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AHIP Final Exam Test Questions ACCURATE TESTED VERSIONS OF THE EXAM FROM 2023TO 2024 | ACCURATE AND VERIFIED ANSWERS | NEXT GEN FORMAT | GUARANTEED PASS 150+ QUESTIONS

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AHIP Final Exam Test Questions ACCURATE TESTED VERSIONS OF THE EXAM FROM 2023TO 2024 | ACCURATE AND VERIFIED ANSWERS | NEXT GEN FORMAT | GUARANTEED PASS 150+ QUESTIONS

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AHIP Final Exam Test Questions ACCURATE
TESTED VERSIONS OF THE EXAM FROM
2023TO 2024 | ACCURATE AND VERIFIED
ANSWERS | NEXT GEN FORMAT |
GUARANTEED PASS 150+ QUESTIONS
Mrs. McIntire is enrolled in her state's Medicaid plan and has just become eligible
for Medicare as well. What can she expect will happen with respect to her drug
coverage?
- ANSWER Unless she chooses a Medicare Part D prescription drug plan on her
own, she will be automatically enrolled in one available in her area.


Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she has
been working with Agent Neil Adams in the selection of a Medicare Advantage
(MA) plan. It is mid-September, and Mrs. Young is going on vacation. Agent Adams
is considering suggesting that he and Mrs. Young complete the application
together before she leaves. He will then submit the paper application prior the
start of the annual enrollment period (AEP). What would you say If you were
advising Agent Adams?
- ANSWER This is a bad idea. Agents are generally prohibited from soliciting or
accepting an enrollment form prior to the start of the AEP.


Another agent working for your agency claims that because you are not employed
by the Medicare Advantage plans that you represent, you are not subject to the
same requirements as the plans themselves. How should you respond to such a
statement?
- ANSWER Your coworker is not correct. Marketing on behalf of a plan is
considered marketing by the plan and requires that all contracted and employed
agents comply with all Medicare marketing rules.

,Agent Martinez wishes to solicit Medicare Advantage prospects through e-mail
and asks you for advice as to whether this is possible. What should you tell her? -
ANSWER Marketing representatives may initiate electronic contact through e-mail
but the subject line must say "marketing" and an opt-out process must be
provided.


During a sales presentation, your client asks you whether the Medicare agency
recommends that she sign up for your plan or stay in Original Medicare. What
should you tell her?
- ANSWER Tell her that the Medicare agency does not endorse or recommend any
plan.


Ms. Lewis understands that Medicare prescription drug plans may use various
methods to control the use of specific drugs. She has heard about a technique
called "step therapy" and is wondering if you can explain what that is. What
should you tell her?
- ANSWER Step therapy involves using one or more lower priced drugs before
trying a more expensive drug when all are used to treat the same condition.


Mrs. Radford asks whether there are any special eligibility requirements for
Medicare Advantage. What should you tell her?
- ANSWER Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll
in Medicare Advantage.


Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but has
recently stopped paying his Part B premium. Mr. Castillo is still covered by Part A.
He would like to enroll in a Medicare Advantage (MA) plan and is still covered by
Part A. What should you tell him?

, - ANSWER He is not eligible to enroll in a Medicare Advantage plan until he re-
enrolls in Medicare Part B.


You will be holding a sales event soon, at which you would like to offer door prizes
to attendees. Under guidelines from the Medicare agency, what types of gifts or
prizes would not be allowed in this situation?
- ANSWER Gift cards or gift certificates of $15 or less that can be readily converted
to cash.


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?
- 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?
- 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?

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