into a general Medicare Part D prescription drug plan. What
must you inform him? - ANSWER-He generally could pay a month-to-month top
class, annual deductible, and in line with-prescription price-sharing.
11.Mr. And Mrs. Nunez attended one in all your sales displays. They've requested you to
come back to their home to remedy some questions. During the presentation, Mrs.
Nunez feels tired and tells you that her husband can end matters up. She is going to
bed. At the give up of your dialogue, Mr. Nunez says that he wants to sign up each
himself and his wife. What have to you do? - ANSWER-As long as she will
accomplish that, most effective Mrs. Nunez can sign her enrollment shape. Mrs.
Nunez will should wake up to sign her form or do so at all over again.
12.Mr. And Mrs. Vaughn both take a specialised multivitamin prescription every day. Mr.
Vaughn takes a prescription to assist to regrow his hair. They are hectic to have their
Medicare prescription drug plan cover those drug desires. What need to you tell them? -
LATEST VERSION QUESTIONS WITH
GOLDEN TIPS SOLUTIONS AND
REVEIWRES
1. A Medicare beneficiary has walked into your workplace and asked that you take a seat
down along with her and speak her alternatives underneath the Medicare Advantage
application. Before engaging in the sort of discussion, what should you do? -
ANSWER-You should have her sign a scope of appointment form, indicating which
merchandise she desires to talk about. You may additionally then proceed with the
dialogue.
2. Agent Harriet Walker has currently began marketing Medicare Advantage and related
products aimed at meeting the needs of senior residents. Client Mildred Jones has
expressed hobby in a Medicare Advantage plan. It is now the beginning of September. If
you had been in Agent Walker's role, what could you do? - ANSWER-Inquire whether
or not the purchaser qualifies for a special enrollment period, and if no longer,
solicit an enrollment software once the once a year open enrollment election
period starts offevolved on October 15th.
3. Agent Jennings makes a presentation on Medicare advertised as an academic event.
Agent Jennings distributes substances that are entirely academic. However, she offers a
short presentation that mentions plan-specific charges. Is this a prohibited interest at an
occasion that has been marketed as instructional? - ANSWER-Yes. When an event has
been marketed as "instructional," discussing plan-particular charges is
impermissible.
4. Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original Medicare
Part A and Part B. She might also like to sign up for a Medicare Supplement (Medigap)
plan. Anita's older neighbor Mel has told her approximately the Medigap Plan F in which
he's enrolled. It now not most effective provides foreign journey emergency blessings
however also covers his Medicare Part B deductible. Anita involves you for
recommendation. What ought to you inform her? - ANSWER-You are sorry to
disappoint Anita, however a Medigap F plan is not available to folks that flip age
65 after January 1, 2020. Anita might alternatively consider different Medigap
plans that provide overseas journey advantages but do now not cowl the Part B
deductible.
5. By contacting plans to be had on your place, you've got found out that the plan you
constitute has a appreciably lower month-to-month premium than the others.
Furthermore, you notice that the plan you constitute has a completely unique benefits
package deal. What should you do to make sure your clients realize approximately these
, pieces of records? - ANSWER-You may make comparisons among plans if you can
guide them with research or statistical statistics and such comparisons are
factually based totally and referenced.
6. Dr. Elizabeth Brennan does no longer contract with the ABC PFFS plan however accepts
the plan's terms and conditions for price. Mary Rodgers sees Dr. Brennan for remedy.
How much can also Dr. Brennan charge? - ANSWER-Dr. Brennan can price Mary
Rogers no extra than the fee sharing designated in the PFFS plan's terms and
circumstance of fee which might also include stability billing as much as 15p.Cof
the Medicare rate.
7. During a income presentation to Ms. Daley for a Medicare Advantage plan that has a
five-superstar score in customer support and care coordination, and acquired an typical
plan overall performance score of a four-celebrity, which of the subsequent will be the
best assertion to mention to her? - ANSWER-The Medicare Advantage plan acquired
a five-megastar rating in customer support and care coordination with an normal
performance score of 4 stars.
8. Hank's Fish Store, Inc. Is a small enterprise with simply 15 personnel positioned in
Florida. Hank, the shop owner, has supplied extraordinary health benefits to the shop's
personnel. William, one in every of the store's lengthy-time personnel, will quickly be
attaining age sixty five and eligible for Medicare. William is in accurate health. He intends
to stay an active full-time employee, operating numerous years after becoming eligible
for Medicare. What type(s) of retiree fitness benefit will Hank's Fish Store be capable of
offer William? - ANSWER-Hank's can maintain to provide William the identical
employee health benefit plan, or, if William enrolls in Medicare Part B, it can join
him in a Medicare Advantage plan that is provided to the general public.
9. If you are to conform with Medicare's steering regarding academic occasions, which of
the following would be acceptable activities? - ANSWER-You may additionally
distribute enterprise playing cards to individuals who request records on how to
contact you for in addition info on the plan(s) you constitute.
10.Mr. Alonso receives some assist purchasing his two accepted prescribed drugs from his
organization's retiree insurance, however he desires to examine it to a Part D
prescription drug plan. He asks you what prices he might commonly count on to
encounter whilst enrolling into a general Medicare Part D prescription drug plan. What
must you inform him? - ANSWER-He generally could pay a month-to-month top
class, annual deductible, and in line with-prescription price-sharing.
11.Mr. And Mrs. Nunez attended one in all your sales displays. They've requested you to
come back to their home to remedy some questions. During the presentation, Mrs.
Nunez feels tired and tells you that her husband can end matters up. She is going to
bed. At the give up of your dialogue, Mr. Nunez says that he wants to sign up each
himself and his wife. What have to you do? - ANSWER-As long as she will
accomplish that, most effective Mrs. Nunez can sign her enrollment shape. Mrs.
Nunez will should wake up to sign her form or do so at all over again.
12.Mr. And Mrs. Vaughn both take a specialised multivitamin prescription every day. Mr.
Vaughn takes a prescription to assist to regrow his hair. They are hectic to have their
Medicare prescription drug plan cover those drug desires. What need to you tell them? -
