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AHIP Final Exam Test Questions/50 Questions and Answers
AHIP Final Exam Test Questions/50 Questions and Answers
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AHIP Final Exam Test Questions/50 Questionsand Answers
Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through acupuncture. She is concerned about whether or
not Medicare will cover these items and services. What should you tell her? -
-Medicare does not cover acupuncture, 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. Lombardi likes 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. 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. What should 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, she gives 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 has been 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 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.
-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 sees a wide range in what they charge for deductibles,
premiums and cost sharing. How can you 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 address her 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 Gehrig's disease, so she will be
eligible for Medicare.
-Agent Armstrong is employed by XYZ Agency, which is under contract with
ABC Health Plan, 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 statement best 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.
-Mr. Schmidt would like to plan for retirement and has asked you what is
covered under Original 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
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? - -You will not be able
to represent any Medicare Advantage or Part 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.
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