AHIP
AHIP FINAL EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS (LATEST UPDATE)
Mr. Schmidt would like to plan for retirement and has asked you what is
covered under Original Fee-for-Service (FFS) Medicare? What could you tell
him? - ANS Part A, which covers hospital, skilled nursing facility, hospice and
home health services and Part B, which covers professional services such as
those provided by a doctor are covered under Original Medicare.
You are seeking to represent an individual Medicare Advantage plan and an
individual Part D plan in your state. You have completed the required
training for each plan, but you did not achieve a passing score on the tests
that came after the training. What can you do in this situation? - ANS You
will not be able to represent any Medicare Advantage or Part D plan until you
complete the training and achieve an adequate score, although you will not have
to take a test if you exclusively market employer/union group plans and the
companies do not require testing.
Mr. Chen is enrolled in his employer's group health plan and will be retiring
soon. He would like to know his options since he has decided to drop his
retiree coverage and is eligible for Medicare. What should you tell him? -
ANS Mr. Chen can disenroll from his employer-sponsored coverage to elect a
Medicare Advantage or Part D plan within 2 months of his disenrollment, but he
should revaluate if he really wants to drop his employer coverage.
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Mr. Davis is 52 years old and has recently been diagnosed with end-stage
renal disease (ESRD) and will soon begin dialysis. He is wondering if he can
obtain coverage under Medicare. What should you tell him? - ANS He may
sign-up for Medicare at any time however coverage usually begins on the fourth
month after dialysis treatments start.
Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D
low-income subsidy. How does that affect his ability to enroll or disenroll in
a Part D plan? - ANS He qualifies for a special election period and can enroll
in or disenroll from a Part D plan once during that period.
Mr. Lopez, who is fairly well-off financially, would like to enroll in a
Medicare prescription drug plan you represent and simply give you a check
to cover his premiums for the entire year. What should you tell him? - ANS
Enrollees should pay using automatic withdrawal from a bank account or
credit or debit card, direct monthly billing from the plan, or deductions from their
Social Security check.
You have approached a hospital administrator about marketing in her
facility. The administrator is uncomfortable with the suggestion. How could
you address her concerns? - ANS Tell her that Medicare guidelines allow you
to conduct marketing activities in common areas of a provider's facility.
You have come to Mrs. Midler's home for a sales presentation. At the
beginning of the presentation, Mrs. Midler tells you that she has a copy of
her medical record available because she thinks this will help you
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understand her needs. She suggests that you will know which questions to
ask her about her health status in order to best assist her in selecting a
plan. What should you do? - ANS You can only ask Mrs. Midler questions
about conditions that affect eligibility, specifically, whether she has end stage
renal disease or one of the conditions that would qualify her for a special needs
plan.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her
MA Initial Coverage Election Period (ICEP) has just begun. Which of the
following can she not do during the ICEP? - ANS She can enroll in a Medigap
plan to supplement the benefits of the MA plan that she's also enrolling in.
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income
level. She wishes to enroll in a MA MSA plan that she heard about from her
neighbor. She also wants to have prescription drug coverage since her
doctor recently prescribed several expensive medications. Currently, she is
enrolled in Original Medicare and a standalone Part D plan. How would you
advise Mrs. Chi? - ANS Mrs. Chi may enroll in a MS MSA plan and remain in
her current standalone Part D prescription drug plan.
Alice is enrolled in a MA-PD plan. She makes a permanent move across the
country and wonders what her options are for continuing MA-PD coverage.
What would you say to her in regard to a special enrollment period (SEP)? -
ANS She is likely to qualify for a SEP. She can choose an effective date of up to
three months after the month in which the enrollment form is received by the
new plan, but the effective date may not be earlier than the date of her
permanent move.
3
AHIP Final
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AHIP FINAL EXAM QUESTIONS WITH
CORRECT VERIFIED SOLUTIONS 100%
GUARANTEED PASS (LATEST UPDATE)
Mr. Schmidt would like to plan for retirement and has asked you what is
covered under Original Fee-for-Service (FFS) Medicare? What could you tell
him? - ANS Part A, which covers hospital, skilled nursing facility, hospice and
home health services and Part B, which covers professional services such as
those provided by a doctor are covered under Original Medicare.
You are seeking to represent an individual Medicare Advantage plan and an
individual Part D plan in your state. You have completed the required
training for each plan, but you did not achieve a passing score on the tests
that came after the training. What can you do in this situation? - ANS You
will not be able to represent any Medicare Advantage or Part D plan until you
complete the training and achieve an adequate score, although you will not have
to take a test if you exclusively market employer/union group plans and the
companies do not require testing.
Mr. Chen is enrolled in his employer's group health plan and will be retiring
soon. He would like to know his options since he has decided to drop his
retiree coverage and is eligible for Medicare. What should you tell him? -
ANS Mr. Chen can disenroll from his employer-sponsored coverage to elect a
Medicare Advantage or Part D plan within 2 months of his disenrollment, but he
should revaluate if he really wants to drop his employer coverage.
1
AHIP Final
messages.downloaded_by
,AHIP
Mr. Davis is 52 years old and has recently been diagnosed with end-stage
renal disease (ESRD) and will soon begin dialysis. He is wondering if he can
obtain coverage under Medicare. What should you tell him? - ANS He may
sign-up for Medicare at any time however coverage usually begins on the fourth
month after dialysis treatments start.
Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D
low-income subsidy. How does that affect his ability to enroll or disenroll in
a Part D plan? - ANS He qualifies for a special election period and can enroll
in or disenroll from a Part D plan once during that period.
Mr. Lopez, who is fairly well-off financially, would like to enroll in a
Medicare prescription drug plan you represent and simply give you a check
to cover his premiums for the entire year. What should you tell him? - ANS
Enrollees should pay using automatic withdrawal from a bank account or
credit or debit card, direct monthly billing from the plan, or deductions from their
Social Security check.
You have approached a hospital administrator about marketing in her
facility. The administrator is uncomfortable with the suggestion. How could
you address her concerns? - ANS Tell her that Medicare guidelines allow you
to conduct marketing activities in common areas of a provider's facility.
You have come to Mrs. Midler's home for a sales presentation. At the
beginning of the presentation, Mrs. Midler tells you that she has a copy of
her medical record available because she thinks this will help you
2
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, AHIP
understand her needs. She suggests that you will know which questions to
ask her about her health status in order to best assist her in selecting a
plan. What should you do? - ANS You can only ask Mrs. Midler questions
about conditions that affect eligibility, specifically, whether she has end stage
renal disease or one of the conditions that would qualify her for a special needs
plan.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her
MA Initial Coverage Election Period (ICEP) has just begun. Which of the
following can she not do during the ICEP? - ANS She can enroll in a Medigap
plan to supplement the benefits of the MA plan that she's also enrolling in.
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income
level. She wishes to enroll in a MA MSA plan that she heard about from her
neighbor. She also wants to have prescription drug coverage since her
doctor recently prescribed several expensive medications. Currently, she is
enrolled in Original Medicare and a standalone Part D plan. How would you
advise Mrs. Chi? - ANS Mrs. Chi may enroll in a MS MSA plan and remain in
her current standalone Part D prescription drug plan.
Alice is enrolled in a MA-PD plan. She makes a permanent move across the
country and wonders what her options are for continuing MA-PD coverage.
What would you say to her in regard to a special enrollment period (SEP)? -
ANS She is likely to qualify for a SEP. She can choose an effective date of up to
three months after the month in which the enrollment form is received by the
new plan, but the effective date may not be earlier than the date of her
permanent move.
3
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