lOMoARcPSD|28965356
AHIP Final Exam Questions 2
Nursing (Capitol Technology University)
Studocu is not sponsored or endorsed by any college or university
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AHIP Practice Exam
Mr. Carlini has heard that Medicare prescription drug plans are only offered through
private companies under a program known as Medicare Advantage (MA), not by the
government. He likes Original Medicare and does not want to sign up for an MA
product, but he also wants prescription drug coverage. What should you tell him? -
ANS Mr. Carlini can stay with Original Medicare and also enroll in a Medicare
prescription drug plan through a private company that has contracted with the
government to provide only such drug coverage to eligible Medicare beneficiaries.
During a sales presentation to Ms Daley for a Medicare Advantage plan that has a
5-star rating in customer service and care coordination, and received an overall plan
performance of a 4-star, which of the following would be the correct statement to say to
her? - ANS The Medicare Advantage plan received a 5-star rating in customer service
and care coordination with an overall performance rating of 4-stars
Mrs. Pena is 66 years old, has coverage under an employer plan and will retire next
year. She heard she must enroll in Part B at the beginning of the year to ensure no gap
in coverage. What can you tell her? - ANS She may enroll at any time while she is
covered under her employer plan, but she will have a special eight-month enrollment
period that differs from the standard general enrollment period, during which she may
enroll in Medicare Part B
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? - ANS 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.
Alice is a marketing representative employed by a health plan. Betty is a captive agent
of a health plan who markets to multiple plans and sponsors. Carl is a captive agent
who markets to only one plan/sponsor. Denise is an independent agent who markets to
different types of groups. Edward is an independent agent who markets only to
employer and union groups. CMS marketing representative compensation rules
generally apply to: - ANS Betty and Denise, but not Alice (the employee) or Carl or
Edward (to whom exceptions apply).
Downloaded by Wanjiru Gichia ()
AHIP Final Exam Questions 2
Nursing (Capitol Technology University)
Studocu is not sponsored or endorsed by any college or university
Downloaded by Wanjiru Gichia ()
, lOMoARcPSD|28965356
AHIP Practice Exam
Mr. Carlini has heard that Medicare prescription drug plans are only offered through
private companies under a program known as Medicare Advantage (MA), not by the
government. He likes Original Medicare and does not want to sign up for an MA
product, but he also wants prescription drug coverage. What should you tell him? -
ANS Mr. Carlini can stay with Original Medicare and also enroll in a Medicare
prescription drug plan through a private company that has contracted with the
government to provide only such drug coverage to eligible Medicare beneficiaries.
During a sales presentation to Ms Daley for a Medicare Advantage plan that has a
5-star rating in customer service and care coordination, and received an overall plan
performance of a 4-star, which of the following would be the correct statement to say to
her? - ANS The Medicare Advantage plan received a 5-star rating in customer service
and care coordination with an overall performance rating of 4-stars
Mrs. Pena is 66 years old, has coverage under an employer plan and will retire next
year. She heard she must enroll in Part B at the beginning of the year to ensure no gap
in coverage. What can you tell her? - ANS She may enroll at any time while she is
covered under her employer plan, but she will have a special eight-month enrollment
period that differs from the standard general enrollment period, during which she may
enroll in Medicare Part B
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? - ANS 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.
Alice is a marketing representative employed by a health plan. Betty is a captive agent
of a health plan who markets to multiple plans and sponsors. Carl is a captive agent
who markets to only one plan/sponsor. Denise is an independent agent who markets to
different types of groups. Edward is an independent agent who markets only to
employer and union groups. CMS marketing representative compensation rules
generally apply to: - ANS Betty and Denise, but not Alice (the employee) or Carl or
Edward (to whom exceptions apply).
Downloaded by Wanjiru Gichia ()
