AHIP FINAL EXAM NEWEST ACTUAL
EXAM WITH COMPLETE QUESTIONS
AND DETAILED ANSWERS GRADED A |
BRAND NEW!!!
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 > Once
an individual is identified by the plan sponsor as a "potential at-
risk" or "at-risk" beneficiary and the plan sponsor has sent
written notice to the individual, he or she cannot use this SEP
to change plans while this designation is in place.
Mr. Garrett has just entered his MA Initial Coverage Election
Period (ICEP). What action could you help him take during this
time? - ✔✔✔ Correct Answer > During the ICEP, he is permitted
to make one enrollment choice. Once the enrollment is
effective, the ICEP is used. However, individuals choosing a MA
,plan during their ICEP have a MA-OEP following their election
through the last day of the 3rd month of entitlement.
Mr. Roberts is enrolled in an MA plan. He recently suffered
complications following hip replacement surgery. As a result, he
has spent the last three months in Resthaven, a skilled nursing
facility. Mr. Roberts is about to be discharged. What advice
would you give him regarding his health coverage options? -
✔✔✔ Correct Answer > The open enrollment period (OEPI) for
institutionalized individuals is a continuous open enrollment
period as long as an individual is in an institution. The OEPI
ends two months after the month the individual moves out of
the institution.
Ms. Gonzales decided to remain in Original Medicare (Parts A
and B) and Part D during the Annual Enrollment Period (AEP).
At the beginning of January, her neighbor told her about the
Medicare Advantage (MA) plan he selected. He also told her
there was an open enrollment period that she might be able to
use to enroll in a MA plan. Ms. Gonzales comes to you for
advice shortly after speaking to her neighbor. What should you
tell her? - ✔✔✔ Correct Answer > The Medicare Advantage
Open Enrollment Period (MA OEP) is only available to those
who have enrolled in Medicare Advantage. It is not available to
those who chosen coverage through Original Medicare. Since
,Ms. Gonzales chose to remain in Original Medicare, she cannot
change plans during the MA OEP.
You have been providing a pre-Thanksgiving meal during sales
presentations in November for many years and your clients
look forward to attending this annual event. When marketing
Medicare Advantage and Part D plans, what are you permitted
to do with respect to meals? - ✔✔✔ Correct Answer > You may
provide light snacks, but a Thanksgiving style meal would be
prohibited, regardless of who provides or pays for the meal.
Next week you will be participating in your first "educational
event" for prospective enrollees. To be sure that you do not
violate any of the applicable guidelines, in what activities
should you plan to engage? - ✔✔✔ Correct Answer > You
should plan to ensure that the educational event is an
informative event and must not conduct a sales presentation or
distribute or accept enrollment forms at the event.
You are working several plans and community organizations to
sponsor an educational event. When putting together
advertisements for this event, what should you do? - ✔✔✔
Correct Answer > You must ensure that the advertisements
indicate it is an educational event, otherwise it will be
considered a marketing event.
, Another agent you know has engaged in misconduct that has
been verified by the plan she represented. What sort of penalty
might the plan impose on this individual? - ✔✔✔ Correct
Answer > The plan may withhold commission, require
retraining, report the misconduct to a state department of
insurance or terminate the contract.
You are seeking to represent an individual Medicare Advantage
plan and an individual Part D plan in your state. You have
completed the required training for each plan, but you did not
achieve a passing score on the tests that came after the
training. What can you do in this situation? - ✔✔✔ Correct
Answer > You will not be able to represent any Medicare
Advantage or Part D plan until you complete the training and
achieve an adequate score. However, you will not have to take
a test if you exclusively market employer/union group plans
and the companies do not require testing.
Plan sponsors may undertake the following marketing activities
with current Medicare Advantage plan members? - ✔✔✔
Correct Answer > Market non-health related items or services
such as life insurance or annuities policies to current members
as permitted following HIPAA Privacy Rules.
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