AHIP Final Exam Test Questions and Answers () (Verified Answers)

AHIP ,FINAL ,EXAM ,TEST ,QUESTIONS ,AND
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,ANSWERS 2024 (5 DIFFERENT VERSIONS 500+ QUEST
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IONS AND VERIFIED ANSWERS) COMPLETE AHIP FIN
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AL EXAM |ALREADY GRADED A+
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AgentgHarrietgWalkerghasgrecentlygbegungmarketinggMedicaregAdvantagegandgrelat
edgproductsgaimedgatgmeetinggthegneedsgofgseniorgcitizens.gClientgMildredgJonesgha
sgexpressedginterestgingagMedicaregAdvantagegplan.gItgisgnowgthegbeginninggofgSepte
mber.gIfgyougweregingAgentgWalker'sgposition,gwhatgwouldgyougdo?gCorrectgAnswer
:gInquiregwhethergthegclientgqualifiesgforgagspecialgenrollmentgperiod,gandgifgnot,gsol
icitgangenrollmentgapplicationgoncegthegannualgopengenrollmentgelectiongperiodgbegi
nsgongOctoberg15th.

Mrs.gFieldsgwantsgtogknowgwhethergapplyinggforgthegPartgDglowgincomegsubsidyg
willgbegworthgthegtimegtogfillgoutgthegpaperwork.gWhatgcouldgyougtellgher?gCorrect
gAnswer:gThegPartgDglowgincomegsubsidygcouldgsubstantiallyglowerghergoverallgc

osts.gShegcangapplygbygcontactingghergstategMedicaidgoffice,gorgcallinggthegSocialg
SecuritygAdministration

Mr.gWendtgsuffersgfromgdiabetesgwhichghasggottengprogressivelygworsegduringgthegl
astgyear.gHegisgcurrentlygenrolledgingOriginalgMedicareg(PartsgAgandgB)gandgagPartg
DgprescriptiongdruggplangandgdidgnotgenrollgingagMedicaregAdvantageg(MA)gplangd
uringgtheglastgannualgopengenrollmentgperiodg(AEP)gwhichghasgjustgclosed.gMr.
WendtghasgheardgcertaingMAgplansgmightgprovideghimgwithgmoregspecializedgcove
ragegforghisgdiabetesgandgwantsgtogknowgifghegmustgwaitguntilgthegnextgannualgopeng
enrollmentgperiodg(AEP)gbeforegenrollinggingsuchgagplan.gWhatgshouldgyougtellghim
?gCorrectgAnswer:gIfgtheregisgagspecialgneedsgplang(SNP)gingMr.gWendt'sgareagthatgs
pecializesgingcaringgforgindividualsgwithgdiabetes,ghegmaygenrollgingthegSNPgatganyg
timegundergagspecialgelectiongperiodg(SEP)

Ms.gMooregplansgtogretiregwhengshegturnsg65gingagfewgmonths.gShegisgingexcellentgh
ealthgandgwillghavegconsiderablegincomegwhengshegretires.gShegisgconcernedgthatghe
rgincomegwillgmakegitgimpossiblegforghergtogqualifygforgMedicare.gWhatgcouldgyougt
ellghergtogaddressghergconcern?gCorrectgAnswer:gMedicaregisgagprogramgforgpeopleg
ageg65gorgoldergandgthosegundergageg65gwithgcertaingdisabilities,gendgstagegrenalgdis
easegorgLougGehrig'sgdisease,gsogshegwillgbegeligiblegforgMedicare

Mr.gSchmidtgwouldglikegtogplangforgretirementgandghasgaskedgyougwhatgisgcoveredg
undergOriginalgFee-for-
gServiceg(FFS)gMedicare?gWhatgcouldgyougtellghim?gCorrectgAnswer:gPartgA,gwhich

gcoversghospital,gskilledgnursinggfacility,ghospicegandghome

,healthg servicesg andg Partg B,g whichg coversg professionalg servicesg suchg asg thoseg provi
dedgbygagdoctorgaregcoveredgundergOriginalgMedicare.

Mr.gHernandezgisgconcernedgthatgifghegsignsgupgforgagMedicaregAdvantagegplan,gthe
ghealthgplangmay,gatgsomegtimegingthegfuture,greduceghisgbenefitsgbelowgwhatgisgava

ilablegingOriginalgMedicare.gWhatgshouldgyougtellghimgaboutghisgconcern?
CorrectgAnswer:gMedicareghealthgplansgmustgcovergallgbenefitsgavailablegundergMedica
regPartgAgandgPartgB.gManygalsogcovergPartgDgprescriptiongdrugs.

Mrs.gRaskingisgagwidowgwhogwillgattaingagedg65gandgenrollgingMedicaregingjustgagfe
wgweeks.gShegconcernedgaboutghavinggprescriptiongdruggcoverage.gWhichgofgthegfo
llowinggstatementsgprovidesgthegbestgadvice?
CorrectgAnswer:gPrescriptiongdruggcoveragegcangbegobtainedgbygenrollinggingagMed
icaregAdvantagegplangthatgincludesgPartgDgcoverage.

Mrs.gWillardgwantsgtogknowggenerallyghowgthegbenefitsgundergOriginalgMedicareg
mightgcomparegtogthegbenefitgpackagegofgagMedicaregHealthgPlangbeforegshegstartsgl
ookinggatgspecificgplans.gWhatgcouldgyougtellgher?gCorrectgAnswer:gMedicaregHeal
th
PlansgmaygoffergextragbenefitsgthatgOriginalgMedicaregdoesgnot

,offergsuchgasgvision,ghearing,gandgdentalgservicesgandgmustgincludegagmaximum
goutof-pocketglimitgongPartgAgandgPartgBgservices.



Mr.gMeoni'sgwifeghasgagMedicaregAdvantagegplan,gbutghegwantsgtogunderstandgwhat
gcoveragegMedicaregSupplementalgInsurancegprovidesgsinceghisghealthgcaregneedsga

regdifferentgfromghisgwife'sgneeds.gWhatgcouldgyougtellgMr.Meoni?gCorrectgAnswer
:gMedicaregSupplementalgInsurancegwouldghelpgcoverghisgPartgAgandgPartgBgcostgsh
aringgingOriginalgFee-for-
Serviceg(FFS)gMedicaregasgwellgasgpossiblygsomegservicesgthatgMedicaregdoesgnotg
cover.

Mrs.gChengwillgbeg65gsoon,ghasgbeengagcitizengforgtwelvegyears,ghasgbeengemployed
gfullgtime,gandgpaidgtaxesgduringgthatgentiregperiod.gShegisgconcernedgthatgshegwillgn

otgqualifygforgcoveragegundergpartgAgbecausegshegwasgnotgborngingthegUnitedgStates
.gWhatgshouldgyougtellgher?gCorrectgAnswer:gMostgindividualsgwhogaregcitizensgan
dgovergageg65garegcoveredgundergPartgAgbygvirtuegofghavinggpaidgMedicaregtaxesgw
hilegworking,gthoughgsomegmaygbegcoveredgasgagresultgofgpayinggmonthlygpremium
s.

Mr.gBauergisg49gyearsgold,gbutgeighteengmonthsgagoghegwasgdeclaredgdisabledgbygthe
gSocialgSecuritygAdministrationgandghasgbeengreceivinggdisabilitygpayments.gHegisg

wonderinggwhetherghegcangobtaingcoveragegundergMedicare.gWhatgshouldgyougtellgh
im?gCorrectgAnswer:gAftergreceivinggsuchgdisabilitygpaymentsgforg24gmonths,ghegw
illgbegautomaticallygenrolledgingMedicare,gregardlessgofgage.

Mr.gDavisgisg49gyearsgoldgandghasgbeengreceivinggdisabilitygbenefitsgfromgthegSocial
gSecuritygAdministrationgforg12gmonths.gCangyougsellghimgagMedicaregAdvantagegor

gPartgDgPrescriptiongDruggpolicy?gCorrectgAnswer:gNo,ghegcannotgpurchasegagMedi

caregAdvantagegorgPartgDgpolicygbecausegheghasgnotgreceivedgSocialgSecuritygorgRai
lroadgRetirementgdisabilitygbenefitsgforg24gmonths.

Ms.gHendersongbelievesgthatgshegwillgqualifygforgMedicaregcoveragegwhengshegturns
g65,gwithoutgpayingganygpremiums,gbecausegsheghasgbeengworkinggforg40gyearsgandg

payinggMedicaregtaxes.gWhatgshouldgyougtellgher?gCorrectgAnswer:gIngordergtogobtain
gPartgBgcoverage,gshegmustgpaygagstandardgmonthlygpremium,gthoughgitgisghighergfo

rgindividualsgwithghighergincomes.

Mr.gDiazgcontinuedgworkinggwithghisgcompanygandgwasginsuredgunderghisgemploye
r'sggroupgplanguntilghegreachedgageg68.gHeghasgheardgthatgtheregisgagpremiumgpenalt
ygforgthosegwhogdidgnotgsigngupgforgPartgBgwhengfirstgeligiblegandgwantsgtogknowgh
owgmuchghegwillghavegtogpay.gWhatgshouldgyougtellghim?gCorrectgAnswer:gMr.gDia
zgwillgnotgpayganygpenaltygbecausegheghadgcontinuousgcoveragegunderghisgemploye
r'sgplan.

, Mrs.gPeňagisg66gyearsgold,ghasgcoveragegundergangemployergplangandgwillgretiregnext
gyear.gShegheardgshegmustgenrollgingPartgBgatgthegbeginninggofgthegyeargtogensuregnog

gapgingcoverage.gWhatgcangyougtellgher?gCorrectgAnswer:gShegmaygenrollgatganygti
megwhilegshegisgcoveredgunderghergemployergplan,gbutgshegwillghavegagspecialgeight
monthgenrollmentgperiodgthatgdiffersgfromgthegstandardggeneralgenrollmentgperiod,g
duringgwhichgshegmaygenrollgingMedicaregPartgB.

Mrs.gKellygisgentitledgtogPartgA,gbutgisgnotgyetgenrolledgingPartgB.gShegisgconsideringg
enrollmentgingagMedicareghealthgplan.gWhatgshouldgyougadviseghergtogdogbeforegsheg
willgbegablegtogenrollgintogagMedicareghealthgplan?gCorrectgAnswer:gIngordergtogjoinga
gMedicareghealthgplan,gshegalsogmustgenrollgingPartgB.