AHIP FINAL EXAM TEST QUESTIONS
WITH ACCURATE SOLUTIONS
Mrs. aWest awears aglasses aand adentures aand ahas aenjoyed aconsiderable apain
arelief afrom aarthritis athrough aacupuncture. aShe ais aconcerned aabout awhether aor
anot aMedicare awill acover athese aitems aand aservices. aWhat ashould ayou atell aher? a-
acorrect aanswers a-Medicare adoes anot acover aacupuncture, aor, ain ageneral, aglasses
aor adentures.
Mr. aBickford adid anot aquite aqualify afor athe aextra ahelp alow-income asubsidy aunder
athe aMedicare aPart aD aPrescription aDrug aprogram aand ahe ais awondering aif athere
ais aany aother aoption ahe ahas afor aobtaining ahelp awith ahis aconsiderable adrug
acosts. aWhat ashould ayou atell ahim? a- acorrect aanswers a-He acould acheck awith athe
amanufacturers aof ahis amedications ato asee aif athey aoffer aan aassistance aprogram ato
ahelp apeople awith alimited ameans aobtain athe amedications athey aneed. aAlternatively,
ahe acould acheck ato asee awhether ahis astate ahas aa apharmacy aassistance aprogram
ato ahelp ahim awith ahis aexpenses.
, Mr. aLombardi ais ainterested ain aa aMedicare aAdvantage a(MA) aPPO aplan athat ayou
arepresent. aIt ais aone aof athree aplans aoperated aby athe asame aorganization ain aMr.
aLombardi's aarea. aThe aMA aPPO aplan adoes anot ainclude adrug acoverage, abut athe
aother atwo aplans ado. aMr. aLombardi alikes athe aPPO aplan athat adoes anot ainclude
adrug acoverage aand aintends ato aobtain ahis adrug acoverage athrough aa astand-alone
aMedicare aprescription adrug aplan. aWhat ashould ayou atell ahim aabout athis asituation?
a- acorrect aanswers a-He acould aenroll ain aone aof athe aMA aplans athat ainclude
aprescription adrug acoverage aor aa aMedigap aplan aand aa astand-alone aprescription
adrug aplan, abut ahe acannot aenroll ain athe aMA-only aPPO aplan aand aa astand-alone
aprescription adrug aplan.
Mr. aTorres ahas aa asmall asavings aaccount. aHe awould alike ato apay afor ahis amonthly
aPart aD apremiums awith aan aautomatic amonthly awithdrawal afrom ahis asavings
aaccount auntil ait ais aexhausted, aand athen ahave ahis apremiums awithheld afrom ahis
aSocial aSecurity acheck. aWhat ashould ayou atell ahim? a- acorrect aanswers a-In
ageneral, ahe amust aselect aa asingle aPart aD apremium apayment amechanism athat
awill abe aused athroughout athe ayear.
Agent aJennings amakes aa apresentation aon aMedicare aadvertised aas aan
aeducational aevent. aAgent aJennings adistributes amaterials athat aare asolely
aeducational ain anature. aHowever, ashe agives aa abrief apresentation athat amentions
aplan-specific apremiums. aIs athis aa aprohibited aactivity aat aan aevent athat ahas abeen
aadvertised aas aeducational? a- acorrect aanswers a-Yes. aWhen aan aevent ahas abeen
aadvertised aas a"educational," adiscussing aplan-specific apremiums ais aimpermissible.
Mrs. aMulcahy ais aconcerned athat ashe amay anot aqualify afor aenrollment ain aa
aMedicare aprescription adrug aplan abecause, aalthough ashe ais aentitled ato aPart aA,
ashe ais anot aenrolled aunder aMedicare aPart aB. aWhat ashould ayou atell aher? a-
acorrect aanswers a-Everyone awho ais aentitled ato aPart aA aor aenrolled aunder aPart aB
ais aeligible ato aenroll ain aa aMedicare aprescription adrug aplan. aAs along aas aMrs.
aMulcahy ais aentitled ato aPart aA, ashe adoes anot aneed ato aenroll aunder aPart aB
abefore aenrolling ain aa aprescription adrug aplan.
Mr. aJacob aunderstands athat athere ais aa astandard aMedicare aPart aD aprescription
adrug abenefit, abut awhen ahe alooks aat ainformation aon avarious aplans aavailable ain
ahis aarea, ahe asees aa awide arange ain awhat athey acharge afor adeductibles,
apremiums aand acost asharing. aHow acan ayou aexplain athis ato ahim? a- acorrect
aanswers a-Medicare aPart aD adrug aplans amay ahave adifferent abenefit astructures,
abut aon aaverage, athey amust aall abe aat aleast aas agood aas athe astandard amodel
aestablished aby athe agovernment.
Ms. aMoore aplans ato aretire awhen ashe aturns a65 ain aa afew amonths. aShe ais ain
aexcellent ahealth aand awill ahave aconsiderable aincome awhen ashe aretires. aShe ais
aconcerned athat aher aincome awill amake ait aimpossible afor aher ato aqualify afor
aMedicare. aWhat acould ayou atell aher ato aaddress aher aconcern? a- acorrect aanswers
a-Medicare ais aa aprogram afor apeople aage a65 aor aolder aand athose aunder aage a65
WITH ACCURATE SOLUTIONS
Mrs. aWest awears aglasses aand adentures aand ahas aenjoyed aconsiderable apain
arelief afrom aarthritis athrough aacupuncture. aShe ais aconcerned aabout awhether aor
anot aMedicare awill acover athese aitems aand aservices. aWhat ashould ayou atell aher? a-
acorrect aanswers a-Medicare adoes anot acover aacupuncture, aor, ain ageneral, aglasses
aor adentures.
Mr. aBickford adid anot aquite aqualify afor athe aextra ahelp alow-income asubsidy aunder
athe aMedicare aPart aD aPrescription aDrug aprogram aand ahe ais awondering aif athere
ais aany aother aoption ahe ahas afor aobtaining ahelp awith ahis aconsiderable adrug
acosts. aWhat ashould ayou atell ahim? a- acorrect aanswers a-He acould acheck awith athe
amanufacturers aof ahis amedications ato asee aif athey aoffer aan aassistance aprogram ato
ahelp apeople awith alimited ameans aobtain athe amedications athey aneed. aAlternatively,
ahe acould acheck ato asee awhether ahis astate ahas aa apharmacy aassistance aprogram
ato ahelp ahim awith ahis aexpenses.
, Mr. aLombardi ais ainterested ain aa aMedicare aAdvantage a(MA) aPPO aplan athat ayou
arepresent. aIt ais aone aof athree aplans aoperated aby athe asame aorganization ain aMr.
aLombardi's aarea. aThe aMA aPPO aplan adoes anot ainclude adrug acoverage, abut athe
aother atwo aplans ado. aMr. aLombardi alikes athe aPPO aplan athat adoes anot ainclude
adrug acoverage aand aintends ato aobtain ahis adrug acoverage athrough aa astand-alone
aMedicare aprescription adrug aplan. aWhat ashould ayou atell ahim aabout athis asituation?
a- acorrect aanswers a-He acould aenroll ain aone aof athe aMA aplans athat ainclude
aprescription adrug acoverage aor aa aMedigap aplan aand aa astand-alone aprescription
adrug aplan, abut ahe acannot aenroll ain athe aMA-only aPPO aplan aand aa astand-alone
aprescription adrug aplan.
Mr. aTorres ahas aa asmall asavings aaccount. aHe awould alike ato apay afor ahis amonthly
aPart aD apremiums awith aan aautomatic amonthly awithdrawal afrom ahis asavings
aaccount auntil ait ais aexhausted, aand athen ahave ahis apremiums awithheld afrom ahis
aSocial aSecurity acheck. aWhat ashould ayou atell ahim? a- acorrect aanswers a-In
ageneral, ahe amust aselect aa asingle aPart aD apremium apayment amechanism athat
awill abe aused athroughout athe ayear.
Agent aJennings amakes aa apresentation aon aMedicare aadvertised aas aan
aeducational aevent. aAgent aJennings adistributes amaterials athat aare asolely
aeducational ain anature. aHowever, ashe agives aa abrief apresentation athat amentions
aplan-specific apremiums. aIs athis aa aprohibited aactivity aat aan aevent athat ahas abeen
aadvertised aas aeducational? a- acorrect aanswers a-Yes. aWhen aan aevent ahas abeen
aadvertised aas a"educational," adiscussing aplan-specific apremiums ais aimpermissible.
Mrs. aMulcahy ais aconcerned athat ashe amay anot aqualify afor aenrollment ain aa
aMedicare aprescription adrug aplan abecause, aalthough ashe ais aentitled ato aPart aA,
ashe ais anot aenrolled aunder aMedicare aPart aB. aWhat ashould ayou atell aher? a-
acorrect aanswers a-Everyone awho ais aentitled ato aPart aA aor aenrolled aunder aPart aB
ais aeligible ato aenroll ain aa aMedicare aprescription adrug aplan. aAs along aas aMrs.
aMulcahy ais aentitled ato aPart aA, ashe adoes anot aneed ato aenroll aunder aPart aB
abefore aenrolling ain aa aprescription adrug aplan.
Mr. aJacob aunderstands athat athere ais aa astandard aMedicare aPart aD aprescription
adrug abenefit, abut awhen ahe alooks aat ainformation aon avarious aplans aavailable ain
ahis aarea, ahe asees aa awide arange ain awhat athey acharge afor adeductibles,
apremiums aand acost asharing. aHow acan ayou aexplain athis ato ahim? a- acorrect
aanswers a-Medicare aPart aD adrug aplans amay ahave adifferent abenefit astructures,
abut aon aaverage, athey amust aall abe aat aleast aas agood aas athe astandard amodel
aestablished aby athe agovernment.
Ms. aMoore aplans ato aretire awhen ashe aturns a65 ain aa afew amonths. aShe ais ain
aexcellent ahealth aand awill ahave aconsiderable aincome awhen ashe aretires. aShe ais
aconcerned athat aher aincome awill amake ait aimpossible afor aher ato aqualify afor
aMedicare. aWhat acould ayou atell aher ato aaddress aher aconcern? a- acorrect aanswers
a-Medicare ais aa aprogram afor apeople aage a65 aor aolder aand athose aunder aage a65
