AHIP FINAL EXAM TEST QUESTIONS LATEST
VERSION /AHIP FINAL EXAM TEST REAL EXAM
2025-2026 LATEST UPDATE Assured Success.
Mr. Schultz was still working when he first qualified for Medicare. At that time, he
had employer group coverage that was creditable. During his initial Part D
eligibility period, he decided not to enroll because he was satisfied with his drug
coverage. It is now a year later and Mr. Schultz has lost his employer group
coverage within the last two weeks. How would you advise him? - correct
answer>>Mr. Schultz should enroll in a Part D plan before he has a 63-day break
in coverage in order to avoid a premium penalty.
Mr. Hutchinson has drug coverage through his former employer's retiree plan. He
is concerned about the Part D premium penalty if he does not enroll in a Medicare
prescription drug plan, but does not want to purchase extra coverage that he will
not need. What should you tell him? - correct answer>>If the drug coverage he
has is not expected to pay, on average, at least as much as
Medicare's standard Part D coverage expects to pay, then he will need to enroll in
Medicare Part D during his initial eligibility period to avoid the late enrollment
penalty.
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? - correct answer>>Medicare 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.
,Mrs. Roberts has Original Medicare and would like to enroll in a Private
FeeforService (PFFS) plan. All types of PFFS plans are available in her area. Which
options could Mrs. Roberts consider before selecting a PFFS plan? - correct
answer>>A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that
combines medical benefits and Part D prescription drug coverage, a PFFS plan
offering only medical benefits, or a PFFS plan in combination with a stand-alone
prescription drug plan.
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not
include drug coverage and also enroll in a stand-alone Medicare prescription drug
plan. Under what circumstances can she do this? - correct answer>>If the
Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not
offer drug coverage or a Medical Savings Account plan, Mrs. Berkowitz can do
this.
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 to her drug coverage? -
correct answer>>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. Cantwell is enrolled in a prescription drug plan. She has heard about
something called True-Out-Pocket costs or "TrOOP" and asks you if any of the
following count toward reaching the catastrophic coverage phase. What do you
say? - correct answer>>Her annual PDP deductible, A drug manufacturer's
discount for brand name drugs after her initial coverage period
Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage (MA),
not by the government. He likes Original Medicare and does not want to sign up
for an MA product, but he also wants prescription drug coverage. What should
you tell him? - correct answer>>Mr. Carlini can stay with Original Medicare and
, also enroll in a Medicare prescription drug plan through a private company that
has contracted with the government to provide only such drug coverage to
eligible Medicare beneficiaries.
Mrs. Imelda Diaz is a Medicare beneficiary enrolled in a MA-PD plan you
represent. Her neighbor recently suffered from a painful case of shingles. Mrs.
Diaz hopes to avoid such an illness through vaccination. She asks you whether the
cost of shingles vaccination will be covered under the plan you represent. What
should you say? - correct answer>>Yes, there is no cost sharing for the shingles
vaccine even in the deductible phase of her prescription drug plan because it is an
adult vaccine recommended by the Advisory Committee on Immunization
Practices (AICP).
Which of the following statements about Medicare Part D are correct? - correct
answer>>Part D plans must enroll any eligible beneficiary who applies regardless
of health status except in limited circumstances. Private fee-for-service (PFFS)
plans are not required to use a pharmacy network but may choose to have
one.Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only
obtain Part D benefits through a standalone PDP.
Mrs. Fiore is a retired federal worker with coverage under a Federal Employee
Health Benefits (FEHB) plan that includes creditable drug coverage. She is ready to
turn 65 and become Medicare eligible for the first time. What issues might she
consider about whether to enroll in a Medicare prescription drug plan? - correct
answer>>She could compare the coverage to see if the Medicare Part D plan
offers better benefits and coverage than the FEHB plan for the specific
medications she needs and whether any additional benefits are worth the Part D
premium costs on top of her FEHB contribution.
Mr. Shapiro gets by on a very small amount of fixed income. He has heard there
may be extra help paying for Part D prescription drugs for Medicare beneficiaries
VERSION /AHIP FINAL EXAM TEST REAL EXAM
2025-2026 LATEST UPDATE Assured Success.
Mr. Schultz was still working when he first qualified for Medicare. At that time, he
had employer group coverage that was creditable. During his initial Part D
eligibility period, he decided not to enroll because he was satisfied with his drug
coverage. It is now a year later and Mr. Schultz has lost his employer group
coverage within the last two weeks. How would you advise him? - correct
answer>>Mr. Schultz should enroll in a Part D plan before he has a 63-day break
in coverage in order to avoid a premium penalty.
Mr. Hutchinson has drug coverage through his former employer's retiree plan. He
is concerned about the Part D premium penalty if he does not enroll in a Medicare
prescription drug plan, but does not want to purchase extra coverage that he will
not need. What should you tell him? - correct answer>>If the drug coverage he
has is not expected to pay, on average, at least as much as
Medicare's standard Part D coverage expects to pay, then he will need to enroll in
Medicare Part D during his initial eligibility period to avoid the late enrollment
penalty.
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? - correct answer>>Medicare 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.
,Mrs. Roberts has Original Medicare and would like to enroll in a Private
FeeforService (PFFS) plan. All types of PFFS plans are available in her area. Which
options could Mrs. Roberts consider before selecting a PFFS plan? - correct
answer>>A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that
combines medical benefits and Part D prescription drug coverage, a PFFS plan
offering only medical benefits, or a PFFS plan in combination with a stand-alone
prescription drug plan.
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not
include drug coverage and also enroll in a stand-alone Medicare prescription drug
plan. Under what circumstances can she do this? - correct answer>>If the
Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not
offer drug coverage or a Medical Savings Account plan, Mrs. Berkowitz can do
this.
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 to her drug coverage? -
correct answer>>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. Cantwell is enrolled in a prescription drug plan. She has heard about
something called True-Out-Pocket costs or "TrOOP" and asks you if any of the
following count toward reaching the catastrophic coverage phase. What do you
say? - correct answer>>Her annual PDP deductible, A drug manufacturer's
discount for brand name drugs after her initial coverage period
Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage (MA),
not by the government. He likes Original Medicare and does not want to sign up
for an MA product, but he also wants prescription drug coverage. What should
you tell him? - correct answer>>Mr. Carlini can stay with Original Medicare and
, also enroll in a Medicare prescription drug plan through a private company that
has contracted with the government to provide only such drug coverage to
eligible Medicare beneficiaries.
Mrs. Imelda Diaz is a Medicare beneficiary enrolled in a MA-PD plan you
represent. Her neighbor recently suffered from a painful case of shingles. Mrs.
Diaz hopes to avoid such an illness through vaccination. She asks you whether the
cost of shingles vaccination will be covered under the plan you represent. What
should you say? - correct answer>>Yes, there is no cost sharing for the shingles
vaccine even in the deductible phase of her prescription drug plan because it is an
adult vaccine recommended by the Advisory Committee on Immunization
Practices (AICP).
Which of the following statements about Medicare Part D are correct? - correct
answer>>Part D plans must enroll any eligible beneficiary who applies regardless
of health status except in limited circumstances. Private fee-for-service (PFFS)
plans are not required to use a pharmacy network but may choose to have
one.Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only
obtain Part D benefits through a standalone PDP.
Mrs. Fiore is a retired federal worker with coverage under a Federal Employee
Health Benefits (FEHB) plan that includes creditable drug coverage. She is ready to
turn 65 and become Medicare eligible for the first time. What issues might she
consider about whether to enroll in a Medicare prescription drug plan? - correct
answer>>She could compare the coverage to see if the Medicare Part D plan
offers better benefits and coverage than the FEHB plan for the specific
medications she needs and whether any additional benefits are worth the Part D
premium costs on top of her FEHB contribution.
Mr. Shapiro gets by on a very small amount of fixed income. He has heard there
may be extra help paying for Part D prescription drugs for Medicare beneficiaries
