AHIP Final Exam Questions With Correct
Answers 2024/2025
Types of Medicare Advantage Plans - correct answer-PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - correct answer-
Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes refer
red to as dual eligibles
Medicare Cost Plan - correct answer-
Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new memb
ers. A non network provider will can charge higher coinsurances and deuctibles. Different enrollme
nt/disenrollment periods apply. Can get Part D Rx coverage if available, or apply for a separate PDP
.
Medicare Entitlement/Enrollment - Part A & Part B - correct answer-
Individuals with ESRD may sign up at anytime. Date on which coverage begins is the fourth month
after dialysis begins.
Medicare Enrollment Period - correct answer-
Individuals who do not enroll in Part B when first eligible can enroll during a General Enrollment P
eriod, Jan 1st to Mar 31st each year. Coverage begins July 1st of that year.
Medicare Enrollment Period - Group Health Coverage - correct answer-
Individuals who have group health coveage through employer may enroll in Part A and/or Part B a
nytime while on group coverage during a Special Enrollment Period. Occurs during the 8 month pe
riod following last month of group coverage.
Medicare Part A Premium - correct answer-
Free if worked 40 quarters of your life and paid Medicare taxes. Premium is $240.00 for individuals
or spouses who paid Medicare taxes for 30 -
39 quarters. Premium is $437.00 for less than 30 quarters.
Medicare Part A Penalty - correct answer-
Don't enroll in Part A when fist eligible, will pay a late penalty of up to 10% unless enroll during a
Special Enrollment Period.
Answers 2024/2025
Types of Medicare Advantage Plans - correct answer-PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - correct answer-
Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes refer
red to as dual eligibles
Medicare Cost Plan - correct answer-
Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new memb
ers. A non network provider will can charge higher coinsurances and deuctibles. Different enrollme
nt/disenrollment periods apply. Can get Part D Rx coverage if available, or apply for a separate PDP
.
Medicare Entitlement/Enrollment - Part A & Part B - correct answer-
Individuals with ESRD may sign up at anytime. Date on which coverage begins is the fourth month
after dialysis begins.
Medicare Enrollment Period - correct answer-
Individuals who do not enroll in Part B when first eligible can enroll during a General Enrollment P
eriod, Jan 1st to Mar 31st each year. Coverage begins July 1st of that year.
Medicare Enrollment Period - Group Health Coverage - correct answer-
Individuals who have group health coveage through employer may enroll in Part A and/or Part B a
nytime while on group coverage during a Special Enrollment Period. Occurs during the 8 month pe
riod following last month of group coverage.
Medicare Part A Premium - correct answer-
Free if worked 40 quarters of your life and paid Medicare taxes. Premium is $240.00 for individuals
or spouses who paid Medicare taxes for 30 -
39 quarters. Premium is $437.00 for less than 30 quarters.
Medicare Part A Penalty - correct answer-
Don't enroll in Part A when fist eligible, will pay a late penalty of up to 10% unless enroll during a
Special Enrollment Period.
