AHIP Final Exam Test | All Questions with
Verified Answers | | Professor Verified
2025/2026 (Guarantee A+)
1. Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through acupuncture. She is concerned about whether
or not Medicare will cover these items and services. What should you tell
her? - ANSWER>>Medicare does not cover acupuncture, or, in general,
glasses or dentures.
2. Mr. Bickford did not quite qualify for the extra help low-income subsidy
under the Medicare Part D Prescription Drug program and he is wondering if
there is any other option he has for obtaining help with his considerable
drug costs. What should you tell him? - ANSWER>>He could check with the
manufacturers of his medications to see if they offer an assistance program
to help people with limited means obtain the medications they need.
Alternatively, he could check to see whether his state has a pharmacy
assistance program to help him with his expenses.
3. Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you
represent. It is one of three plans operated by the same organization in Mr.
Lombardi's area. The MA PPO plan does not include drug coverage, but the
other two plans do. Mr. Lombardi likes the PPO plan that does not include
drug coverage and intends to obtain his drug coverage through a stand-
alone Medicare prescription drug plan. What should you tell him about this
situation? - ANSWER>>He could enroll in one of the MA plans that include
prescription drug coverage or a Medigap plan and a stand-alone prescription
drug plan, but he cannot enroll in the MA-only PPO plan and a stand-alone
prescription drug plan.
, 4. Mr. Torres has a small savings account. He would like to pay for his monthly
Part D premiums with an automatic monthly withdrawal from his savings
account until it is exhausted, and then have his premiums withheld from his
Social Security check. What should you tell him? - ANSWER>>In general, he
must select a single Part D premium payment mechanism that will be used
throughout the year.
5. Agent Jennings makes a presentation on Medicare advertised as an
educational event. Agent Jennings distributes materials that are solely
educational in nature. However, she gives a brief presentation that mentions
plan-specific premiums. Is this a prohibited activity at an event that has been
advertised as educational? - ANSWER>>Yes. When an event has been
advertised as "educational," discussing plan-specific premiums is
impermissible.
6. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a
Medicare prescription drug plan because, although she is entitled to Part A,
she is not enrolled under Medicare Part B. What should you tell her? -
ANSWER>>Everyone who is entitled to Part A or enrolled under Part B is
eligible to enroll in a Medicare prescription drug plan. As long as Mrs.
Mulcahy is entitled to Part A, she does not need to enroll under Part B
before enrolling in a prescription drug plan.
7. Mr. Jacob understands that there is a standard Medicare Part D prescription
drug benefit, but when he looks at information on various plans available in
his area, he sees a wide range in what they charge for deductibles,
premiums and cost sharing. How can you explain this to him? -
ANSWER>>Medicare Part D drug plans may have different benefit
structures, but on average, they must all be at least as good as the standard
model established by the government.
Verified Answers | | Professor Verified
2025/2026 (Guarantee A+)
1. Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through acupuncture. She is concerned about whether
or not Medicare will cover these items and services. What should you tell
her? - ANSWER>>Medicare does not cover acupuncture, or, in general,
glasses or dentures.
2. Mr. Bickford did not quite qualify for the extra help low-income subsidy
under the Medicare Part D Prescription Drug program and he is wondering if
there is any other option he has for obtaining help with his considerable
drug costs. What should you tell him? - ANSWER>>He could check with the
manufacturers of his medications to see if they offer an assistance program
to help people with limited means obtain the medications they need.
Alternatively, he could check to see whether his state has a pharmacy
assistance program to help him with his expenses.
3. Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you
represent. It is one of three plans operated by the same organization in Mr.
Lombardi's area. The MA PPO plan does not include drug coverage, but the
other two plans do. Mr. Lombardi likes the PPO plan that does not include
drug coverage and intends to obtain his drug coverage through a stand-
alone Medicare prescription drug plan. What should you tell him about this
situation? - ANSWER>>He could enroll in one of the MA plans that include
prescription drug coverage or a Medigap plan and a stand-alone prescription
drug plan, but he cannot enroll in the MA-only PPO plan and a stand-alone
prescription drug plan.
, 4. Mr. Torres has a small savings account. He would like to pay for his monthly
Part D premiums with an automatic monthly withdrawal from his savings
account until it is exhausted, and then have his premiums withheld from his
Social Security check. What should you tell him? - ANSWER>>In general, he
must select a single Part D premium payment mechanism that will be used
throughout the year.
5. Agent Jennings makes a presentation on Medicare advertised as an
educational event. Agent Jennings distributes materials that are solely
educational in nature. However, she gives a brief presentation that mentions
plan-specific premiums. Is this a prohibited activity at an event that has been
advertised as educational? - ANSWER>>Yes. When an event has been
advertised as "educational," discussing plan-specific premiums is
impermissible.
6. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a
Medicare prescription drug plan because, although she is entitled to Part A,
she is not enrolled under Medicare Part B. What should you tell her? -
ANSWER>>Everyone who is entitled to Part A or enrolled under Part B is
eligible to enroll in a Medicare prescription drug plan. As long as Mrs.
Mulcahy is entitled to Part A, she does not need to enroll under Part B
before enrolling in a prescription drug plan.
7. Mr. Jacob understands that there is a standard Medicare Part D prescription
drug benefit, but when he looks at information on various plans available in
his area, he sees a wide range in what they charge for deductibles,
premiums and cost sharing. How can you explain this to him? -
ANSWER>>Medicare Part D drug plans may have different benefit
structures, but on average, they must all be at least as good as the standard
model established by the government.
