AHIP FINAL EXAM QUESTIONS AND
ANSWERS
TypesnkofnkMedicarenkAdvantagenkPlansnk-nkanswer--
PPO,nkHMO,nkMSA,nkCostnkPlan,nkPFFS
Medicare-Medicaidnkplansnk-nkanswer--
ServenkbothnkMedicarenkandnkMedicaidnkindividuals.nkIncludenkPartnkDnkcoverage.nkIndivi
dualsnksometimesnkreferrednktonkasnkdualnkeligibles
MedicarenkCostnkPlannk-nkanswer--
TypenkofnkMedicarenkhealthnkplan.nkHavenkPartnkBnktonkenroll.nkCannkjoinnkanytimenkplannkis
nkacceptingnknewnkmembers.nkAnknonnknetworknkprovidernkwillnkcannkchargenkhighernkcoins
urancesnkandnkdeuctibles.nkDifferentnkenrollment/
disenrollmentnkperiodsnkapply.nkCannkgetnkPartnkDnkRxnkcoveragenkifnkavailable,nkornkapply
nkfornkankseparatenkPDP.
MedicarenkEntitlement/Enrollmentnk-nkPartnkAnk&nkPartnkBnk-nkanswer--
IndividualsnkwithnkESRDnkmaynksignnkupnkatnkanytime.nkDatenkonnkwhichnkcoveragenkbegin
snkisnkthenkfourthnkmonthnkafternkdialysisnkbegins.
MedicarenkEnrollmentnkPeriodnk-nkanswer--
IndividualsnkwhonkdonknotnkenrollnkinnkPartnkBnkwhennkfirstnkeligiblenkcannkenrollnkduringnkank
GeneralnkEnrollmentnkPeriod,nkJannk1stnktonkMarnk31stnkeachnkyear.nkCoveragenkbeginsnkJ
ulynk1stnkofnkthatnkyear.
MedicarenkEnrollmentnkPeriodnk-nkGroupnkHealthnkCoveragenk-nkanswer--
IndividualsnkwhonkhavenkgroupnkhealthnkcoveagenkthroughnkemployernkmaynkenrollnkinnkPa
rtnkAnkand/
ornkPartnkBnkanytimenkwhilenkonnkgroupnkcoveragenkduringnkankSpecialnkEnrollmentnkPeriod
.nkOccursnkduringnkthenk8nkmonthnkperiodnkfollowingnklastnkmonthnkofnkgroupnkcoverage.
MedicarenkPartnkAnkPremiumnk-nkanswer--
Freenkifnkworkednk40nkquartersnkofnkyournklifenkandnkpaidnkMedicarenktaxes.nkPremiumnkisnk
$240.00nkfornkindividualsnkornkspousesnkwhonkpaidnkMedicarenktaxesnkfornk30nk-
nk39nkquarters.nkPremiumnkisnk$437.00nkfornklessnkthannk30nkquarters.
MedicarenkPartnkAnkPenaltynk-nkanswer--
Don'tnkenrollnkinnkPartnkAnkwhennkfistnkeligible,nkwillnkpaynkanklatenkpenaltynkofnkupnktonk10%nk
unlessnkenrollnkduringnkankSpecialnkEnrollmentnkPeriod.
MedicarenkPartnkBnkPremiumnk-nkanswer--
Innk2019,nkthenkstandardnkmonthlynkpremiumnkisnk$135.50nkornkhighernkdependingnkonnkinc
ome.nkDeductednkfromnkS.S.nkchecknkornkRailroadnkRetirementnkcheck.nkDonknotnkenrollnkw
ANSWERS
TypesnkofnkMedicarenkAdvantagenkPlansnk-nkanswer--
PPO,nkHMO,nkMSA,nkCostnkPlan,nkPFFS
Medicare-Medicaidnkplansnk-nkanswer--
ServenkbothnkMedicarenkandnkMedicaidnkindividuals.nkIncludenkPartnkDnkcoverage.nkIndivi
dualsnksometimesnkreferrednktonkasnkdualnkeligibles
MedicarenkCostnkPlannk-nkanswer--
TypenkofnkMedicarenkhealthnkplan.nkHavenkPartnkBnktonkenroll.nkCannkjoinnkanytimenkplannkis
nkacceptingnknewnkmembers.nkAnknonnknetworknkprovidernkwillnkcannkchargenkhighernkcoins
urancesnkandnkdeuctibles.nkDifferentnkenrollment/
disenrollmentnkperiodsnkapply.nkCannkgetnkPartnkDnkRxnkcoveragenkifnkavailable,nkornkapply
nkfornkankseparatenkPDP.
MedicarenkEntitlement/Enrollmentnk-nkPartnkAnk&nkPartnkBnk-nkanswer--
IndividualsnkwithnkESRDnkmaynksignnkupnkatnkanytime.nkDatenkonnkwhichnkcoveragenkbegin
snkisnkthenkfourthnkmonthnkafternkdialysisnkbegins.
MedicarenkEnrollmentnkPeriodnk-nkanswer--
IndividualsnkwhonkdonknotnkenrollnkinnkPartnkBnkwhennkfirstnkeligiblenkcannkenrollnkduringnkank
GeneralnkEnrollmentnkPeriod,nkJannk1stnktonkMarnk31stnkeachnkyear.nkCoveragenkbeginsnkJ
ulynk1stnkofnkthatnkyear.
MedicarenkEnrollmentnkPeriodnk-nkGroupnkHealthnkCoveragenk-nkanswer--
IndividualsnkwhonkhavenkgroupnkhealthnkcoveagenkthroughnkemployernkmaynkenrollnkinnkPa
rtnkAnkand/
ornkPartnkBnkanytimenkwhilenkonnkgroupnkcoveragenkduringnkankSpecialnkEnrollmentnkPeriod
.nkOccursnkduringnkthenk8nkmonthnkperiodnkfollowingnklastnkmonthnkofnkgroupnkcoverage.
MedicarenkPartnkAnkPremiumnk-nkanswer--
Freenkifnkworkednk40nkquartersnkofnkyournklifenkandnkpaidnkMedicarenktaxes.nkPremiumnkisnk
$240.00nkfornkindividualsnkornkspousesnkwhonkpaidnkMedicarenktaxesnkfornk30nk-
nk39nkquarters.nkPremiumnkisnk$437.00nkfornklessnkthannk30nkquarters.
MedicarenkPartnkAnkPenaltynk-nkanswer--
Don'tnkenrollnkinnkPartnkAnkwhennkfistnkeligible,nkwillnkpaynkanklatenkpenaltynkofnkupnktonk10%nk
unlessnkenrollnkduringnkankSpecialnkEnrollmentnkPeriod.
MedicarenkPartnkBnkPremiumnk-nkanswer--
Innk2019,nkthenkstandardnkmonthlynkpremiumnkisnk$135.50nkornkhighernkdependingnkonnkinc
ome.nkDeductednkfromnkS.S.nkchecknkornkRailroadnkRetirementnkcheck.nkDonknotnkenrollnkw