AHIP 2025-2026 Test / ACTUAL COMPLETE REAL EXAM
QUESTIONS AND CORRECT WELL | ELABORATED
&DETAILED ANSWERS / VERIFIED SOLUTIONS
/ ALREADY GRADED A+ |2025 BRAND
NEW EXAM!!
What impact, if any, have recent regulatory changes had upon
Medigap plans?
- ANSWER-The Part B deductible is no longer covered for
individuals newly
eligible for Medicare starting
January 1, 2020.
Mrs. Walters is entitled to Part A and has medical coverage
without drug coverage through an employer retiree plan. She is
not enrolled in Part B. Since the employer plan does not cover
prescription drugs, she wants to enroll in a Medicare
prescription drug plan. Will she be able to? - ANSWER-Yes.
Mrs. Walters must be entitled to Part A and/or enrolled in Part B
to be eligible for coverage under the Medicare prescription
drug program.
,Mr. Rainey is experiencing paranoid delusions and his
physician feels that he should be hospitalized. What should
you tell Mr. Rainey (or his representative) about the length of an
inpatient psychiatric hospital stay that Medicare will cover? -
ANSWER-Medicare will cover a total of 190 days of inpatient
psychiatric care during Mr. Rainey's entire lifetime.
Mr. and Mrs. Vaughn both take a specialized multivitamin
prescription each day.
Mr. Vaughn takes a prescription for helping to regrow his hair.
They are anxious
to have their Medicare prescription drug plan cover these drug
needs. What should you tell them? - ANSWER-Medicare
prescription drug plans are not permitted to cover the
prescription medications the Vaughns are interested in under
Part D coverage, however, plans may cover them as
supplemental benefits and the Vaughn's could look into that
possibility.
Ms. O'Donnell learned about a new MA-PD plan that her
neighbor suggested and that you represent. She plans to
switch from her old MA HMO plan to the new MA-PD plan
during the Annual Election Period. However, she wants to make
sure she does not end up paying premiums for two plans. What
, can you tell her? - ANSWER-She only needs to enroll in the new
MA-PD plan and she will automatically be disenrolled from her
old MA plan.
Mr. Wu is eligible for Medicare. He has limited financial
resources but failed to qualify for the Part D low-income
subsidy. Where might he turn for help with his prescription
drug costs? - ANSWER-Mr. Wu may still qualify for help in
paying Part D costs through his State Pharmaceutical
Assistance Program.
Mr. Rodriguez is currently enrolled in a MA plan, but his plan
doesn't sufficiently
cover his prescription drug needs. He is interested in changing
plans during the
upcoming MA Open Enrollment Period. What are his options
during the MA
OEP? - ANSWER-He can switch to a MA-
PD plan.
During a sales presentation in Ms. Sullivan's home, she tells
you that she has heard about a type of Medicare health plan
known as Private Fee-for-Service (PFFS). She wants to know if
this would be available to her. What should you tell her about
PFFS plans? - ANSWER-A PFFS plan is one of the various
QUESTIONS AND CORRECT WELL | ELABORATED
&DETAILED ANSWERS / VERIFIED SOLUTIONS
/ ALREADY GRADED A+ |2025 BRAND
NEW EXAM!!
What impact, if any, have recent regulatory changes had upon
Medigap plans?
- ANSWER-The Part B deductible is no longer covered for
individuals newly
eligible for Medicare starting
January 1, 2020.
Mrs. Walters is entitled to Part A and has medical coverage
without drug coverage through an employer retiree plan. She is
not enrolled in Part B. Since the employer plan does not cover
prescription drugs, she wants to enroll in a Medicare
prescription drug plan. Will she be able to? - ANSWER-Yes.
Mrs. Walters must be entitled to Part A and/or enrolled in Part B
to be eligible for coverage under the Medicare prescription
drug program.
,Mr. Rainey is experiencing paranoid delusions and his
physician feels that he should be hospitalized. What should
you tell Mr. Rainey (or his representative) about the length of an
inpatient psychiatric hospital stay that Medicare will cover? -
ANSWER-Medicare will cover a total of 190 days of inpatient
psychiatric care during Mr. Rainey's entire lifetime.
Mr. and Mrs. Vaughn both take a specialized multivitamin
prescription each day.
Mr. Vaughn takes a prescription for helping to regrow his hair.
They are anxious
to have their Medicare prescription drug plan cover these drug
needs. What should you tell them? - ANSWER-Medicare
prescription drug plans are not permitted to cover the
prescription medications the Vaughns are interested in under
Part D coverage, however, plans may cover them as
supplemental benefits and the Vaughn's could look into that
possibility.
Ms. O'Donnell learned about a new MA-PD plan that her
neighbor suggested and that you represent. She plans to
switch from her old MA HMO plan to the new MA-PD plan
during the Annual Election Period. However, she wants to make
sure she does not end up paying premiums for two plans. What
, can you tell her? - ANSWER-She only needs to enroll in the new
MA-PD plan and she will automatically be disenrolled from her
old MA plan.
Mr. Wu is eligible for Medicare. He has limited financial
resources but failed to qualify for the Part D low-income
subsidy. Where might he turn for help with his prescription
drug costs? - ANSWER-Mr. Wu may still qualify for help in
paying Part D costs through his State Pharmaceutical
Assistance Program.
Mr. Rodriguez is currently enrolled in a MA plan, but his plan
doesn't sufficiently
cover his prescription drug needs. He is interested in changing
plans during the
upcoming MA Open Enrollment Period. What are his options
during the MA
OEP? - ANSWER-He can switch to a MA-
PD plan.
During a sales presentation in Ms. Sullivan's home, she tells
you that she has heard about a type of Medicare health plan
known as Private Fee-for-Service (PFFS). She wants to know if
this would be available to her. What should you tell her about
PFFS plans? - ANSWER-A PFFS plan is one of the various
