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Exam (elaborations)

AHIP ALL EXAMS WITH 100% CORRECT ANSWERS (14 VERSIONS

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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? - THE CORRECT ASNWER IS Medicare does not cover acupuncture, or, in gene...

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  • January 14, 2023
  • 363
  • 2022/2023
  • Exam (elaborations)
  • Questions & answers
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AHIP
AMERICAN HEALTH INSURANCE
PLANS 14 VERSIONS FOR
LATEST EXAMS 2022/2023.
AHIP
WRITTEN BY;

PAPERSMASTERS
14 VERSIONS FOR LATEST EXAMS 2022/2023

,AHIP FINAL EXAM QUESTIONS AND 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? - THE CORRECT ASNWER

IS 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? - THE CORRECT ASNWER IS 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? - THE CORRECT ASNWER IS 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? - THE CORRECT ASNWER IS 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? - THE CORRECT

ASNWER IS 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? - THE CORRECT ASNWER IS

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? - THE CORRECT ASNWER IS 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? - THE CORRECT ASNWER IS 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? -

THE CORRECT ASNWER IS 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? - THE CORRECT

ASNWER IS Part A, which covers hospital, skilled nursing facility, hospice and home

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