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AHIP 2024 final exam Questions and Answers (Verified by Expert)2025/2026
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AHIP 2024 final exam Questions and Answers (Verified by Expert)2025/2026
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AHIP 2024 final exam1. A purchaser wants to come up with an enrollment application on October 1 before the
beginning of the Annual Election Period because he is leaving on vacation for two weeks
and does now not want to neglect approximately turning it in. What ought to you tell him?
- ANS-You ought to tell him you aren't authorized to take the shape. If he sends the form
at once to the plan, the plan will technique the enrollment on the day the Annual Election
Period starts.
2. ABC is a Medicare Advantage (MA) plan sponsor. It would love to use its enrollees'
statistics to marketplace non-fitness associated products together with lifestyles
coverage and annuities. Which declaration excellent describes ABC's responsibility to its
enrollees concerning advertising such products? - ANS-b.
3. It need to attain a HIPAA compliant authorization from an enrollee that shows the plan or
plan sponsor might also use their facts for advertising and marketing functions.
4. Agent Daniel Webber has nicely installation a sales appointment to meet with purchaser
Edward Young at Agent Webber's office. At the agreed upon appointment time, Mr.
Young arrives along with his elderly neighbor - Clara Burton, who desires to study her
Medicare Advantage alternatives. What must Agent Daniel Webber do? - ANS-
5. Agent John Miller is assembly with Jerry Smith, a brand new prospect. Jerry is presently
enrolled in Medicare Parts A and B. Jerry has also purchased a Medicare Supplement
(Medigap) plan which he has had for numerous years. However, the plan does now not
provide drug blessings. How might you propose Agent John Miller to continue? -
ANS-Tell prospect Jerry Smith that he have to take into account adding a standalone
Part D prescription drug insurance coverage to his present coverage.
6. Agent Martinez desires to solicit Medicare Advantage prospects thru e-mail and asks
you for recommendation as to whether or not this is feasible. What should you inform
her? - ANS-Marketing representatives might also initiate digital contact thru electronic
mail but an choose-out manner have to be furnished.
7. Edna, Felix, George, and Harriet are Medicare beneficiaries. Edna lives in a place that
has suffered from primary flooding that has been declared a primary disaster by means
of each the Federal authorities and her nation. As a end result of dealing with the
flooding problems and being evacuated from her home, Edna ignored her chance to join
MA at some point of her Initial Coverage Election Period. Felix lives in an area with a
Medicare Advantage plan with a four-star score that he would love to enroll in. George
dropped his Medigap coverage six months in the past when he first enrolled in a
Medicare Advantage plan. He now wants to return to Original Medicare. Harriet has
recently evolved diabetes and would really like to enroll in a Medicare Advantage plan
that focuses on take care of people with that disorder. Which, if any, of these individuals
might qualify for a special election period (SEP)? - ANS-Edna could qualify for a SEP
because authorities officers have declared a main catastrophe for her region and she or
he did now not sign up in MA at some stage in her ICEP due to the emergency. George
, might qualify for an SEP because he enrolled in Medicare Advantage (MA) plan for the
first time and would now like to go back to Original Medicare in the first 365 days of his
enrollment. Harriet could additionally qualify for a SEP to sign up for a C-SNP due to the
fact she has evolved a persistent situation. Felix might not qualify for a SEP considering
the fact that he seeks to sign up for a four-superstar not a five-superstar MA plan.
8. Hector Hernandez is an independent agent. Hector sells plans on behalf of three
Medicare Advantage groups that provide a complete of 10 plans but does no longer
represent all Medicare Advantage companies presenting plans which might be to be had
in his place. Which of the subsequent statements first-class describes any steps Hector
is required to take? - ANS-During the primary minute of a income call, Hector ought to
ship an e mail to the chance mentioning that "I represent three plans but now not every
plan available on your location. Please touch Medicare.Gov to get data on all your
alternatives.
9. If a beneficiary is enrolled in a stand-by myself prescription drug plan and wants to hold
that plan, what type of Medicare health plan could the character additionally enroll in,
with out being mechanically disenrolled from the stand-on my own prescription drug
plan? - ANS-The beneficiary should enroll in a private charge-for-carrier (PFFS) plan that
doesn't consist of prescription drug insurance; a price plan; or a Medicare Medical
Savings Account (MSA) plan.
10. Juan Hernandez is popping 65 subsequent month, Juan legally entered the United
States over two decades ago but isn't a citizen. Since his access into the u . S ., Juan
has worked at Smallcap Incorporated and contributed to the Medicare device. Juan
suffers from diabetes. He will soon retire and asks you if he can enroll in a Medicare
Advantage plan that you represent. How could you reply? - ANS-Juan is eligible to sign
up for a Medicare Advantage so long as he's entitled to Part A and enrolled in Part B.
Juan should go to the Social Security website to join Medicare Part A and B if he has no
longer accomplished so already. Once he is enrolled, he can choose a Medicare
Advantage plan.
11. Madeline Martinez become widowed several years ago. Her husband labored for
decades and contributed into the Medicare device. He additionally left a good sized
estate which presents Madeline with an annual earnings of about $a hundred thirty,000.
Madeline, who has handiest worked element-time for the ultimate 3 years, will soon turn
age sixty five and hopes to sign up for Original Medicare. She comes to you for
recommendation. What need to you inform her? - ANS-You must tell Madeline that she
can be able to join in Medicare Part A with out paying month-to-month premiums due to
her husband's lengthy work record and participation in the Medicare system. You have to
additionally inform Madeline that she will be able to pay Part B premiums at more than
the usual lowest price but much less than the very best charge due her large income.
12. Mildred Savage enrolled in Allcare Medicare Advantage plan numerous years in the
past. Mildred recently discovered that she is suffering from inoperable most cancers and
has only some months to stay. She would love to spend these final months in hospice
care. Mildred's family asks you whether or not hospice blessings might be paid for
beneath the Allcare Medicare Advantage plan. What ought to you are saying? -
ANS-Mildred may also stay enrolled in Allcare and make a hospice election. Hospice
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