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AHIP 2025 FINAL STUDY TEST BANK
A Medicare beneficiary has walked into your office and requested that
you sit down with her and discuss her options under the Medicare
Advantage program. Before engaging in such a discussion, what should
you do? - CORRECT ANSWER - You must have her sign a scope of
appointment form, indicating which products she wishes to discuss. You
may then proceed with the discussion.
Agent Chan is conducting a sales presentation on senior issues where he
hopes to enroll some attendees in the Medicare Advantage (MA) plans
he represents. What action(s) may Agent Chan take during the event? -
CORRECT ANSWER - Discuss plan specific information such as premiums
and benefits.
Anita Magri will turn age 65 in August 2023. Anita intends to enroll in
Original Medicare Part A and Part B. She would also like to enroll in a
Medicare Supplement (Medigap) plan. Anita's older neighbor Mel has
told her about the Medigap Plan F in which he is enrolled. It not only
provides foreign travel emergency benefits but also covers his Medicare
Part B deductible. Anita comes to you for advice. What should you tell
her? - CORRECT ANSWER - You are sorry to disappoint Anita, but a
Medigap F plan is no longer available to those who turn age 65 after
January 1, 2020. Anita might instead consider other Medigap plans that
offer foreign travel benefits but do not cover the Part B deductible.
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Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but
accepts the plan's terms and conditions for payment. Mary Rodgers sees
Dr. Brennan for treatment. How much may Dr. Brennan charge? -
CORRECT ANSWER -
Mr. Barker enjoys a comfortable retirement income. He recently had
surgery and expected that he would have certain services and items
covered by the plan with minimal out-of-pocket costs because his MA-
PD coverage has been very good. However, when he received the bill, he
was surprised to see large charges in excess of his maximum out-of-
pocket limit that included some services and items he thought would be
fully covered. He called you to ask what he could do? What could you
tell him? - CORRECT ANSWER - You can offer to review the plans
appeal process to help him ask the plan to review the coverage decision.
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? - CORRECT
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.
Mr. Kelly wants to know whether he is eligible to sign up for a Private
fee-for-service (PFFS) plan. What questions would you need to ask to
determine his eligibility? - CORRECT ANSWER - You would need to ask
AHIP 2025 FINAL STUDY TEST BANK
A Medicare beneficiary has walked into your office and requested that
you sit down with her and discuss her options under the Medicare
Advantage program. Before engaging in such a discussion, what should
you do? - CORRECT ANSWER - You must have her sign a scope of
appointment form, indicating which products she wishes to discuss. You
may then proceed with the discussion.
Agent Chan is conducting a sales presentation on senior issues where he
hopes to enroll some attendees in the Medicare Advantage (MA) plans
he represents. What action(s) may Agent Chan take during the event? -
CORRECT ANSWER - Discuss plan specific information such as premiums
and benefits.
Anita Magri will turn age 65 in August 2023. Anita intends to enroll in
Original Medicare Part A and Part B. She would also like to enroll in a
Medicare Supplement (Medigap) plan. Anita's older neighbor Mel has
told her about the Medigap Plan F in which he is enrolled. It not only
provides foreign travel emergency benefits but also covers his Medicare
Part B deductible. Anita comes to you for advice. What should you tell
her? - CORRECT ANSWER - You are sorry to disappoint Anita, but a
Medigap F plan is no longer available to those who turn age 65 after
January 1, 2020. Anita might instead consider other Medigap plans that
offer foreign travel benefits but do not cover the Part B deductible.
, 1
Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but
accepts the plan's terms and conditions for payment. Mary Rodgers sees
Dr. Brennan for treatment. How much may Dr. Brennan charge? -
CORRECT ANSWER -
Mr. Barker enjoys a comfortable retirement income. He recently had
surgery and expected that he would have certain services and items
covered by the plan with minimal out-of-pocket costs because his MA-
PD coverage has been very good. However, when he received the bill, he
was surprised to see large charges in excess of his maximum out-of-
pocket limit that included some services and items he thought would be
fully covered. He called you to ask what he could do? What could you
tell him? - CORRECT ANSWER - You can offer to review the plans
appeal process to help him ask the plan to review the coverage decision.
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? - CORRECT
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.
Mr. Kelly wants to know whether he is eligible to sign up for a Private
fee-for-service (PFFS) plan. What questions would you need to ask to
determine his eligibility? - CORRECT ANSWER - You would need to ask
