AHIP 2020 FINAL EXAM WITH VERFIED
ANSWERS UPDATED AND NEWLY
RELEASED.
Mr. Davies is turning 65 next month. He would like to enroll in a Medicare
health plan, but does not want to be limited in terms of where he obtains
his care. What should you tell him about how a Medicare Cost Plan might
fit his needs? - CorreCt Answers -a. Cost plan enrollees can choose to
receive Medicare covered services under the plan's benefits by going to plan
network providers and paying plan cost sharing, or may receive services
from non-network providers and pay cost-sharing due under Original
Medicare.
Choose one answer. - CorreCt Answers -
- CorreCt Answers -a. A Cost Plan only if it does not offer drug coverage.
- CorreCt Answers -b. A MA PPO plan only if it does not offer drug
coverage.
- CorreCt Answers -c. A MA PPO plan that offers drug coverage if she
chooses not to enroll in it.
- CorreCt Answers -d. A Cost Plan that does not offer drug coverage or a
Cost Plan that does offer drug coverage if she chooses not to enroll in it.
Question44 - CorreCt Answers -
,Marks: 1 - CorreCt Answers -
Mrs. Wu was primarily a homemaker and employed in jobs that provided
taxable income only sporadically. Her husband worked full-time
throughout his long career. She has heard that to qualify for Medicare Part
A she has to have worked and paid Medicare taxes for a sufficient time.
What should you tell her? - CorreCt Answers -
Choose one answer. - CorreCt Answers -
- CorreCt Answers -a. She will have to obtain a job and work enough years
to qualify for Medicare Part A.
- CorreCt Answers -b. She will have to pay the monthly Part A premium in
order to obtain the coverage.
- CorreCt Answers -c. Because her husband paid Medicare taxes, and she
rarely did, she will have to pay Part A premiums but will do so at a reduced
rate.
- CorreCt Answers -d. Since her husband paid Medicare taxes during the
entire time he was working, she will automatically qualify for Medicare Part
A without having to pay any premiums.
Question45 - CorreCt Answers -
Marks: 1 - CorreCt Answers -
,Mrs. Willard wants to know generally how the benefits under Original
Medicare might compare to the benefits package of a Medicare Health Plan
before she starts looking at specific plans. What could you tell her? -
CorreCt Answers -
Choose one answer. - CorreCt Answers -
- CorreCt Answers -a. All Medicare Health Plans offer cost-sharing that is
lower than Original Medicare for all Part A and Part B covered services, but
the maximum out-of-pocket limit is higher than in Original Medicare.
- CorreCt Answers -b. Medicare Health Plans may offer extra benefits that
Original Medicare does not offer such as vision, hearing, and dental
services and must include a maximum out-of-pocket limit on Part A and
Part B services.
- CorreCt Answers -c. Medicare Health Plans do not necessarily have to
cover all of the Original Medicare Part A and Part B services, but must
include a maximum out-of-pocket limit.
- CorreCt Answers -d. Medicare Health Plans are not permitted to offer any
benefits beyond those available under the Original Medicare program and
must have the same maximum out-of-pocket limit on Part A and Part B
services as FFS Medicare.
Question46 - CorreCt Answers -
, Marks: 1 - CorreCt Answers -
Mr. Murphy is an agent. A neighbor invited him to discuss the Medicare
Advantage (MA) and Part D plans he sells at the regular Tuesday brunch
the neighbors have for senior citizens. What should Mr. Murphy tell his
neighbor about the kinds of food that can be provided to potential enrollees
who attend the sales presentation? - CorreCt Answers -
Choose one answer. - CorreCt Answers -
- CorreCt Answers -a. The neighbors may not provide a meal, but light
snacks would be permitted.
- CorreCt Answers -b. Any type of meal or food is allowed, as long as it is
available to the general public and not just to those who are eligible to
enroll in the plans.
- CorreCt Answers -c. The neighbors may not provide anything to either eat
or drink during the sales presentation.
- CorreCt Answers -d. Any meal is allowed, as long as it is valued at less
than $15.
Question47 - CorreCt Answers -
Marks: 1 - CorreCt Answers -
ANSWERS UPDATED AND NEWLY
RELEASED.
Mr. Davies is turning 65 next month. He would like to enroll in a Medicare
health plan, but does not want to be limited in terms of where he obtains
his care. What should you tell him about how a Medicare Cost Plan might
fit his needs? - CorreCt Answers -a. Cost plan enrollees can choose to
receive Medicare covered services under the plan's benefits by going to plan
network providers and paying plan cost sharing, or may receive services
from non-network providers and pay cost-sharing due under Original
Medicare.
Choose one answer. - CorreCt Answers -
- CorreCt Answers -a. A Cost Plan only if it does not offer drug coverage.
- CorreCt Answers -b. A MA PPO plan only if it does not offer drug
coverage.
- CorreCt Answers -c. A MA PPO plan that offers drug coverage if she
chooses not to enroll in it.
- CorreCt Answers -d. A Cost Plan that does not offer drug coverage or a
Cost Plan that does offer drug coverage if she chooses not to enroll in it.
Question44 - CorreCt Answers -
,Marks: 1 - CorreCt Answers -
Mrs. Wu was primarily a homemaker and employed in jobs that provided
taxable income only sporadically. Her husband worked full-time
throughout his long career. She has heard that to qualify for Medicare Part
A she has to have worked and paid Medicare taxes for a sufficient time.
What should you tell her? - CorreCt Answers -
Choose one answer. - CorreCt Answers -
- CorreCt Answers -a. She will have to obtain a job and work enough years
to qualify for Medicare Part A.
- CorreCt Answers -b. She will have to pay the monthly Part A premium in
order to obtain the coverage.
- CorreCt Answers -c. Because her husband paid Medicare taxes, and she
rarely did, she will have to pay Part A premiums but will do so at a reduced
rate.
- CorreCt Answers -d. Since her husband paid Medicare taxes during the
entire time he was working, she will automatically qualify for Medicare Part
A without having to pay any premiums.
Question45 - CorreCt Answers -
Marks: 1 - CorreCt Answers -
,Mrs. Willard wants to know generally how the benefits under Original
Medicare might compare to the benefits package of a Medicare Health Plan
before she starts looking at specific plans. What could you tell her? -
CorreCt Answers -
Choose one answer. - CorreCt Answers -
- CorreCt Answers -a. All Medicare Health Plans offer cost-sharing that is
lower than Original Medicare for all Part A and Part B covered services, but
the maximum out-of-pocket limit is higher than in Original Medicare.
- CorreCt Answers -b. Medicare Health Plans may offer extra benefits that
Original Medicare does not offer such as vision, hearing, and dental
services and must include a maximum out-of-pocket limit on Part A and
Part B services.
- CorreCt Answers -c. Medicare Health Plans do not necessarily have to
cover all of the Original Medicare Part A and Part B services, but must
include a maximum out-of-pocket limit.
- CorreCt Answers -d. Medicare Health Plans are not permitted to offer any
benefits beyond those available under the Original Medicare program and
must have the same maximum out-of-pocket limit on Part A and Part B
services as FFS Medicare.
Question46 - CorreCt Answers -
, Marks: 1 - CorreCt Answers -
Mr. Murphy is an agent. A neighbor invited him to discuss the Medicare
Advantage (MA) and Part D plans he sells at the regular Tuesday brunch
the neighbors have for senior citizens. What should Mr. Murphy tell his
neighbor about the kinds of food that can be provided to potential enrollees
who attend the sales presentation? - CorreCt Answers -
Choose one answer. - CorreCt Answers -
- CorreCt Answers -a. The neighbors may not provide a meal, but light
snacks would be permitted.
- CorreCt Answers -b. Any type of meal or food is allowed, as long as it is
available to the general public and not just to those who are eligible to
enroll in the plans.
- CorreCt Answers -c. The neighbors may not provide anything to either eat
or drink during the sales presentation.
- CorreCt Answers -d. Any meal is allowed, as long as it is valued at less
than $15.
Question47 - CorreCt Answers -
Marks: 1 - CorreCt Answers -
