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AHIP Certification - Part 3 Practice Questions and Answers

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AHIP Certification - Part 3 Practice Questions and Answers b - ANSWER-Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a program known as Medicare Advantage (MA), not by the government. He likes Original Medicare and does not want to s...

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AHIP Certification - Part 3 Practice

Questions and Answers


b - ANSWER✔✔-Mr. Carlini has heard that Medicare prescription drug plans are only offered through

private companies under a program known as Medicare Advantage (MA), not by the government. He

likes Original Medicare and does not want to sign up for an MA product, but he also wants prescription

drug coverage. What should you tell him?




a. Mr. Carlini can keep Original Medicare, but if he does not sign up for an MA plan that includes

prescription drug coverage, he will only be able to obtain prescription drug coverage through a Medigap

plan.


b. Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan

through a private company that has contracted with the government to provide only such drug coverage

to eligible Medicare beneficiaries.


c. Mr. Carlini can obtain drug coverage through the Federal government's fallback plans, which are

designed to provide an alternative to privately sponsored Medicare Advantage plans.

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, ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




d. In order to obtain prescription drug coverage, Mr. Carlini must enroll in an MA plan. The plan will

cover his Part A and Part B services, as well as provide him with the desired prescription drug coverage.


c - ANSWER✔✔-Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare

prescription drug plan because, although she is entitled to Part A, she is not enrolled under Medicare

Part B. What should you tell her?




a. To qualify for enrollment into a Medicare prescription drug plan, Mrs. Mulcahy must be entitled to

Part A and enrolled under Part B. She should contact her local Social Security office and make

arrangements to enroll in Part B prior to selecting a prescription drug plan.


b. As long as Mrs. Mulcahy is 65, eligibility for a Medicare prescription drug plan is not dependent on

entitlement to Part A or enrollment under Part B, so she should not be concerned.


c. Everyone who is entitled to Part A or enrolled under Part B is eligible to enroll in a Medicare

prescription drug plan. As long as Mrs. Mulcahy is entitled to Part A, she does not need to enroll under

Part B before enrolling in a prescription drug plan.


d. Like all Medicare beneficiaries, Mrs. Mulcahy will be automatically enrolled into a Medicare

prescription drug plan when she turns 65. She will have a six month window during which she can select

a plan other than the one into which she has been automatically enrolled.


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, ©EMILLECT2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




a - ANSWER✔✔-Mrs. Lopez is enrolled in a Medicare Advantage cost plan. She has recently lost

creditable coverage previously available through her husband's employer. She is interested in enrolling in

a Medicare Part D prescription drug plan (PDP). What should you tell her?




a. If a Part D benefit is offered through her plan she may choose in enroll in that plan or a standalone

PDP.


b. Mrs. Lopez must first seek COBRA benefits under her husband's plan before she can apply for Part D

coverage.


c. If a Part D benefit is offered through her plan she must enroll in this plan.


d. Mrs. Lopez must enroll in either a HMO or PPO Medicare Advantage plan in order to obtain Part D

coverage.


d - ANSWER✔✔-Which of the following statements about Medicare Part D are correct?




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