AHIP FINAL EXAM TEST QUESTIONS WITH
ACTUAL CORRECT ANSWERS.
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? - CorreCt Answers -Medicare does not cover acupuncture, or, in
general, glasses or dentures.
Mrs. Andrews asked how a Private Fee-for-Service (PFFS) plan might affect
her access to services since she receives some assistance for her health care
costs from the State. What should you tell her? - CorreCt Answers -
Medicaid may provide additional benefits, but Medicaid will coordinate
benefits only with Medicaid participating providers.
Mrs. Schmidt is moving and a friend told her she might qualify for a
"Special Election Period" to enroll in a new Medicare Advantage plan. She
contacted you to ask what a Special Election Period is. What could you tell
her? - CorreCt Answers -It is a time period, outside of the Annual Election
Period, when a Medicare beneficiary can select a new or different Medicare
Advantage and/or Part D prescription drug plan. Typically the Special
Election Period is beneficiary specific and results from events, such as when
the beneficiary moves outside of the service area.
Mrs. Quinn has just turned 65, is in excellent health, and has a relatively
high income. She uses no medications and sees no reason to spend money
on a Medicare prescription drug plan if she does not need the coverage.
What could you tell her about the implications of such a decision? - CorreCt
Answers -If she does not sign up for a Medicare prescription drug plan as
soon as she is eligible to do so, if she does sign up at a later date, her
, premium will be permanently increased by 1% of the national average
premium for every month that she was not covered.
Mrs. Ramos is considering a Medicare Advantage PPO and has questions
about which providers she can go to for her health care. What should you
tell her? - CorreCt Answers -Mrs. Ramos can obtain care from any provider
who participates in Original Medicare, but generally will have a higher cost-
sharing amount if she sees a provider who/that is not part of the PPO
network.
Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled
in Part B because he has coverage through an employer plan. If he wants to
enroll in a Medicare Advantage plan, what will he have to do? - CorreCt
Answers -He will have to enroll in Part B.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand
what coverage Medicare Supplemental Insurance provides since his health
care needs are different from his wife's needs. What could you tell Mr.
Moy? - CorreCt Answers -Medicare Supplemental Insurance would help
cover his Part A and Part B cost sharing in Original Fee-for-Service (FFS)
Medicare as well as possibly some services that Medicare does not cover.
Mrs. McIntire is enrolled in her state's Medicaid plan and has just become
eligible for Medicare as well. What can she expect will happen with respect
to her drug coverage? - CorreCt Answers -Unless she chooses a Medicare
Part D prescription drug plan on her own, she will be automatically
enrolled in one available in her area.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but
she has been working with Agent Neil Adams in the selection of a Medicare
ACTUAL CORRECT ANSWERS.
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? - CorreCt Answers -Medicare does not cover acupuncture, or, in
general, glasses or dentures.
Mrs. Andrews asked how a Private Fee-for-Service (PFFS) plan might affect
her access to services since she receives some assistance for her health care
costs from the State. What should you tell her? - CorreCt Answers -
Medicaid may provide additional benefits, but Medicaid will coordinate
benefits only with Medicaid participating providers.
Mrs. Schmidt is moving and a friend told her she might qualify for a
"Special Election Period" to enroll in a new Medicare Advantage plan. She
contacted you to ask what a Special Election Period is. What could you tell
her? - CorreCt Answers -It is a time period, outside of the Annual Election
Period, when a Medicare beneficiary can select a new or different Medicare
Advantage and/or Part D prescription drug plan. Typically the Special
Election Period is beneficiary specific and results from events, such as when
the beneficiary moves outside of the service area.
Mrs. Quinn has just turned 65, is in excellent health, and has a relatively
high income. She uses no medications and sees no reason to spend money
on a Medicare prescription drug plan if she does not need the coverage.
What could you tell her about the implications of such a decision? - CorreCt
Answers -If she does not sign up for a Medicare prescription drug plan as
soon as she is eligible to do so, if she does sign up at a later date, her
, premium will be permanently increased by 1% of the national average
premium for every month that she was not covered.
Mrs. Ramos is considering a Medicare Advantage PPO and has questions
about which providers she can go to for her health care. What should you
tell her? - CorreCt Answers -Mrs. Ramos can obtain care from any provider
who participates in Original Medicare, but generally will have a higher cost-
sharing amount if she sees a provider who/that is not part of the PPO
network.
Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled
in Part B because he has coverage through an employer plan. If he wants to
enroll in a Medicare Advantage plan, what will he have to do? - CorreCt
Answers -He will have to enroll in Part B.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand
what coverage Medicare Supplemental Insurance provides since his health
care needs are different from his wife's needs. What could you tell Mr.
Moy? - CorreCt Answers -Medicare Supplemental Insurance would help
cover his Part A and Part B cost sharing in Original Fee-for-Service (FFS)
Medicare as well as possibly some services that Medicare does not cover.
Mrs. McIntire is enrolled in her state's Medicaid plan and has just become
eligible for Medicare as well. What can she expect will happen with respect
to her drug coverage? - CorreCt Answers -Unless she chooses a Medicare
Part D prescription drug plan on her own, she will be automatically
enrolled in one available in her area.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but
she has been working with Agent Neil Adams in the selection of a Medicare
