AHIP Final Exam Test Questions And Correct
Answers(verified)
1. Mrs. West wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through acupuncture. She is concerned about
whether or not Medicare will cover these items and services. What should
you tell her?: Medicare does not cover acupuncture, or, in general,
glasses or dentures.
2. 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?: He could check with the
manufacturers of his medications to see if they offer an assistance
1/8
,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.
3. Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan
that you represent. It is one of three plans operated by the same
organization in Mr. Lombardi's area. The MA PPO plan does not include
drug coverage, but the other two plans do. Mr. Lombardi likes the PPO
plan that does not include drug coverage and intends to obtain his drug
coverage through a
stand-alone Medicare prescription drug plan. What should you tell him about
this situation?: He could enroll in one of the MA plans that include
prescription drug coverage or a Medigap plan and a stand-alone
prescription drug plan, but he cannot enroll in the MA-only PPO plan and
a stand-alone prescription drug plan.
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, 4. Mr. Torres has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal from his
savings account until it is exhausted, and then have his premiums withheld
from his Social Security check. What should you tell him?: In general, he
must select a single Part D premium payment mechanism that will be
used throughout the year.
5. Agent Jennings makes a presentation on Medicare advertised as an
educa- tional event. Agent Jennings distributes materials 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?: Yes. When an event has been advertised
as "educational," dis- cussing plan-specific premiums is impermissible.
6. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a
Medicare prescription drug plan because, although she is entitled to Part A,
she is not enrolled under Medicare Part B. What should you tell her?:
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Answers(verified)
1. Mrs. West wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through acupuncture. She is concerned about
whether or not Medicare will cover these items and services. What should
you tell her?: Medicare does not cover acupuncture, or, in general,
glasses or dentures.
2. 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?: He could check with the
manufacturers of his medications to see if they offer an assistance
1/8
,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.
3. Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan
that you represent. It is one of three plans operated by the same
organization in Mr. Lombardi's area. The MA PPO plan does not include
drug coverage, but the other two plans do. Mr. Lombardi likes the PPO
plan that does not include drug coverage and intends to obtain his drug
coverage through a
stand-alone Medicare prescription drug plan. What should you tell him about
this situation?: He could enroll in one of the MA plans that include
prescription drug coverage or a Medigap plan and a stand-alone
prescription drug plan, but he cannot enroll in the MA-only PPO plan and
a stand-alone prescription drug plan.
2/8
, 4. Mr. Torres has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal from his
savings account until it is exhausted, and then have his premiums withheld
from his Social Security check. What should you tell him?: In general, he
must select a single Part D premium payment mechanism that will be
used throughout the year.
5. Agent Jennings makes a presentation on Medicare advertised as an
educa- tional event. Agent Jennings distributes materials 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?: Yes. When an event has been advertised
as "educational," dis- cussing plan-specific premiums is impermissible.
6. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a
Medicare prescription drug plan because, although she is entitled to Part A,
she is not enrolled under Medicare Part B. What should you tell her?:
3/8
