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AHIP Final Exam Test Questions 2023/2024|50 Questions with Complete Solutions|Verified
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AHIP Final Exam Test Questions2023/2024|50 Questions with
Complete Solutions|Verified
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.
-Mr. Chen is enrolled in his employer's group health plan and will be retiring
soon. He would like to know his options since he has decided to drop his retiree
coverage and is eligible for Medicare. What should you tell him? - -Mr. Chen can
disenroll from his employer-sponsored coverage to elect a Medicare Advantage or
Part D plan within 2 months of his disenrollment, but he should revaluate if he
really wants to drop his employer coverage.
-Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal
disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain
coverage under Medicare. What should you tell him? - -He may sign-up for
Medicare at any time however coverage usually begins on the fourth month after
dialysis treatments start.
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Exam (elaborations) ·
AHIP FWA 2023/2024| Latest Update| Questions with Correct Answers/ Verified
