AHIP 2025 Final Exam Updated Questions and Verified
Answers, 100% Guarantee Pass
Mr. Torres has a small savings account. He would like to pay for his monthly Part D premiums with an
automatic monthly withdrawal from his savings account until it is exhausted, and then have his premiums
withheld from his Social Security check. Whatshould you tell him? * In general, he must select a single
Part D premium payment mechanism that will be used throughout the year.
Agent Jennings makes a presentation on Medicare advertised as an educational event.Agent Jennings
distributes materials that are solely educational in nature. However, shegives a brief presentation that
mentions plan*specific premiums. Is this a prohibited activity at an event that has been advertised as
educational? * Yes. When an event hasbeen advertised as "educational," discussing plan*specific
premiums is impermissible.
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? * Everyone who is entitled to Part A orenrolled 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.
Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but when he
looks at information on various plans available in his area, he seesa wide range in what they charge for
deductibles, premiums and cost sharing. How canyou explain this to him? * Medicare Part D drug plans
may have different benefit structures, but on average, they must all be at least as good as the standard
model established by the government.
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have
considerable income when she retires. She is concerned that her income will make it impossible for her
to qualify for Medicare. What could you tell her to addressher concern? * Medicare is a program for
people age 65 or older and those under age 65 with certain disabilities, end stage renal disease or Lou
1
,Gehrig's disease, so she will be eligible for Medicare.
Agent Armstrong is employed by XYZ Agency, which is under contract with ABC HealthPlan, a Medicare
Advantage (MA) plan that offers plans in multiple states. XYZ Agency maintains a website marketing the
MA plans with which it has contracts. Agent Armstrong follows up with individuals who request more
information about ABC MA plans via the website and tries to persuade them to enroll in ABC plans. What
statementbest describes the marketing and compliance rules that apply to Agent Armstrong? * Agent
Armstrong needs to be licensed and appointed in every state in which beneficiaries to whom he markets
ABC MA plans are located.
2
,Mrs. West wears glasses and dentures and has enjoyed considerable pain relief fromarthritis through
acupuncture. She is concerned about whether or not Medicare will cover these items and services. What
should you tell her? * Medicare does not coveracupuncture, or, in general, glasses or dentures.
Mr. Bickford did not quite qualify for the extra help low*income subsidy under the Medicare Part D
Prescription Drug program and he is wondering if there is any other option he has for obtaining help with
his considerable drug costs. What should you tell him? * He could check with the manufacturers of his
medications to see if they offer an assistance program to help people with limited means obtain the
medications they need. Alternatively, he could check to see whether his state has a pharmacy assistance
program to help him with his expenses.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent.It is one of three
plans operated by the same organization in Mr. Lombardi's area. The MA PPO plan does not include drug
coverage, but the other two plans do. Mr. Lombardilikes the PPO plan that does not include drug coverage
and intends to obtain his drug coverage through a stand*alone Medicare prescription drug plan. What
should you tell him about this situation? * He could enroll in one of the MA plans that include prescription
drug coverage or a Medigap plan and a stand*alone prescription drug plan,but he cannot enroll in the
MA*only PPO plan and a stand*alone prescription drug plan
Mr. Schmidt would like to plan for retirement and has asked you what is covered underOriginal
Fee*for*Service (FFS) Medicare? What could you tell him? * Part A, which covers hospital, skilled nursing
facility, hospice and home health services and Part B, which covers professional services such as those
provided by a doctor are covered under Original Medicare.
You are seeking to represent an individual Medicare Advantage plan and an individualPart 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 canyou do in this situation? * You will not be able to
represent any Medicare Advantage orPart D plan until you complete the training and achieve an
adequate score, although you will not have to take a test if you exclusively market employer/union
group plans and the companies do not require testing.
Mr. Chen is enrolled in his employer's group health plan and will be retiring soon. He would like to know
his options since he has decided to drop his retiree coverage and iseligible for Medicare. What should
you tell him? * Mr. Chen can disenroll from his employer*sponsored coverage to elect a Medicare
Advantage or Part D plan within 2 months of his disenrollment, but he should revaluate if he really
wants to drop his employer coverage.
3
, Mr. Davis is 52 years old and has recently been diagnosed with end*stage renal disease(ESRD) and will
soon begin dialysis. He is wondering if he can obtain coverage under
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