2020AHIP, 2022 AHIP, AHIP questionswithVerfied Answers

Mrs. Choulikesa PFFSplanavailableinher areathat doesnot offer drugcoverage. Shewantstoenroll intheplan andenroll ina stand-aloneprescriptiondrugplan. What shouldyoutell her? CORRECTANSWERShecouldenroll ina PFFSplananda stand-aloneMedicareprescriptiondrugplan. Mrs. Geisler'sneighbortoldher sheshouldlook at her Part Doptionsduringtheannual Medicareenrollment period becausefeaturesof Part Dmight havechanged. Mrs. Geisler can't remember what Part Dissoshecalledyoutoask what her neighbor wastalkingabout. What couldyoutell her? CORRECTANSWERPart Dcoversprescriptiondrugs andsheshouldlook at her premiums, formulary andcost-sharingamongotherfactorstoseeif they havechanged. Mr. Morenoinvitedhisneighbor, Agent TomSmith, todiscussMedicareAdvantage(MA) and Part Dplansthat Agent Smithsellsat theregular Tuesday brunchtheneighborshavefor senior citizens. What shouldAgent Smithtell Mr. Morenoabout thekindsof foodthat canbeprovidedtopotential enrolleeswhoattendthesalespresentation? CORRECTANSWERAmeal cannot beprovided, but light snackswouldbepermitted. Mr. Rainey isexperiencingparanoiddelusionsandhisphysicianfeelsthat heshouldbehospitalized. What shouldyou tell Mr. Rainey (or hisrepresentative) about thelengthof aninpatient psychiatric hospital stay that Medicarewill cover? CORRECTANSWERMedicarewill coveratotal of 190 daysof inpatient psychiatric careduringMr. Rainey's entirelifetime. Mr. Bickforddidnot quitequalifyfortheextra helplow-incomesubsidy undertheMedicarePart DPrescription Drug programandheiswonderingif thereisany other optionhehasfor obtaininghelp withhisconsiderabledrugcosts. What shouldyoutell him? CORRECTANSWERHecouldcheck withthemanufacturersof hismedicationstoseeif they offer anassistanceprogramtohelppeoplewithlimitedmeanstoobtainthemedicationsthey need. Alternately, he couldchecktoseewhether hisstatehasa pharmacy assistanceprogramtohelphimwithexpenses. Mr. Wongisa singleindividual. Hehasa successful businesscareer andisnowabletoretirewitha comfortable income. Mr. Wong'staxableincomeisinexcessof $80,000. Mr. Wonghashealthcoveragethroughhisemployer but will sign-upfor MedicarePart A, Part BandPart Dwhenheleavestheworkforce. Howwouldyouadvisehimashe budgetsfor Medicarepremiums? CORRECTANSWERDuetohisparticipationintheworkforcehewill not havetopay a premiumfor Part Abut hewill pay higher premiumsfor Part BandPart Dduetotheamount of hisincome. Duringanappointment scheduledtodiscussa MedicareAdvantagePrescription Drugplan(MA-PD), Mr. Petersasked hisagent todescribea stand-aloneprescriptiondrugplan(Part Dplan) that hisneighbortoldhimabout. What should hisagent do? CORRECTANSWERSinceMr. Petersrequesteda descriptionof thePart Dplan, hisagent must haveMr. Peterssigna newscopeof appointment formthat includesPart D, andthentheagent may discussthePart Dplanso Mr. Peterscancompareplansandmakeaninformedenrollment choiceduringtheappointment. By contactingplansavailableinyour area, youhavelearnedthat theplanyourepresent hasa significantly lower monthly premiumthantheothers. Furthermore, youseethat theplanyourepresent hasa uniquebenefit package. What shouldyoudotomakesureyour clientsknowabout thesepiecesof information? CORRECTANSWERYoumay makecomparisonsbetweenplansif youcansupport themby studiesor statistical data and suchcomparisonsare factually based. Mrs. Fieldswantstoknowwhether applyingforthePart Dlowincomesubsidy will beworththetimetofill out the paperwork. What couldyoutell her? CORRECTANSWERThePart Dlowincomesubsidy couldsubstantially lower her overall costs. Shecanapply by contactingher stateMedicaidofficeor callingtheSocial Security Administration