AHIP Test Exam Questions and Answers Rated A+ New update 2024
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Course
AHIP
Institution
AHIP
• Mr. and Mrs. Nunez attended one of your sales presentations. They’ve asked you to come to their home to clear up a few questions. During the presentation, Mrs. Nunez feels tired and tells you that her husband can finish things up. She goes to bed. At the end of your discussion, Mr. Nunez says...
AHIP Test Exam Questions and Answers
Rated A+ New update 2024
Mr. and Mrs. Nunez attended one of your sales presentations. They’ve asked you
to come to their home to clear up a few questions. During the presentation, Mrs.
Nunez feels tired and tells you that her husband can finish things up. She goes to
bed. At the end of your discussion, Mr. Nunez says that he wants to enroll both
himself and his wife. What should you do?
a. You should sign the form for Mrs. Nunez yourself, since she
informed you, as the plan’s representative, that she w to enroll.
b. As long as she is able to do so, only Mrs. Nunez can sign her
enrollment form. Mrs. Nunez will have to wake up to sign her form
or do so at another time.
c. Legal spouses can sign enrollment forms for one another unde
federal law. You may enroll both Mr. and Mrs. Nun as long as her
husband signs on her behalf
d. You can countersign Mrs. Nunez’ application, along with her
husband, indicating that she approved this choice ver This witnes
signature is sufficient to make the enrollment valid.
What impact, if any, will the Medicare Access and CHIP Reauthorization Act of
2015 (MACRA) have upon Medigap plans?
a. The Part A deductible will no longer be covered for
individuals newly eligible for Medicare starting January 1, 2020.
b. The Part B deductible will no longer be covered for
individuals newly eligible for Medicare starting January 1, 2020.
c. The Part A deductible is no longer covered under Medigap plan
for all enrollees staring January 1, 2020.
,AHIP Test Exam Questions and Answers
Rated A+ New update 2024
d. MACRA provides funding to help individuals age 59 and above
enroll in Medigap plans.
Able, Baker, and Charles are engaged in the marketing to and enrollment of
beneficiaries into Medicare health plans. Mr. Able is an independent agent paid
directly by a health plan. Ms. Baker is an independent agent paid through a field
marketing organization (FMO). Mr. Charles is an independent agent paid for his
work by a third-party marketing organization (TMO). How do the CMS
compensation rules apply to these three agents?
a. All three are treated as independent agents under CMS
compensation rules.
b. Baker and Charles are subject to CMS compensation rules
because they are paid by third parties. Able is not bec he
is paid directly by a health plan.
c. Able is subject to CMS compensation rules because he is paid
directly by a health plan. Agents Baker and Charle not because
they are paid by third parties.
d. Charles is subject to CMS compliance rules because he works
for a TMO and CMS applies an extra layer of scru such
organizations. Able and Baker are not.
Mrs. Paterson is concerned about the deductibles and co-payments associated
with Original Medicare. What can you tell her about Medigap as an option to
address this concern?
a. Medigap plans are not sold by private companies and are a
government insurance product.
b. All costs not covered by Medicare are covered by some
,AHIP Test Exam Questions and Answers
Rated A+ New update 2024
Medigap plans.
c. If Mrs. Paterson applies during the Medigap open
enrollment period, she will have to undergo a medical
review to determine if she has a pre-existing condition
that would increase the premium for a Medigap policy.
d. Medigap plans help beneficiaries cover
coinsurance, co-payments, and/or deductibles for
medically necessary services.
Mr Valesquez asked if the Private Fee-for-Service plan you have discussed is like
Original Medicare or a Medigap supplement plan. What should you say about a
Private Fee-for-Service (PFFS) plan to explain it to Mr. Valesquez?
a. It is a type of Medicare Advantage plan
that allows you to go to any doctor
anywhere.
c. It is the same as Original Medicare, but offered by a private
company.
d. It is not Original Medicare and it works
differently than a Medicare supplement plan.
Which of the following statements about Medicare Part D are correct?
I. Part D plans must enroll any eligible beneficiary who applies regardless of
health status except in limited circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy
network but may choose to have one.
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may
, AHIP Test Exam Questions and Answers
Rated A+ New update 2024
only obtain Part D benefits through a standalone PDP.
IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a
standalone PDP or through their plan.
a. I and II only
b.I only
d. I, II, III, and IV
c. I, II, and III only
Which of the following statement is correct about Medicare Savings Account (MSA)
Plans?
I. MSAs may have either a partial network, full network, or no network of providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription drug benefits
III. An individual who is eligible for health care benefits through the Veteran's
Administration may enroll in an MSA.
IV. Non-network providers must accept the same amount that Original
Medicare would pay them as payment in full.
a. II
and
III
only
b. I, II,
and III
only
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