AHIP PRACTICE EXAM WITH
CORRECT ANSWERS
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.
During a sales presentation to Ms Daley for a Medicare
Advantage plan that has a 5-star rating in customer service and
care coordination, and received an overall plan performance of
a 4-star, which of the following would be the correct statement
to say to her? - CORRECT ANSWER-The Medicare Advantage
plan received a 5-star rating in customer service and care
coordination with an overall performance rating of 4-stars
Mrs. Pena is 66 years old, has coverage under an employer
plan and will retire next year. She heard she must enroll in Part
B at the beginning of the year to ensure no gap in coverage.
What can you tell her? - CORRECT ANSWER-She may enroll
at any time while she is covered under her employer plan, but
she will have a special eight-month enrollment period that
, differs from the standard general enrollment period, during
which she may enroll in Medicare Part B
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? - CORRECT ANSWER-He 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.
Alice is a marketing representative employed by a health plan.
Betty is a captive agent of a health plan who markets to
multiple plans and sponsors. Carl is a captive agent who
markets to only one plan/sponsor. Denise is an independent
agent who markets to different types of groups. Edward is an
independent agent who markets only to employer and union
groups. CMS marketing representative compensation rules
generally apply to: - CORRECT ANSWER-Betty and Denise,
but not Alice (the employee) or Carl or Edward (to whom
exceptions apply).
Mrs. Valentino is currently enrolled in a Medicare Cost plan.
This plan is no longer meeting her needs, but it is now mid-year
and past the annual election period (AEP). What would you say
to Mrs. Valentino regarding her options? - CORRECT
ANSWER-Mrs. Valentino can submit a written request to
Medicare to be disenrolled from the Cost plan and enroll in
Original Medicare.
When Myra first became eligible for Medicare, she enrolled in
Original Medicare (Parts A and B). She is now 67 and will turn
68 on July 1. She would now like to enroll in a Medicare
Advantage (MA) plan and approaches you about her options.
CORRECT ANSWERS
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.
During a sales presentation to Ms Daley for a Medicare
Advantage plan that has a 5-star rating in customer service and
care coordination, and received an overall plan performance of
a 4-star, which of the following would be the correct statement
to say to her? - CORRECT ANSWER-The Medicare Advantage
plan received a 5-star rating in customer service and care
coordination with an overall performance rating of 4-stars
Mrs. Pena is 66 years old, has coverage under an employer
plan and will retire next year. She heard she must enroll in Part
B at the beginning of the year to ensure no gap in coverage.
What can you tell her? - CORRECT ANSWER-She may enroll
at any time while she is covered under her employer plan, but
she will have a special eight-month enrollment period that
, differs from the standard general enrollment period, during
which she may enroll in Medicare Part B
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? - CORRECT ANSWER-He 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.
Alice is a marketing representative employed by a health plan.
Betty is a captive agent of a health plan who markets to
multiple plans and sponsors. Carl is a captive agent who
markets to only one plan/sponsor. Denise is an independent
agent who markets to different types of groups. Edward is an
independent agent who markets only to employer and union
groups. CMS marketing representative compensation rules
generally apply to: - CORRECT ANSWER-Betty and Denise,
but not Alice (the employee) or Carl or Edward (to whom
exceptions apply).
Mrs. Valentino is currently enrolled in a Medicare Cost plan.
This plan is no longer meeting her needs, but it is now mid-year
and past the annual election period (AEP). What would you say
to Mrs. Valentino regarding her options? - CORRECT
ANSWER-Mrs. Valentino can submit a written request to
Medicare to be disenrolled from the Cost plan and enroll in
Original Medicare.
When Myra first became eligible for Medicare, she enrolled in
Original Medicare (Parts A and B). She is now 67 and will turn
68 on July 1. She would now like to enroll in a Medicare
Advantage (MA) plan and approaches you about her options.
