AHIP Exam Pack | Questions & 100% Correct Answers (Verified) | Latest Update | Grade A+

Ms. Gibson recently lost her employer group health and drug coverage and now she wants to enroll in a PPO that does not include drug coverage. What should you tell her about obtaining drug coverage? Correct Answer: She can enroll in the PPO, but she will not be able to purchase a stand-alone ...

CHEN will be 65 soon, has been a citizen for twelve years, has been employed full time, and paid taxes during that entire period. She is concerned that she will not qualify for coverage under Part A because she was not born in the US. (Medicare Entitlement Part A) Correct Answer: Most individu...

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 coverag...

Willard works as a representative focused on the senior marketplace. What would be considered prohibited activity by Willard? Correct Answer: Implying that only seniors can enroll in a Medicare Advantage plan when meeting with Mr. Hernandez, who is 58 but qualifies for Medicare because he is ...

This year you have decided to focus your efforts on marketing to employer group plans. One employer provides you with a list of their retirees and asks you to contact them to explain the characteristics of the plan they have selected. What should you do? Correct Answer: You may go ahead and cal...

Types of Medicare Advantage Plans Correct Answer: PPO, HMO, MSA, Cost Plan, PFFS Medicare-Medicaid plans Correct Answer: Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles Medicare Cost Plan Correct Answer: Type of Medica...

Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in November. She would like to meet and discuss plan choices with you. What advice should you give her? Correct Answer: Tell her to wait until October to discuss plan choices with you so that ...

Different ways to get Medica re Correct Answer: - Medicare Cost Plans (some also include Part D) - PACE Plans (includes Part D) - Medicare-medicaid plans (includes D) Medicare COST PLANS Correct Answer: - NOT an MA (part C) plan - only available in certain areas of the country - can enroll w/...

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 coverag...

You are mailing invitations to new Medicare beneficiaries for a marketing event. You want an idea of how many people to expect, so you would like to request RSVPs. What should you keep in mind? Correct Answer: ou may request RSVPs, but you are not permitted to require contact information. Mr...

Mr. Block is currently enrolled in a Medicare Advantage plan that includes drug coverage. He found a stand-alone Medicare prescription drug plan in his area that offers better coverage than that available through his MA-PD plan and in addition has a low premium. It won't cost him much more an...

Mr. Prentice has many clients who are Medicare beneficiaries. He should review the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he is compliant for which type of products? Correct Answer: Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct Another a...

What impact, if any, have recent regulatory changes had upon Medigap plans? A. The Part A deductible is no longer covered under Medigap plans for all enrollees starting January 1, 2020. B. The Part A deductible is no longer covered for individuals newly eligible for Medicare starting January 1...

Ms. Jensen has heard about "Original Fee-for-Service Medicare" and "Private Fee-forService" plans. She wants to know what the difference is if any. What should you tell her? Correct Answer: PFFS plans are a type of Medicare Advantage plan offered by private companies. This year you decide...

Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure about what type of plan designs are available through this program. What should you tell him about the types of health plans that are available through the Medicare Advantage program? Correct An...

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? Correct Answer:...

Mrs. Chou likes a PFFS plan available in her area that does not offer drug coverage. She wants to enroll in the plan and enroll in a stand-alone prescription drug plan. What should you tell her? Correct Answer: She could enroll in a PFFS plan and a stand-alone Medicare prescription drug plan....

Medicare plan means Correct Answer: A MA plan, MA-PD plan or PDP Subcontractor means Correct Answer: **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals...

Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? Correct Answer: Original Medicare covers ambulance services. Mr. Sin...

Mr.Gomez notes that a Private Fee for Service (PFFS) plan avaliable in his area has an attractive preminum. He wants to know if he must use doctors in a network as his current HMO plan requires him to do. What should you tell him? Correct Answer: He may receive health care services from any doc...

Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting him at severe risk for pneumonia. Otherwise, he has no problems functioning. Which type of SNP is likely to be most appropriate for him? Correct Answer: C-SNP Mrs. Davenport enrolled in the ABC Medicare Advantag...