AHIP Final Exam Test Questions
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1. Mrs. West wears glasses and dentures and Medicare does not cover acupuncture, or, in
has enjoyed considerable pain relief from general, glasses or dentures.
arthritis through acupuncture. She is con-
cerned about whether or not Medicare
will cover these items and services. What
should you tell her?
2. Mr. Bickford did not quite qualify for the He could check with the manufacturers of
extra help low-income subsidy under the his medications to see if they offer an assis-
Medicare Part D Prescription Drug program tance program to help people with limited
and he is wondering if there is any other means obtain the medications they need.
option he has for obtaining help with his Alternatively, he could check to see whether
considerable drug costs. What should you his state has a pharmacy assistance pro-
tell him? gram to help him with his expenses.
3. Mr. Lombardi is interested in a Medicare He could enroll in one of the MA plans
Advantage (MA) PPO plan that you repre- that include prescription drug coverage or
sent. It is one of three plans operated by a Medigap plan and a stand-alone pre-
the same organization in Mr. Lombardi's scription drug plan, but he cannot enroll in
area. The MA PPO plan does not include the MA-only PPO plan and a stand-alone
drug coverage, but the other two plans prescription drug plan.
do. Mr. Lombardi likes the PPO plan that
does not include drug coverage and in-
tends to obtain his drug coverage through
a stand-alone Medicare prescription drug
plan. What should you tell him about this
situation?
4. Mr. Torres has a small savings account. He In general, he must select a single Part D
would like to pay for his monthly Part D premium payment mechanism that will be
premiums with an automatic monthly with- used throughout the year.
drawal from his savings account until it is
, AHIP Final Exam Test Questions
Study online at https://quizlet.com/_a235nr
exhausted, and then have his premiums
withheld from his Social Security check.
What should you tell him?
5. Agent Jennings makes a presentation on Yes. When an event has been advertised as
Medicare advertised as an educational "educational," discussing plan-specific pre-
event. Agent Jennings distributes materi- miums is impermissible.
als 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?
6. Mrs. Mulcahy is concerned that she may Everyone who is entitled to Part A or en-
not qualify for enrollment in a Medicare rolled under Part B is eligible to enroll in
prescription drug plan because, although a Medicare prescription drug plan. As long
she is entitled to Part A, she is not enrolled as Mrs. Mulcahy is entitled to Part A, she
under Medicare Part B. What should you tell does not need to enroll under Part B before
her? enrolling in a prescription drug plan.
7. Mr. Jacob understands that there is a stan- Medicare Part D drug plans may have dif-
dard Medicare Part D prescription drug ferent benefit structures, but on average,
benefit, but when he looks at information they must all be at least as good as the
on various plans available in his area, he standard model established by the govern-
sees a wide range in what they charge for ment.
deductibles, premiums and cost sharing.
How can you explain this to him?
8. Ms. Moore plans to retire when she turns 65 Medicare is a program for people age 65 or
in a few months. She is in excellent health older and those under age 65 with certain
and will have considerable income when disabilities, end stage renal disease or Lou
she retires. She is concerned that her in- Gehrig's disease, so she will be eligible for
come will make it impossible for her to qual- Medicare.
Study online at https://quizlet.com/_a235nr
1. Mrs. West wears glasses and dentures and Medicare does not cover acupuncture, or, in
has enjoyed considerable pain relief from general, glasses or dentures.
arthritis through acupuncture. She is con-
cerned about whether or not Medicare
will cover these items and services. What
should you tell her?
2. Mr. Bickford did not quite qualify for the He could check with the manufacturers of
extra help low-income subsidy under the his medications to see if they offer an assis-
Medicare Part D Prescription Drug program tance program to help people with limited
and he is wondering if there is any other means obtain the medications they need.
option he has for obtaining help with his Alternatively, he could check to see whether
considerable drug costs. What should you his state has a pharmacy assistance pro-
tell him? gram to help him with his expenses.
3. Mr. Lombardi is interested in a Medicare He could enroll in one of the MA plans
Advantage (MA) PPO plan that you repre- that include prescription drug coverage or
sent. It is one of three plans operated by a Medigap plan and a stand-alone pre-
the same organization in Mr. Lombardi's scription drug plan, but he cannot enroll in
area. The MA PPO plan does not include the MA-only PPO plan and a stand-alone
drug coverage, but the other two plans prescription drug plan.
do. Mr. Lombardi likes the PPO plan that
does not include drug coverage and in-
tends to obtain his drug coverage through
a stand-alone Medicare prescription drug
plan. What should you tell him about this
situation?
4. Mr. Torres has a small savings account. He In general, he must select a single Part D
would like to pay for his monthly Part D premium payment mechanism that will be
premiums with an automatic monthly with- used throughout the year.
drawal from his savings account until it is
, AHIP Final Exam Test Questions
Study online at https://quizlet.com/_a235nr
exhausted, and then have his premiums
withheld from his Social Security check.
What should you tell him?
5. Agent Jennings makes a presentation on Yes. When an event has been advertised as
Medicare advertised as an educational "educational," discussing plan-specific pre-
event. Agent Jennings distributes materi- miums is impermissible.
als 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?
6. Mrs. Mulcahy is concerned that she may Everyone who is entitled to Part A or en-
not qualify for enrollment in a Medicare rolled under Part B is eligible to enroll in
prescription drug plan because, although a Medicare prescription drug plan. As long
she is entitled to Part A, she is not enrolled as Mrs. Mulcahy is entitled to Part A, she
under Medicare Part B. What should you tell does not need to enroll under Part B before
her? enrolling in a prescription drug plan.
7. Mr. Jacob understands that there is a stan- Medicare Part D drug plans may have dif-
dard Medicare Part D prescription drug ferent benefit structures, but on average,
benefit, but when he looks at information they must all be at least as good as the
on various plans available in his area, he standard model established by the govern-
sees a wide range in what they charge for ment.
deductibles, premiums and cost sharing.
How can you explain this to him?
8. Ms. Moore plans to retire when she turns 65 Medicare is a program for people age 65 or
in a few months. She is in excellent health older and those under age 65 with certain
and will have considerable income when disabilities, end stage renal disease or Lou
she retires. She is concerned that her in- Gehrig's disease, so she will be eligible for
come will make it impossible for her to qual- Medicare.
