AHIP Final Exam (Version-1, 50 Q & A, Latest-2022) 100 Verified and Correct Answers
0 view 0 purchase
Course
ADVANCED NURSUNG
Institution
ADVANCED NURSUNG
AHIP Final Exam (Version-1, 50 Q & A, Latest-2022) 100 Verified and Correct AnswersAHIP Final Exam (Version-1, 50 Q & A, Latest-2022) 100 Verified and Correct AnswersAHIP Final Exam (Version-1, 50 Q & A, Latest-2022) 100 Verified and Correct AnswersAHIP Final Exam (Version-1, 50 Q & A, Latest-2022)...
AHIP Final Exam (Version-1, 50 Q & A,
Latest-2022) | 100% Verified and Correct
Answers
Final Exam - Attempt 1
1
Marks: 1
Agent Higgins helps Mrs. O'Malley to enroll in AB Medicare Advantage (MA) plan during the Annual Open
Enrollment Period. Mrs. O'Malley's effective enrollment date is January 1st. Subsequently, Mrs. O'Malley
disenrolls on February 12th following a move outside the plan's service area. What impact will this have on
Agent Higgins compensation?
Choose one a. Agent Higgins entire compensation must be recouped because Mrs. O’Malley has
answer. disenrolled within 3 months of enrollment.
b. AB MA plan must recoup a pro rata amount of Agent Higgins’ compensation if Mrs.
O’Malley subsequently enrolls in Original Medicare and Part D
c. AB MA plan does not have to recoup Agent Higgins’ compensation because she
has moved away from its service area.
d. AB MA plan must recoup a pro rata amount of Agent Higgins’ compensation and
pay him only for the month of January.
2
Marks: 1
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?
Choose one a. Everyone who is entitled to Part A or enrolled under Part B is eligible to enroll in a answer.
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.
b. To qualify for enrollment into a Medicare prescription drug plan, Mrs. Mulcahy
mustbe entitled to Part A and enrolled under Part B. She should contact her local
Social Security office and make arrangements to enroll in Part B prior to selecting a
prescription drug plan.
c. Like all Medicare beneficiaries, Mrs. Mulcahy will be automatically enrolled in
aMedicare prescription drug plan when she turns 65. She will have a six-month
window during which she can select a plan other than the one into which she has
been automatically enrolled.
d. As long as Mrs. Mulcahy is 65, eligibility for a Medicare prescription drug plan is
notdependent on entitlement to Part A or enrollment under Part B, so she should not
be concerned.
3
Marks: 1
,Alice is enrolled in a MA-PD plan. She makes a permanent move across the country and wonders what her
options are for continuing MA-PD coverage. What would you say to her in regard to a special enrollment period
(SEP)?
Choose one a. She is unlikely to qualify for a SEP but will be automatically covered by Original answer.
Medicare and a standalone Part D prescription drug plan.
b. She is likely to qualify for a SEP. She can choose an effective date of up to
sixmonths after the month in which the enrollment form is received by the new plan,
but the effective date may not be earlier than 30 days prior to the date of her move.
c. She is unlikely to qualify for a SEP and should remain on her current plan,
relyingon her current plan’s out-of-network benefits.
d. She is likely to qualify for a SEP. She can choose an effective date of up to
threemonths after the month in which the enrollment form is received by the new plan,
but the effective date may not be earlier than the date of her permanent move.
4
Marks: 1
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer retiree
plan. She is not enrolled in Part B. Since the employer plan does not cover prescription drugs, she wants to
enroll in a Medicare prescription drug plan. Will she be able to?
Choose one a. Yes, but Mrs. Walters must drop the employer coverage prior to enrolling in a
answer. Medicare prescription drug plan.
b. No. Mrs. Walters will have to enroll in Part B in order to qualify for enrollment into
the Medicare prescription drug program.
c. Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be eligible for
coverage under the Medicare prescription drug program.
d. No. As long as her employer offers coverage that is equivalent to that available
through Medicare, Mrs. Walters cannot enroll in a Medicare prescription drug plan.
5
Marks: 1
describes the
respons
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
Choose one services through its contracted agents and agencies. Ms. Lopez returns calls to individuals who
contact
answer.MarketCo in response to its mailers promoting BestCare health plan. Which of the following best
ibilities of Ms. Lopez?
a. Ms. Lopez is considered a marketing representative of BestCare and thus
isobligated to comply with CMS marketing requirements, including those regarding using
only approved call scripts.
b. Ms. Lopez no longer needs to be concerned about state licensure since she
ismarketing an MA product subject to federal rules.
c. Ms. Lopez is considered a marketing representative of BestCare but is exempt
fromthe marketing rules regarding approved call scripts because she works directly for
MarketCo.
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.
, 6
Marks: 1
Last year Agent Melanie Meyers marketed and enrolled several clients in Medicare Advantage (MA) health
plans. This year she has decided to focus on non-MA products. What advice would you give Melanie if she
wishes to continue to receive renewal fees?
Choose one a. All that she needs to do is meet state licensure requirements moving forward.
answer.
b. Melanie will need to do nothing to continue receiving renewal fees since the initial
sale was made when she met all requirements.
c. All that she needs to do is avoid being terminated for cause.
d. Melanie must remain trained, tested, licensed, and appointed, regardless of
whether she is actively selling MA products.
7
Marks: 1
Mr. Kelly has substantial financial means. He enrolled in Original Medicare and purchased a Medigap policy
many years ago that offered prescription drug coverage. The prescription drug coverage has not been
comparable to that offered by Medicare Part D for several years and despite notification, Mr. Kelly took no
action. Which of the following statements best describes what will occur if Mr. Kelly now decides to enroll in
Medicare Part D?
Choose one a. He will avoid any financial penalty or late enrollment fee under the grandfathering
answer. provisions of Medicare Part D.
b. He will incur a late enrollment penalty.
c. He will incur a one-time financial penalty equal to 30 percent of the annual Part D
premium.
d. He will not be able to enroll in Part D unless he decides to also enroll in a Medicare
Advantage plan.
8
Marks: 1
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 henryexaminer. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $23.67. You're not tied to anything after your purchase.
