AHIP MEDICARE TRAINING EXAM
WITH COMPLETE SOLUTIONS
LATEST ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
,1. Mr. Albert has heard about something called the Star Rating system for Medicare
Advantage plans. He asks you to explain it to him since he is interested in enrolling in
a plan that is newly available in his area. After you explain that it is the way for
consumers to judge plan performance, what else would you say?
Answer: New plans and Part D sponsors that do not have any Star Rating are not required to
provide Star Rating information until the next contract year.
2. Mr. Moreno invited his neighbor, Agent Tom Smith, to discuss Medicare Advantage
(MA) and Part D plans that Agent Smith sells at the regular Tuesday brunch the
neighbors have for senior citizens. What should Agent Tom Smith tell Mr. Moreno
about the kinds of food that can be provided to potential enrollees who attend the
sales presentation?
Answer: A meal cannot be provided, but light snacks would be permitted.
3. Ms. Levi is considering enrollment in a Medicare Advantage HMO plan offered in
her area. Ms. Levi often travels to visit relatives and is concerned that she may need
emergency care outside of her plan's service area. What should you tell her about
coverage of emergency care?
Answer: Plans are required to cover out-of-network emergency care.
4. Ms. Lewis understands that Medicare prescription drug plans may use various
methods to control the use of specific drugs. She has heard about a technique called
"step therapy" and is wondering if you can explain what that is. What should you tell
her?
Answer: Step therapy involves using one or more lower priced drugs before trying a more
expensive drug when all are used to treat the same condition.
5. You have decided to focus on doing in-home presentations to market the Medicare
Advantage (MA) plans you represent. Before you conduct such sales presentations,
what must you do?
Answer: You must receive an invitation from the beneficiary and document the specific types
of products the beneficiary wants to discuss prior to making an in-home presentation.
, 6. Ms. Jensen has heard about "Original Fee-for-Service Medicare" and "Private Fee-
forService" plans. She wants to know what the difference is if any. What should you
tell her?
Answer: PFFS plans are a type of Medicare Advantage plan offered by private companies.
This year you decide to focus your efforts on marketing to employer and union groups.
7. Which of the following statements best describes what you can and cannot do in
order to stay in compliance?
Answer: You are not required to submit communication and marketing materials specific only
to those employer plans to CMS at the time of use, but CMS may request and review copies if
employee complaints occur.
8. Agent Suma has recently had several clients request his assistance in completing
their paper enrollment form. What advice would you give him?
Answer: Agent Suma is only permitted to fill out the applicant's name and contact information.
The applicant must fill in the remaining information in order to protect his or her privacy.
9. Mrs. Quinn recently turned 66 and decided after many years of work to begin
receiving Social Security benefits. Shortly thereafter Mrs. Quinn received a letter
informing her that she has been automatically enrolled in Medicare Part B. She wants
to understand what this means. What should you tell Mrs. Quinn?
Answer: Part B primarily covers physician services. She will be paying a monthly premium
and, with the exception of many preventive and screening tests, generally will have 20%
coinsurance for these services, in addition to an annual deductible.
10. Mrs. Turner is comparing her employer's retiree insurance to Original Medicare
and would like to know which of the following services Original Medicare will cover if
the appropriate criteria are met? What could you tell her?
Answer: Original Medicare covers ambulance services.
11. Mr. Diaz continued working with his company and was insured under his
employer's group plan until he reached age 68. He has heard that there is a premium
penalty for those who did not sign up for Part B when first eligible and wants to know
WITH COMPLETE SOLUTIONS
LATEST ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS (100% VERIFIED ANSWERS) |ALREADY GRADED A+|
||PROFESSOR VERIFIED|| ||BRANDNEW!!!||
,1. Mr. Albert has heard about something called the Star Rating system for Medicare
Advantage plans. He asks you to explain it to him since he is interested in enrolling in
a plan that is newly available in his area. After you explain that it is the way for
consumers to judge plan performance, what else would you say?
Answer: New plans and Part D sponsors that do not have any Star Rating are not required to
provide Star Rating information until the next contract year.
2. Mr. Moreno invited his neighbor, Agent Tom Smith, to discuss Medicare Advantage
(MA) and Part D plans that Agent Smith sells at the regular Tuesday brunch the
neighbors have for senior citizens. What should Agent Tom Smith tell Mr. Moreno
about the kinds of food that can be provided to potential enrollees who attend the
sales presentation?
Answer: A meal cannot be provided, but light snacks would be permitted.
3. Ms. Levi is considering enrollment in a Medicare Advantage HMO plan offered in
her area. Ms. Levi often travels to visit relatives and is concerned that she may need
emergency care outside of her plan's service area. What should you tell her about
coverage of emergency care?
Answer: Plans are required to cover out-of-network emergency care.
4. Ms. Lewis understands that Medicare prescription drug plans may use various
methods to control the use of specific drugs. She has heard about a technique called
"step therapy" and is wondering if you can explain what that is. What should you tell
her?
Answer: Step therapy involves using one or more lower priced drugs before trying a more
expensive drug when all are used to treat the same condition.
5. You have decided to focus on doing in-home presentations to market the Medicare
Advantage (MA) plans you represent. Before you conduct such sales presentations,
what must you do?
Answer: You must receive an invitation from the beneficiary and document the specific types
of products the beneficiary wants to discuss prior to making an in-home presentation.
, 6. Ms. Jensen has heard about "Original Fee-for-Service Medicare" and "Private Fee-
forService" plans. She wants to know what the difference is if any. What should you
tell her?
Answer: PFFS plans are a type of Medicare Advantage plan offered by private companies.
This year you decide to focus your efforts on marketing to employer and union groups.
7. Which of the following statements best describes what you can and cannot do in
order to stay in compliance?
Answer: You are not required to submit communication and marketing materials specific only
to those employer plans to CMS at the time of use, but CMS may request and review copies if
employee complaints occur.
8. Agent Suma has recently had several clients request his assistance in completing
their paper enrollment form. What advice would you give him?
Answer: Agent Suma is only permitted to fill out the applicant's name and contact information.
The applicant must fill in the remaining information in order to protect his or her privacy.
9. Mrs. Quinn recently turned 66 and decided after many years of work to begin
receiving Social Security benefits. Shortly thereafter Mrs. Quinn received a letter
informing her that she has been automatically enrolled in Medicare Part B. She wants
to understand what this means. What should you tell Mrs. Quinn?
Answer: Part B primarily covers physician services. She will be paying a monthly premium
and, with the exception of many preventive and screening tests, generally will have 20%
coinsurance for these services, in addition to an annual deductible.
10. Mrs. Turner is comparing her employer's retiree insurance to Original Medicare
and would like to know which of the following services Original Medicare will cover if
the appropriate criteria are met? What could you tell her?
Answer: Original Medicare covers ambulance services.
11. Mr. Diaz continued working with his company and was insured under his
employer's group plan until he reached age 68. He has heard that there is a premium
penalty for those who did not sign up for Part B when first eligible and wants to know
