AHIP FINAL EXAM | STUDY QUESTIONS AND ANSWERS GRADED A+ | LATEST 2024 /2025
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AHIP FINAL EXAM | STUDY QUESTIONS AND ANSWERS GRADED A+ | LATEST 2024 /2025
AHIP FINAL EXAM | STUDY QUESTIONS AND ANSWERS GRADED A+ | LATEST 2024 /2025
AHIP FINAL EXAM | STUDY
QUESTIONS AND ANSWERS
GRADED A+ | LATEST 2024 /20245
Evan Marsh is a newly appointed agent. Evan intends to conduct an
educational session on Medicare at a senior citizens center near his
home. He has advertised the session as an educational event. Evan
asks you what is permissible at such an event. What should you say?
- Correct Answer - Evan may provide a meal as long as its value is $15
or less per attendee and he may make available business reply cards
(BRCs).
Hector Hernandez is an independent agent. Hector sells plans on behalf
of three Medicare Advantage organizations that offer a total of 10 plans
but does not represent all Medicare Advantage organizations offering
plans that are available in his area. Which of the following statements
best describes any steps Hector is required to take?
- Correct Answer - During the first minute of a sales call, Hector must
use a disclaimer that says "I do not represent every plan available in
your area. I represent 3 organizations that offer 10 plans in your area.
Please contact Medicare.gov, 1-800-MEDICARE, or your local State
Health Insurance Program to get information on all your options."
,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?
- Correct Answer - Marketing representatives may initiate electronic
contact through e-mail but an opt-out process must be provided.
Sal D'Angelo is new to the Medicare marketplace having previously
been focused on life insurance and disability income protection products.
He intends to conduct an educational seminar during the AEP at a local
hotel and then invite those who attend to a subsequent marketing
meeting to discuss the benefits of next year's plans. How would you
advise Sal?
- Correct Answer - Sal should conduct the education seminar as an early
morning meeting and the marketing meeting on the following day in the
late afternoon so that there are at least 12 hours between the two
meetings.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and
her MA Initial Coverage Election Period (ICEP) has just begun. Which of
the following can she not do during the ICEP?
- Correct Answer - She can enroll in a Medigap plan to supplement the
benefits of the MA plan that she's also enrolling in.
You are visiting with Mr. Tully and his daughter at her request. He has
advanced Alzheimer's and is incapable of understanding the implications
,of choosing a Medicare Advantage or prescription drug plan. Can his
daughter fill out the enrollment form and sign it for him?
- Correct Answer - Mr. Tully's daughter can do so only, if she is
authorized under state law as a court-appointed legal guardian, has a
durable power of attorney for health care decisions, or is authorized
under state surrogate consent laws to make health decisions.
Mrs. Kumar would like her daughter, who lives in another state, to meet
with you during the Annual Election Period to help her complete her
enrollment in a Part D plan. She asked you when she should have her
daughter plan to visit. What could you tell her?
- Correct Answer - Her daughter should come in November.
Mr. White has Medicare Parts A and B with a Part D plan. Last year, he
received a notice that his plan sponsor identified him as a "potential at-
risk" beneficiary. This month, he started receiving assistance from
Medicaid. He wants to find a different Part D plan that's more suitable to
his current prescription drug needs. He believes he's entitled to a SEP
since he is now a dual eligible. Is he able to change to a different Part D
plan during a SEP for dual eligible individuals?
- Correct Answer - No. Once he is identified by the plan sponsor as a
"potential at-risk" beneficiary, he cannot use the dual eligible SEP to
change plans while this designation is in place.
No. Once he is identified by the plan sponsor as a "potential at-risk"
beneficiary, he cannot use the dual eligible SEP to change plans while
this designation is in place.
, Mary may make an unlimited number of MA enrollment requests and
may disenroll from her current MA plan.
Mrs. Parker likes to handle most of her business matters through
telephone calls. She currently is enrolled in Original Medicare Parts A
and B but has heard about a Medicare Advantage plan offered by Senior
Health from a neighbor. Mrs. Parker asks you whether she can enroll in
Senior Health's MA plan over the telephone. What can you tell her?
I. Enrollment requests can only be made in face-to-face interviews or by
mail.
II. Telephone enrollment request calls must be recorded.
III. Telephonic enrollments must include all required elements necessary
to complete an enrollment.
IV. The signature element must be completed via certified mail.
- Correct Answer - II and III only
Mr. Garrett has just entered his MA Initial Coverage Election Period
(ICEP). What action could you help him take during this time?
- Correct Answer - He will have one opportunity to enroll in a Medicare
Advantage plan.
Mrs. Margolis contacts you in August because she will become eligible
for Medicare for the first time in November. She would like to meet and
discuss plan choices with you. What advice should you give her?
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