lOMoARcPSD|26582732
AHIP FINAL EXAM TEST QUESTIONS
2025
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? - Answermedicare Does Not Cover Acupuncture, Or, In General,
Glasses Or Dentures.
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? - Answerhe 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.
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? - Answerhe 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.
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? - Answerin
General, He Must Select A Single Part D Premium Payment Mechanism That Will Be Used Throughout
The Year.
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, lOMoARcPSD|26582732
Agent Jennings Makes A Presentation On Medicare Advertised As An Educational 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? - Answeryes. When An Event Has Been Advertised As "Educational,"
Discussing Planspecific Premiums Is Impermissible.
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? - Answereveryone Who Is Entitled To Part A Or Enrolled Under Part B Is Eligible
To Enroll In A Medicare Prescription Drug Plan. As Long As Mrs. Mulcahy Is Entitled To Part A, She
Does Not Need To Enroll Under Part B Before Enrolling In A Prescription Drug Plan.
Mr. Jacob Understands That There Is A Standard Medicare Part D Prescription Drug Benefit, But When
He Looks At Information On Various Plans Available In His Area, He Sees A Wide Range In What They
Charge For Deductibles, Premiums And Cost Sharing. How Can You Explain This To Him? -
Answermedicare Part D Drug Plans May Have Different Benefit Structures, But On Average, They Must
All Be At Least As Good As The Standard Model Established By The Government.
Ms. Moore Plans To Retire When She Turns 65 In A Few Months. She Is In Excellent Health And Will
Have Considerable Income When She Retires. She Is Concerned That Her Income Will Make It
Impossible For Her To Qualify For Medicare. What Could You Tell Her To Address Her Concern? -
Answermedicare Is A Program For People Age 65 Or Older And Those Under Age 65 With Certain
Disabilities, End Stage Renal Disease Or Lou Gehrig's Disease, So She Will Be Eligible For Medicare.
Agent Armstrong Is Employed By Xyz Agency, Which Is Under Contract With Abc Health Plan, A
Medicare Advantage (Ma) Plan That Offers Plans In Multiple States. Xyz Agency Maintains A Website
Marketing The Ma Plans With Which It Has Contracts. Agent Armstrong Follows Up With Individuals
Who Request More Information About Abc Ma Plans Via The Website And Tries To Persuade Them To
Enroll In Abc Plans. What Statement Best Describes The Marketing And Compliance Rules That Apply
To Agent Armstrong? - Answeragent Armstrong Needs To Be Licensed And Appointed In Every State In
Which Beneficiaries To Whom He Markets Abc Ma Plans Are Located.
Mr. Schmidt Would Like To Plan For Retirement And Has Asked You What Is Covered Under Original
Fee-Forservice (Ffs) Medicare? What Could You Tell Him? - Answerpart A, Which Covers Hospital,
Skilled Nursing Facility, Hospice And Home Health Services And Part B, Which Covers Professional
Services Such As Those Provided By A Doctor Are Covered Under Original Medicare.
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AHIP FINAL EXAM TEST QUESTIONS
2025
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? - Answermedicare Does Not Cover Acupuncture, Or, In General,
Glasses Or Dentures.
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? - Answerhe 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.
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? - Answerhe 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.
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? - Answerin
General, He Must Select A Single Part D Premium Payment Mechanism That Will Be Used Throughout
The Year.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Agent Jennings Makes A Presentation On Medicare Advertised As An Educational 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? - Answeryes. When An Event Has Been Advertised As "Educational,"
Discussing Planspecific Premiums Is Impermissible.
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? - Answereveryone Who Is Entitled To Part A Or Enrolled Under Part B Is Eligible
To Enroll In A Medicare Prescription Drug Plan. As Long As Mrs. Mulcahy Is Entitled To Part A, She
Does Not Need To Enroll Under Part B Before Enrolling In A Prescription Drug Plan.
Mr. Jacob Understands That There Is A Standard Medicare Part D Prescription Drug Benefit, But When
He Looks At Information On Various Plans Available In His Area, He Sees A Wide Range In What They
Charge For Deductibles, Premiums And Cost Sharing. How Can You Explain This To Him? -
Answermedicare Part D Drug Plans May Have Different Benefit Structures, But On Average, They Must
All Be At Least As Good As The Standard Model Established By The Government.
Ms. Moore Plans To Retire When She Turns 65 In A Few Months. She Is In Excellent Health And Will
Have Considerable Income When She Retires. She Is Concerned That Her Income Will Make It
Impossible For Her To Qualify For Medicare. What Could You Tell Her To Address Her Concern? -
Answermedicare Is A Program For People Age 65 Or Older And Those Under Age 65 With Certain
Disabilities, End Stage Renal Disease Or Lou Gehrig's Disease, So She Will Be Eligible For Medicare.
Agent Armstrong Is Employed By Xyz Agency, Which Is Under Contract With Abc Health Plan, A
Medicare Advantage (Ma) Plan That Offers Plans In Multiple States. Xyz Agency Maintains A Website
Marketing The Ma Plans With Which It Has Contracts. Agent Armstrong Follows Up With Individuals
Who Request More Information About Abc Ma Plans Via The Website And Tries To Persuade Them To
Enroll In Abc Plans. What Statement Best Describes The Marketing And Compliance Rules That Apply
To Agent Armstrong? - Answeragent Armstrong Needs To Be Licensed And Appointed In Every State In
Which Beneficiaries To Whom He Markets Abc Ma Plans Are Located.
Mr. Schmidt Would Like To Plan For Retirement And Has Asked You What Is Covered Under Original
Fee-Forservice (Ffs) Medicare? What Could You Tell Him? - Answerpart A, Which Covers Hospital,
Skilled Nursing Facility, Hospice And Home Health Services And Part B, Which Covers Professional
Services Such As Those Provided By A Doctor Are Covered Under Original Medicare.
Downloaded by NELSON KIIRU ()
