100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
AHIP FINAL EXAM 2024 NEWEST EXAM COMPLETE 270 QUESTIONS WITH DETAILED VERIFIED ANSWERS 100% CORRECT/ ALREADY GRADED A £5.90
Add to cart
Quickly navigate to
Preview
  2.  
  3. AHIP
  4.  
  5. AHIP

Exam (elaborations)

AHIP FINAL EXAM 2024 NEWEST EXAM COMPLETE 270 QUESTIONS WITH DETAILED VERIFIED ANSWERS 100% CORRECT/ ALREADY GRADED A
 7 views  0 purchase
  • Module
  • AHIP
  • Institution
  • AHIP

AHIP FINAL EXAM 2024, THE NEWEST EXAM COMPLETE 270 QUESTIONS WITH DETAILED VERIFIED ANSWERS 100% CORRECT/ ALREADY GRADED A

Preview 3 out of 18  pages

Document information

  • June 29, 2024
  • 18
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

Subjects

  • ahip final exam 2024
  • ahip final exam
  • ahip exam
  • ahip
  • ahip final exam 2024 newest exam

Written for

  • AHIP
All documents for this subject (4735)

Seller

avatar-seller
samuelwachira

Content preview

AHIP FINAL EXAM 2024 NEWEST EXAM COMPLETE 270 QUESTIONS
WITH DETAILED VERIFIED ANSWERS 100% CORRECT/ ALREADY
GRADED A

1. Mr. Davies is turning 65 next month. He would like to enroll in a Medicare health
plan, but does not want to be limited in terms of where he obtains his care. What should
you tell him about how a Medicare Cost Plan might fit his needs?: a. Cost plan enrollees
can choose to receive Medicare covered services under the plan's benefits by going to plan
network providers and paying plan cost sharing, or may receive services from non-network
providers and pay cost-sharing due under Original Medicare.
2. Ms. Lopez is an independent agent under contract with marketco, a third-party
marketing organization. Marketco has a contract with bestcare health plan, a Medicare
Advantage (MA) organization, to offer marketing services through its contracted agents
and agencies. Ms. Lopez re- turns calls to individuals who contact marketco in response to
its mailers promoting bestcare health plan. Which of the following best describes the
responsibilities of Ms. Lopez?

a. Ms. Lopez is considered a marketing representative of bestcare but is exempt from the
marketing rules regarding approved call scripts because she works directly for marketco.

b. Ms. Lopez is considered a marketing representative of bestcare and thus is obligated
to comply with CMS marketing requirements, including those regarding using only
approved call scripts.

c.Ms. Lopez no longer needs to be concerned about state licensure since she is
marketing an MA product subject to federal rules.

d. Ms. Lopez needs to maintain state licensure, but because she is working for a third-
party marketing organization she is exempt from CMS training requirements that apply to
bestcare captive agents.
3. Mr. Edwards, a marketing representative of the ACME Insurance Company,
scheduled a marketing event and expects about 40 people to attend. He has hired a
magician at a cost of $200 to entertain attendees. Can he do this in
A way that complies with guidance from the Medicare agency?: a. He can do this because
the estimated number of attendees is based on the venue size and response rate and the
value of the gift does not exceed $15.
4. Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which
providers she can go to for her health care. What should you tell






, Her?: b. Mrs. Ramos can obtain care from any provider who participates in Original
Medicare, but generally will have a higher cost-sharing amount if she sees a provider
who/that is not a part of the PPO network.
5. Julia Harris is turning 66 in July, at which time she will retire. She has contacted your
office and requested a meeting so that she can learn about Medicare and the products you
represent. How should you respond?: c. Tell Julia that you will meet with her to explain
Medicare and should she be interested you can accept and submit an enrollment request,
since this is an initial enrollment qualifying her for a special enrollment period.
6. Mr. Rivera has Qualified Medicare Beneficiary (QMB) eligibility and is thus covered by
both Medicare and Medicaid. He decides to enroll in a Medicare Advantage (MA) PPO
plan. Later he sees an out-of-network doctor to receive a Medicare covered service. How
much The doctor may only collect from Mr. Rivera the cost sharing allowable under the
state's Medicaid program.may the doctor collect from Mr. Rivera?: The doctor may only
collect from Mr. Rivera the cost sharing allowable under the state's Medicaid program.
7. During a sales presentation in Ms. Sullivan's home, she tells you that she has heard
about a type of Medicare health plan known as Private Fee-for-Service (PFFS). She wants
to know if this would be available to her. What should you tell her about PFFS plans?:
Choose one answer.:
a. A PFFS plan is a type of Medicare Supplement plan and she may enroll in one if it is
available in her area.
b. A PFFS plan is exactly the same as Original Medicare, only offered by a private entity
and she may enroll in one if it is available in her area.
c. PFFS plans are designed to cover only prescription drugs and if that is the type of
coverage she wants, she may enroll in one if it is available in her area.
d. A PFFS plan is one of the various types of Medicare Advantage plans offered by private
entities and she may enroll in one if it is available in her area.

8. During an appointment scheduled to discuss a Medicare Advantage Prescription
Drug plan (MA-PD), Mr. Peters asked his agent to describe a stand-alone prescription
drug plan (Part D plan) that his neighbor told him about. What should his agent do?:
: a. Since Mr. Peters requested a description of the Part D plan, his agent must leave the Part
D plan brochure, but not an enrollment form, and would have to schedule another
appointment after at least 48 hours have passed to discuss the Part D plan with Mr. Peters.






, b. Since Mr. Peters requested a description of the Part D plan, his agent must have Mr.
Peters sign a new scope of appointment form that includes Part D, and then the agent may
discuss the Part D plan so Mr. Peters can compare plans and make an informed enrollment
choice during the appointment.
c. Since Mr. Peters requested a description of the Part D plan, his agent must inform Mr.
Peters that he can only sign up for the MA-PD plan and cannot receive a brochure or any
other information about the Part D plan now because he did not agree in advance to discuss
that plan
d. Since Mr. Peters requested a description of the Part D plan, his agent must discuss both
the Part D and the MA-PD plans and return after at least 48 hours to complete the Part D
plan enrollment form with Mr. Peters.

9. 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?:
a. In general, he must select a single Part D premium payment mechanism that will be used
throughout the year.
b. As long as he fills out the paperwork to begin withholding from his Social Security check at
least 63 days before such withholding should begin, he can change his method of Part D
premium payment and withholding will begin the month after his savings account is
exhausted.
c. During 2017, many people experienced significant problems with deductions from their
Social Security check for their Part D premium. As a result, this method of payment is no
longer an option for Part D premium payments
d. In general, to pay his Part D premium, he only can have automatic with- drawals made
from a checking account, so he will need to transfer the funds prior to beginning such
withdrawals.


10. Since 2004 Ms. Eisenberg has had a Medigap plan that provides some drug
coverage. She has recently received a letter from her Medigap carrier informing her that
her drug coverage is not "creditable." She wants to know what this means. What should
you tell her?:
a. The letter is to inform her that her Medigap drug coverage must be supple- mented by
purchasing coverage under a Part D plan. If she does not do so within 63 days, she will not
be able to obtain Part D coverage at a later date.
b. The letter is to inform her that the drug coverage offered through her Medigap plan does
not offer drug coverage that is at least comparable to that provided under the Medicare Part
D prescription drug program. If she does not have such creditable

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller samuelwachira. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for £5.90. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

51036 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy revision notes and other study material for 15 years now

Start selling
£5.90
  • (0)
Add to cart
Added