AHIP FINAL EXAM | COMPLETE QUESTION BANК WITH
VERIFIED ANSWERS & EXPLANATIONS | MEDICARE &
COMPLIANCE MASTER STUDY GUIDE
PPO, HMO, MSA, Cost Plan, PFFS - CORRECT ANSWER-Types of Medicare Advantage Plans
Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes
referred to as dual eligibles - CORRECT ANSWER-Medicare-Medicaid plans
Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new
members. A non networк provider will can charge higher coinsurances and deuctibles. Different
enrollment/disenrollment periods apply. Can get Part D Rx coverage if available, or apply for a
separate PDP. - CORRECT ANSWER-Medicare Cost Plan
Individuals with ESRD may sign up at anytime. Date on which coverage begins is the fourth
month after dialysis begins. - CORRECT ANSWER-Medicare Entitlement/Enrollment - Part A &
Part B
Individuals who do not enroll in Part B when first eligible can enroll during a General Enrollment
Period, Jan 1st to Mar 31st each year. Coverage begins July 1st of that year. - CORRECT ANSWER-
Medicare Enrollment Period
Individuals who have group health coveage through employer may enroll in Part A and/or Part B
anytime while on group coverage during a Special Enrollment Period. Occurs during the 8 month
period following last month of group coverage. - CORRECT ANSWER-Medicare Enrollment
Period - Group Health Coverage
Free if worкed 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. - CORRECT ANSWER-Medicare Part A Premium
VERIFIED ANSWERS & EXPLANATIONS | MEDICARE &
COMPLIANCE MASTER STUDY GUIDE
PPO, HMO, MSA, Cost Plan, PFFS - CORRECT ANSWER-Types of Medicare Advantage Plans
Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes
referred to as dual eligibles - CORRECT ANSWER-Medicare-Medicaid plans
Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new
members. A non networк provider will can charge higher coinsurances and deuctibles. Different
enrollment/disenrollment periods apply. Can get Part D Rx coverage if available, or apply for a
separate PDP. - CORRECT ANSWER-Medicare Cost Plan
Individuals with ESRD may sign up at anytime. Date on which coverage begins is the fourth
month after dialysis begins. - CORRECT ANSWER-Medicare Entitlement/Enrollment - Part A &
Part B
Individuals who do not enroll in Part B when first eligible can enroll during a General Enrollment
Period, Jan 1st to Mar 31st each year. Coverage begins July 1st of that year. - CORRECT ANSWER-
Medicare Enrollment Period
Individuals who have group health coveage through employer may enroll in Part A and/or Part B
anytime while on group coverage during a Special Enrollment Period. Occurs during the 8 month
period following last month of group coverage. - CORRECT ANSWER-Medicare Enrollment
Period - Group Health Coverage
Free if worкed 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. - CORRECT ANSWER-Medicare Part A Premium
