AHIP MEDICARE TRAINING EXAM
WITH COMPLETE QUESTIONS AND
CORRECT
VERIFIED ANSWERS
Agent Suma has recently had several clients request his assistance in completing
their paper enrollment form. What advice would you give him? - ✔✔✔ Correct
Answer > Agent Suma is only permitted to fill out the applicant's name and contact
D
information. The applicant must fill in the remaining information in order to
O
protect his or her privacy.
N
O
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare
T
and would like to know which of the following services Original Medicare will
C
cover if the appropriate criteria are met? What could you tell her? - ✔✔✔ Correct
O
Answer > Original Medicare covers ambulance services.
PY
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 how much he will have to pay. What should you tell him? - ✔✔✔
Correct Answer > Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan.
Anita Magri will turn age 65 in August 2020. Anita intends to enroll in Original
Medicare Part A and Part B. She would also like to enroll in a Medicare
Supplement (Medigap) plan. Anita's older neighbor Mel has told her about the
Medigap Part F plan in which he is enrolled. It not only provides foreign travel
,emergency benefits but also covers his Medicare Part B deductible. Anita comes to
you for advice. What should you tell her - ✔✔✔ Correct Answer > You are sorry to
disappoint Anita but a Medigap Part F plan is no longer available to those who turn
age 65 after January 1,2020. Anita might instead consider other Medigap plans that
offer foreign travel benefits but do not cover the Part B deductible.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what
coverage Medicare Supplemental Insurance provides since his health care needs
are different from his wife's needs. What could you tell Mr. Moy? - ✔✔✔ Correct
Answer > Medicare Supplemental Insurance would help cover his Part A and Part B
cost sharing in Original Fee-for-Service (FFS) Medicare as well as possibly some
services that Medicare does not cover.
D
O
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the
N
Social Security Administration and has been receiving disability payments. He is
O
wondering whether he can obtain coverage under Medicare. What should you tell
him? - ✔✔✔ Correct Answer > After receiving such disability payments for 24
T
months, he will be automatically enrolled in Medicare, regardless of age.
C
O
PY
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? - ✔✔✔
Correct 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.
What impact, if any, will recent regulatory changes have upon Medigap plans? -
✔✔✔ Correct Answer > The Part B deductible will no longer be covered for
individuals newly eligible for Medicare starting January 1, 2020.
, Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the
plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennan for
treatment. How much may Dr. Brennan charge? - ✔✔✔ Correct Answer > Dr. Brennan
can charge Mary Rogers no more than the cost sharing specified in the PFFS plan's
terms and condition of payment which may include balance billing up to 15% of
the Medicare rate.
Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years
ago. In mid-February of 2021, her doctor confirms a diagnosis of end-stage renal
disease (ESRD). What options will Mrs. Davenport have regarding her MA plan
during the next open enrollment season? - ✔✔✔ Correct Answer > She may remain in
D
her ABC MA plan, enroll in another MA plan in her service area, or enroll in a
O
Special Needs Plan (SNP) for individuals suffering from ESRD if one is available
in her area.a
N
O
Mr. Albert has heard about something called the Star Rating system for Medicare
T
Advantage plans. He asks you to explain it to him since he is interested in enrolling
C
in a plan that is newly available in his area. After you explain that it is the way for
O
consumers to judge plan performance, what else would you say? - ✔✔✔ Correct
PY
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.
Ms. Jensen has heard about "Original Fee-for-Service Medicare" and "Private
Feefor-Service" plans. She wants to know what the difference is if any. What
should you tell her? - ✔✔✔ Correct 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. Which of the following statements best describes what you can and cannot
do in order to stay in compliance? - ✔✔✔ Correct Answer > You are not required to
WITH COMPLETE QUESTIONS AND
CORRECT
VERIFIED ANSWERS
Agent Suma has recently had several clients request his assistance in completing
their paper enrollment form. What advice would you give him? - ✔✔✔ Correct
Answer > Agent Suma is only permitted to fill out the applicant's name and contact
D
information. The applicant must fill in the remaining information in order to
O
protect his or her privacy.
N
O
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare
T
and would like to know which of the following services Original Medicare will
C
cover if the appropriate criteria are met? What could you tell her? - ✔✔✔ Correct
O
Answer > Original Medicare covers ambulance services.
PY
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 how much he will have to pay. What should you tell him? - ✔✔✔
Correct Answer > Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan.
Anita Magri will turn age 65 in August 2020. Anita intends to enroll in Original
Medicare Part A and Part B. She would also like to enroll in a Medicare
Supplement (Medigap) plan. Anita's older neighbor Mel has told her about the
Medigap Part F plan in which he is enrolled. It not only provides foreign travel
,emergency benefits but also covers his Medicare Part B deductible. Anita comes to
you for advice. What should you tell her - ✔✔✔ Correct Answer > You are sorry to
disappoint Anita but a Medigap Part F plan is no longer available to those who turn
age 65 after January 1,2020. Anita might instead consider other Medigap plans that
offer foreign travel benefits but do not cover the Part B deductible.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what
coverage Medicare Supplemental Insurance provides since his health care needs
are different from his wife's needs. What could you tell Mr. Moy? - ✔✔✔ Correct
Answer > Medicare Supplemental Insurance would help cover his Part A and Part B
cost sharing in Original Fee-for-Service (FFS) Medicare as well as possibly some
services that Medicare does not cover.
D
O
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the
N
Social Security Administration and has been receiving disability payments. He is
O
wondering whether he can obtain coverage under Medicare. What should you tell
him? - ✔✔✔ Correct Answer > After receiving such disability payments for 24
T
months, he will be automatically enrolled in Medicare, regardless of age.
C
O
PY
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? - ✔✔✔
Correct 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.
What impact, if any, will recent regulatory changes have upon Medigap plans? -
✔✔✔ Correct Answer > The Part B deductible will no longer be covered for
individuals newly eligible for Medicare starting January 1, 2020.
, Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the
plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennan for
treatment. How much may Dr. Brennan charge? - ✔✔✔ Correct Answer > Dr. Brennan
can charge Mary Rogers no more than the cost sharing specified in the PFFS plan's
terms and condition of payment which may include balance billing up to 15% of
the Medicare rate.
Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years
ago. In mid-February of 2021, her doctor confirms a diagnosis of end-stage renal
disease (ESRD). What options will Mrs. Davenport have regarding her MA plan
during the next open enrollment season? - ✔✔✔ Correct Answer > She may remain in
D
her ABC MA plan, enroll in another MA plan in her service area, or enroll in a
O
Special Needs Plan (SNP) for individuals suffering from ESRD if one is available
in her area.a
N
O
Mr. Albert has heard about something called the Star Rating system for Medicare
T
Advantage plans. He asks you to explain it to him since he is interested in enrolling
C
in a plan that is newly available in his area. After you explain that it is the way for
O
consumers to judge plan performance, what else would you say? - ✔✔✔ Correct
PY
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.
Ms. Jensen has heard about "Original Fee-for-Service Medicare" and "Private
Feefor-Service" plans. She wants to know what the difference is if any. What
should you tell her? - ✔✔✔ Correct 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. Which of the following statements best describes what you can and cannot
do in order to stay in compliance? - ✔✔✔ Correct Answer > You are not required to
