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AHIP PRACTICE EXAM (ACTUAL EXAM) QUESTIONS WITH VERY ELABORATED ANSWERS CORRECTRY WELL ORGANIZED LATEST 2024 – 2025 ALREADY GRADED A+$12.99
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AHIP PRACTICE EXAM (ACTUAL EXAM)
QUESTIONS WITH VERY ELABORATED
ANSWERS CORRECTRY WELL ORGANIZED
LATEST 2024 – 2025 ALREADY GRADED A+
Mr. Diaz continued working with his company and was insured under his
employer's group plan until he reached age 68. He has heard that there is a
premium penalty for those who did not sign up for Part B when first eligible and
wants to know how much he will have to pay. What should you tell him? -
ANSWERS-Mr. Diaz will not pay any penalty because he had continuous coverage
under his employer's plan.
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not
include drug coverage and also enroll in a stand-alone Medicare prescription drug
plan. Under what circumstances can she do this? - ANSWERS-If the Medicare
Advantage plan is a Private Fee-For-Service (PFFS) plan that does not offer drug
coverage or a Medical Savings Account, Mrs. Berkowitz can do this.
, You are meeting with Ms. Berlin and she has completed an enrollment form for a
MA-PD plan you represent. You notice that her handwriting is illegible and as a
result, the spelling of her street looks incorrect. She asks you to fill in the
corrected street name. What should you do? - ANSWERS-You may correct this
information as long as you add your initials and date next to the correction
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 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: - ANSWERS-Betty and Denise, but not
Alice (the employee) or Carl or Edward (to whom exceptions apply).
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? - ANSWERS-
Mrs. Valentino can submit a written request to Medicare to be disenrolled from
the Cost plan and enroll in Original Medicare.
When Myra first became eligible for Medicare, she enrolled in Original Medicare
(Parts A and B). She is now 67 and will turn 68 on July 1. She would now like to
enroll in a Medicare Advantage (MA) plan and approaches you about her options.
What advice would you give her? - ANSWERS-She should remain in Original
Medicare until the annual election period running from October 15 to December
7, during which she can select an MA plan.
Mrs. Tanner is enrolled in a Medicare Advantage HMO that offers a point of
service options. This allows Mrs. Tanner to do which of the following? -
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