AHIP Final Exam Questions and Answers verified 100%
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Course
AHIP 2023
Institution
AHIP 2023
Types of Medicare Advantage Plans -ANSWER PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans -ANSWER Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles
Medicare Cost Plan -ANSWER Type of Medicare health plan. Have Par...
AHIP Final Exam Questions and
Answers verified 100%
Types of Medicare Advantage Plans -ANSWER PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans -ANSWER Serve both Medicare and Medicaid individuals.
Include Part D coverage. Individuals sometimes referred to as dual eligibles
Medicare Cost Plan -ANSWER Type of Medicare health plan. Have Part B to enroll.
Can join anytime plan is accepting new members. A non network provider will can
charge higher coinsurances and deuctibles. Different enrollment/disenrollment periods
apply. Can get Part D Rx coverage if available, or apply for a separate PDP.
Medicare Entitlement/Enrollment - Part A & Part B -ANSWER Individuals with ESRD
may sign up at anytime. Date on which coverage begins is the fourth month after
dialysis begins.
Medicare Enrollment Period -ANSWER Individuals who do not enroll in Part B when first
eligible can enroll during a General Enrollment Period, Jan 1st to Mar 31st each year.
Coverage begins July 1st of that year.
Medicare Enrollment Period - Group Health Coverage -ANSWER Individuals who have
group health coveage through employer may enroll in Part A and/or Part B anytime
while on group coverage during a Special Enrollment Period. Occurs during the 8 month
period following last month of group coverage.
Medicare Part A Premium -ANSWER Free if worked 40 quarters of your life and paid
Medicare taxes. Premium is $240.00 for individuals or spouses who paid Medicare
taxes for 30 - 39 quarters. Premium is $437.00 for less than 30 quarters.
Medicare Part A Penalty -ANSWER Don't enroll in Part A when fist eligible, will pay a
late penalty of up to 10% unless enroll during a Special Enrollment Period.
Medicare Part B Premium -ANSWER In 2019, the standard monthly premium is
$135.50 or higher depending on income. Deducted from S.S. check or Railroad
Retirement check. Do not enroll when first eligible, premium is increased 10% for each
12 month period not enrolled. Deductible for 2019 is $185.00
Part C Medicare Advantage plans -ANSWER Entiled to benefits under Part A AND
enrolled in Part B.
Part D Prescription Drug benefits -ANSWER Entitled to benefits under Part A but not
enrolled in Part B. Must be entitled to Part A AND/OR enrolled in Part B.
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