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AHIP Practice Exam Updated 2025 Questions and Answers (2025 / 2026) (Verified Answers).

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AHIP Practice Exam Updated 2025 Questions and Answers (2025 / 2026) (Verified Answers). 1. 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 ...

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  • March 25, 2024
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  • 2023/2024
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1. 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

ANS 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.

2. 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

ANS The Medicare Advantage plan received a 5-star rating in customer

service and care coordination with an overall performance rating of 4-

stars

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,3. 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

ANS 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

4. 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

ANS 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.

5. 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

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, 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

ANS Betty and Denise, but not Alice (the employee) or Carl or Edward

(to whom exceptions apply).

6. 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

ANS Mrs. Valentino can submit a written request to Medicare to be

disenrolled from the Cost plan and enroll in Original Medicare.




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