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AHIP 2025 Final Exam Questions and Answers (2025 / 2026) (Verified Answers)

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AHIP 2025 Final Exam Questions and Answers (2025 / 2026) (Verified Answers).1. PPO, HMO, MSA, Cost Plan, PFFS ANS Types of Medicare Advantage Plans 2. Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles ANS Medicare-Medicaid ...

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  • 25 de marzo de 2024
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  • 2023/2024
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AHIP Final Exam Questions & Answers


1. PPO, HMO, MSA, Cost Plan, PFFS

ANS Types of Medicare Advantage Plans

2. Serve both Medicare and Medicaid individuals. Include Part D coverage.

Individuals sometimes referred to as dual eligibles

ANS Medicare-Medicaid plans

3. Type of Medicare health plan. Have Part B to enroll. Can join anytime plan

is accepting new members. A non network provider will can charge higher

coin- surances and deuctibles. Different enrollment/disenrollment periods

apply. Can get Part D Rx coverage if available, or apply for a separate PDP.

ANS Medicare Cost Plan

4. Individuals with ESRD may sign up at anytime. Date on which coverage

be- gins is the fourth month after dialysis begins.

ANS Medicare Entitlement/Enrollment

- Part A & Part B

5. Individuals who do not enroll in Part B when first eligible can enroll

during a General Enrollment Period, Jan 1st to Mar 31st each year.

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, Coverage begins July 1st of that year.

ANS Medicare Enrollment Period

6. Individuals who have group health coveage through employer may enroll

in Part A and/or Part B anytime while on group coverage during a Special

Enrollment Period. Occurs during the 8 month period following last month

of group coverage.

ANS Medicare Enrollment Period - Group Health Coverage

7. Free if worked 40 quarters of your life and paid Medicare taxes. Premium

is

$240.00 for individuals or spouses who paid Medicare taxes for 30 - 39

quar- ters. Premium is $437.00 for less than 30 quarters.

ANS Medicare Part A Premium

8. Don't enroll in Part A when fist eligible, will pay a late penalty of up to

10% unless enroll during a Special Enrollment Period.

ANS Medicare Part A Penalty

9. In 2019, the standard monthly premium is $135.50 or higher depending on

income. Deducted from S.S. check or Railroad Retirement check. Do not

enroll when first eligible, premium is increased 10% for each 12 month

period not enrolled. Deductible for 2019 is $185.00

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