Exam (elaborations)
AHIP Final Exam Test Questions And Answers 2022
- Course
- Institution
AHIP Final Exam Test Questions And Answers 2022
[Show more]
Seller
Follow
Nipsey
Reviews received
Content preview
AHIP Final Exam Test Questions And Answers2022
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through
acupuncture. She is concerned about whether or not Medicare will cover these items and services.
What should you tell her? Correct Answer: Medicare does not cover acupuncture, or, in general,
glasses or dentures.
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.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent. It is one of
three plans operated by the same organization in Mr. Lombardi's area. The MA PPO plan does not
include drug coverage, but the other two plans do. Mr. Lombardi likes the PPO plan that does not
include drug coverage and intends to obtain his drug coverage through a stand-alone Medicare
prescription drug plan. What should you tell him about this situation? Correct Answer: He could enroll
in one of the MA plans that include prescription drug coverage or a Medigap plan and a stand-alone
prescription drug plan, but he cannot enroll in the MA-only PPO plan and a stand-alone prescription
drug plan.
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? Correct Answer: In
general, he must select a single Part D premium payment mechanism that will be used throughout
the year.
Agent Jennings makes a presentation on Medicare advertised as an educational event. Agent
Jennings distributes materials that are solely educational in nature. However, she gives a brief
presentation that mentions plan-specific premiums. Is this a prohibited activity at an event that has
been advertised as educational? Correct Answer: Yes. When an event has been advertised as
"educational," discussing plan-specific premiums is impermissible.
Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare prescription drug
plan because, although she is entitled to Part A, she is not enrolled under Medicare Part B. What
should you tell her? Correct Answer: Everyone who is entitled to Part A or enrolled under Part B is
eligible to enroll in a Medicare prescription drug plan. As long as Mrs. Mulcahy is entitled to Part A,
she does not need to enroll under Part B before enrolling in a prescription drug plan.
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.
, Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have
considerable income when she retires. She is concerned that her income will make it impossible for
her to qualify for Medicare. What could you tell her to address her concern? Correct Answer:
Medicare is a program for people age 65 or older and those under age 65 with certain disabilities,
end stage renal disease or Lou Gehrig's disease, so she will be eligible for Medicare.
Agent Armstrong is employed by XYZ Agency, which is under contract with ABC Health Plan, a
Medicare Advantage (MA) plan that offers plans in multiple states. XYZ Agency maintains a website
marketing the MA plans with which it has contracts. Agent Armstrong follows up with individuals who
request more information about ABC MA plans via the website and tries to persuade them to enroll in
ABC plans. What statement best describes the marketing and compliance rules that apply to Agent
Armstrong? Correct Answer: Agent Armstrong needs to be licensed and appointed in every state in
which beneficiaries to whom he markets ABC MA plans are located.
Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original Fee-
for-Service (FFS) Medicare? What could you tell him? Correct Answer: Part A, which covers hospital,
skilled nursing facility, hospice and home health services and Part B, which covers professional
services such as those provided by a doctor are covered under Original Medicare.
You are seeking to represent an individual Medicare Advantage plan and an individual Part D plan in
your state. You have completed the required training for each plan, but you did not achieve a passing
score on the tests that came after the training. What can you do in this situation? Correct Answer:
You will not be able to represent any Medicare Advantage or Part D plan until you complete the
training and achieve an adequate score, although you will not have to take a test if you exclusively
market employer/union group plans and the companies do not require testing.
Mr. Chen is enrolled in his employer's group health plan and will be retiring soon. He would like to
know his options since he has decided to drop his retiree coverage and is eligible for Medicare. What
should you tell him? Correct Answer: Mr. Chen can disenroll from his employer-sponsored coverage
to elect a Medicare Advantage or Part D plan within 2 months of his disenrollment, but he should
revaluate if he really wants to drop his employer coverage.
Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and
will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you
tell him? Correct Answer: He may sign-up for Medicare at any time however coverage usually begins
on the fourth month after dialysis treatments start.
Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-income subsidy.
How does that affect his ability to enroll or disenroll in a Part D plan? Correct Answer: He qualifies for
a special election period and can enroll in or disenroll from a Part D plan once during that period.
Mr. Lopez, who is fairly well-off financially, would like to enroll in a Medicare prescription drug plan
you represent and simply give you a check to cover his premiums for the entire year. What should
you tell him? Correct Answer: Enrollees should pay using automatic withdrawal from a bank account
or credit or debit card, direct monthly billing from the plan, or deductions from their Social Security
check.
You have approached a hospital administrator about marketing in her facility. The administrator is
uncomfortable with the suggestion. How could you address her concerns? Correct Answer: Tell her
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Nipsey. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $8.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78677 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now