AHIP 2020 Final Exam
AHIP TEST BANK FINAL EXAM 2024-2025 LATEST VERSION
QUESTIONS AND CORRECT SOLUTIONS VERIFIED 100% ACTUAL
EXAM ALREADY GRADED A+ ASSURED PASS COMPLETE
DOCUMENT FOR STUDY NEWEST
Mr. Davies is turning 65 next month. He would like to enroll in a
Medicare health plan, but does not want to be limited in terms of where
he obtains his care. What should you tell him about how a Medicare
Cost Plan might fit his needs?
a. Cost plan enrollees can choose to receive Medicare covered services
under the plan's benefits by going to plan network providers and paying
plan cost sharing, or may receive services from non-network providers
and pay cost-sharing due under Original Medicare.
b. Ms. Lopez is considered a marketing representative of BestCare and
thus is obligated to comply with CMS marketing requirements, including
those regarding using only approved call scripts.
Ms. Lopez is an independent agent under contract with MarketCo, a
third-party marketing organization. MarketCo has a contract with
BestCare health plan, a Medicare Advantage (MA) organization, to offer
marketing services through its contracted agents and agencies. Ms.
Lopez returns calls to individuals who contact MarketCo in response to
its mailers promoting BestCare health plan. Which of the following best
describes the responsibilities of Ms. Lopez?
a. Ms. Lopez is considered a marketing representative of BestCare but is
,exempt from the marketing rules regarding approved call scripts
because she works directly for MarketCo.
b. Ms. Lopez is considered a marketing representative of BestCare and
thus is obligated to comply with CMS marketing requirements, including
those regarding using only approved call scripts.
c. Ms. Lopez no longer needs to be concerned about state licensure
since she is marketing an MA product subject to federal rules.
d. Ms. Lopez needs to maintain state licensure, but because she is
working for a third-party marketing organization she is exempt from
CMS training requirements that apply to BestCare captive agents.
Mr. Edwards, a marketing representative of the ACME Insurance
Company, scheduled a marketing event and expects about 40 people to
attend. He has hired a magician at a cost of $200 to entertain
attendees. Can he do this in a way that complies with guidance from the
Medicare agency?
a. He can do this because the estimated number of attendees is based
on the venue size and response rate and the value of the gift does not
exceed $15.
Question8
Marks: 1
During an appointment scheduled to discuss a Medicare Advantage
Prescription Drug plan (MA-PD), Mr. Peters asked his agent to describe
a stand-alone prescription drug plan (Part D plan) that his neighbor told
him about. What should his agent do?
,Choose one answer.
a. Since Mr. Peters requested a description of the Part D plan, his agent
must leave the Part D plan brochure, but not an enrollment form, and
would have to schedule another appointment after at least 48 hours
have passed to discuss the Part D plan with Mr. Peters.
b. Since Mr. Peters requested a description of the Part D plan, his agent
must have Mr. Peters sign a new scope of appointment form that
includes Part D, and then the agent may discuss the Part D plan so Mr.
Peters can compare plans and make an informed enrollment choice
during the appointment.
c. Since Mr. Peters requested a description of the Part D plan, his agent
must inform Mr. Peters that he can only sign up for the MA-PD plan and
cannot receive a brochure or any other information about the Part D
plan now because he did not agree in advance to discuss that plan
d. Since Mr. Peters requested a description of the Part D plan, his agent
must discuss both the Part D and the MA-PD plans and return after at
least 48 hours to complete the Part D plan enrollment form with Mr.
Peters.
Question9
Marks: 1
Mr. Torres has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal from
his savings account until it is exhausted, and then have his premiums
withheld from his Social Security check. What should you tell him?
, Choose one answer.
a. In general, he must select a single Part D premium payment
mechanism that will be used throughout the year.
b. As long as he fills out the paperwork to begin withholding from his
Social Security check at least 63 days before such withholding should
begin, he can change his method of Part D premium payment and
withholding will begin the month after his savings account is exhausted.
c. During 2017, many people experienced significant problems with
deductions from their Social Security check for their Part D premium. As
a result, this method of payment is no longer an option for Part D
premium payments
d. In general, to pay his Part D premium, he only can have automatic
withdrawals made from a checking account, so he will need to transfer
the funds prior to beginning such withdrawals.
Question10
Marks: 1
Since 2004 Ms. Eisenberg has had a Medigap plan that provides some
drug coverage. She has recently received a letter from her Medigap
carrier informing her that her drug coverage is not "creditable." She
wants to know what this means. What should you tell her?
Choose one answer.
a. The letter is to inform her that her Medigap drug coverage must be
supplemented by purchasing coverage under a Part D plan. If she does
not do so within 63 days, she will not be able to obtain Part D coverage
at a later date.
b. The letter is to inform her that the drug coverage offered through her
Medigap plan does not offer drug coverage that is at least comparable
AHIP TEST BANK FINAL EXAM 2024-2025 LATEST VERSION
QUESTIONS AND CORRECT SOLUTIONS VERIFIED 100% ACTUAL
EXAM ALREADY GRADED A+ ASSURED PASS COMPLETE
DOCUMENT FOR STUDY NEWEST
Mr. Davies is turning 65 next month. He would like to enroll in a
Medicare health plan, but does not want to be limited in terms of where
he obtains his care. What should you tell him about how a Medicare
Cost Plan might fit his needs?
a. Cost plan enrollees can choose to receive Medicare covered services
under the plan's benefits by going to plan network providers and paying
plan cost sharing, or may receive services from non-network providers
and pay cost-sharing due under Original Medicare.
b. Ms. Lopez is considered a marketing representative of BestCare and
thus is obligated to comply with CMS marketing requirements, including
those regarding using only approved call scripts.
Ms. Lopez is an independent agent under contract with MarketCo, a
third-party marketing organization. MarketCo has a contract with
BestCare health plan, a Medicare Advantage (MA) organization, to offer
marketing services through its contracted agents and agencies. Ms.
Lopez returns calls to individuals who contact MarketCo in response to
its mailers promoting BestCare health plan. Which of the following best
describes the responsibilities of Ms. Lopez?
a. Ms. Lopez is considered a marketing representative of BestCare but is
,exempt from the marketing rules regarding approved call scripts
because she works directly for MarketCo.
b. Ms. Lopez is considered a marketing representative of BestCare and
thus is obligated to comply with CMS marketing requirements, including
those regarding using only approved call scripts.
c. Ms. Lopez no longer needs to be concerned about state licensure
since she is marketing an MA product subject to federal rules.
d. Ms. Lopez needs to maintain state licensure, but because she is
working for a third-party marketing organization she is exempt from
CMS training requirements that apply to BestCare captive agents.
Mr. Edwards, a marketing representative of the ACME Insurance
Company, scheduled a marketing event and expects about 40 people to
attend. He has hired a magician at a cost of $200 to entertain
attendees. Can he do this in a way that complies with guidance from the
Medicare agency?
a. He can do this because the estimated number of attendees is based
on the venue size and response rate and the value of the gift does not
exceed $15.
Question8
Marks: 1
During an appointment scheduled to discuss a Medicare Advantage
Prescription Drug plan (MA-PD), Mr. Peters asked his agent to describe
a stand-alone prescription drug plan (Part D plan) that his neighbor told
him about. What should his agent do?
,Choose one answer.
a. Since Mr. Peters requested a description of the Part D plan, his agent
must leave the Part D plan brochure, but not an enrollment form, and
would have to schedule another appointment after at least 48 hours
have passed to discuss the Part D plan with Mr. Peters.
b. Since Mr. Peters requested a description of the Part D plan, his agent
must have Mr. Peters sign a new scope of appointment form that
includes Part D, and then the agent may discuss the Part D plan so Mr.
Peters can compare plans and make an informed enrollment choice
during the appointment.
c. Since Mr. Peters requested a description of the Part D plan, his agent
must inform Mr. Peters that he can only sign up for the MA-PD plan and
cannot receive a brochure or any other information about the Part D
plan now because he did not agree in advance to discuss that plan
d. Since Mr. Peters requested a description of the Part D plan, his agent
must discuss both the Part D and the MA-PD plans and return after at
least 48 hours to complete the Part D plan enrollment form with Mr.
Peters.
Question9
Marks: 1
Mr. Torres has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal from
his savings account until it is exhausted, and then have his premiums
withheld from his Social Security check. What should you tell him?
, Choose one answer.
a. In general, he must select a single Part D premium payment
mechanism that will be used throughout the year.
b. As long as he fills out the paperwork to begin withholding from his
Social Security check at least 63 days before such withholding should
begin, he can change his method of Part D premium payment and
withholding will begin the month after his savings account is exhausted.
c. During 2017, many people experienced significant problems with
deductions from their Social Security check for their Part D premium. As
a result, this method of payment is no longer an option for Part D
premium payments
d. In general, to pay his Part D premium, he only can have automatic
withdrawals made from a checking account, so he will need to transfer
the funds prior to beginning such withdrawals.
Question10
Marks: 1
Since 2004 Ms. Eisenberg has had a Medigap plan that provides some
drug coverage. She has recently received a letter from her Medigap
carrier informing her that her drug coverage is not "creditable." She
wants to know what this means. What should you tell her?
Choose one answer.
a. The letter is to inform her that her Medigap drug coverage must be
supplemented by purchasing coverage under a Part D plan. If she does
not do so within 63 days, she will not be able to obtain Part D coverage
at a later date.
b. The letter is to inform her that the drug coverage offered through her
Medigap plan does not offer drug coverage that is at least comparable
