AHIP 2025 Final Exam Questions with Verified Answers (2024/2025)
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Course
AHIP 2025
Institution
AHIP 2025
AHIP 2025 Final Exam Questions with Verified Answers (2024/2025)
1. Types of Medicare Advantage Plans - correct answer -PPO, HMO, MSA, Cost Plan, PFFS
2. Medicare-Medicaid plans - correct answer -Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes r...
2. Medicare-Medicaid plans - correct answer -Serve both Medicare
and Medicaid individuals. Include Part D coverage. Individuals
sometimes referred to as dual eligibles
3. Medicare Cost Plan - correct answer -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
coinsurances and deuctibles. Different enrollment/disenrollment
periods apply. Can get Part D Rx coverage if available, or apply for a
separate PDP.
4. Medicare Entitlement/Enrollment - Part A & Part B - correct answer -
Individuals with ESRD may sign up at anytime. Date on which
coverage begins is the fourth month after dialysis begins.
5. Medicare Enrollment Period - correct answer -Individuals who do
, lOMoAR cPSD| 13728229
not enroll in Part B when first eligible can enroll during a General
Enrollment Period, Jan 1st to Mar 31st each year. Coverage begins
July 1st of that year.
6. Medicare Enrollment Period - Group Health Coverage - correct
answer -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.
7. Medicare Part A Premium - correct answer -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
quarters. Premium is $437.00 for less than 30 quarters.
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