AHIP 2024 Final 100% Correct Answers Verified Latest 2024 Version
1 view 0 purchase
Course
AHIP
Institution
AHIP
AHIP 2024 Final | 100% Correct Answers
| Verified | Latest 2024 Version
Mr. Lopez, who is fairly well-off financially, would like to enroll in a Medicare prescription drug plan you
represent and simply give you a check to cover his premiums for the entire year. What should you tell
him? - He wi...
AHIP 2024 Final | 100% Correct Answers
| Verified | Latest 2024 Version
Mr. Lopez, who is fairly well-off financially, would like to enroll in a Medicare prescription drug plan you
represent and simply give you a check to cover his premiums for the entire year. What should you tell
him? - ✔✔He will need to mail in his payment with his enrollment form.
Mrs. Chou likes a Private Fee-for-Service (PFFS) plan available in her area that does not include drug
coverage. She wants to enroll in the plan and enroll in a stand-alone prescription drug plan. What should
you tell her? - ✔✔She could enroll in a PFFS plan and a stand-alone Medicare prescription drug plan.
Mrs. Roswell is a new Medicare beneficiary who has just retired from retail work. She is interested in
selecting a Medicare Part D prescription drug plan. She takes a number of medications and is concerned
that she has not been able to identify a plan that covers all of her medications. She does not want to
make an abrupt change to new drugs that would be covered and asks what she should do. What should
you tell her? - ✔✔Every Part D drug plan is required to cover a single one-month fill of her existing
medications sometime during a 90-day transition period.
Mr. Robinson was quite ill recently and forgot to pay his monthly premium for his MA-PD plan. He is
worried that he will lose his coverage now when he needs it the most. He is certain his plan will disenroll
him because that is what happened to a friend of his in a similar type of plan. What can you tell Mr.
Robinson about his situation? - ✔✔Plan sponsors have the option to do nothing when a plan member
does not pay their premiums or disenroll the member after a grace period and notice.
Mrs. Allen has a rare condition for which two different brand name drugs are the only available
treatment. She is concerned that since no generic prescription drug is available and these drugs are very
high cost, she will not be able to find a Medicare Part D prescription drug plan that covers either one of
them. What should you tell her? - ✔✔Medicare prescription drug plans are required to cover drugs in
each therapeutic category. She should be able to enroll in a Medicare prescription drug plan that covers
the medications she needs.
One of your clients, Lauren Nichols, has heard about a Medicare concept from one of her neighbors
called TrOOP. She asks you to explain it. What do you say? - ✔✔TrOOP stands for true out-of-pocket
expenses that count toward the Medicare Part D catastrophic limit and include not only expenses paid
by a beneficiary but also in some instances drug manufacturer discounts.
, Mrs. Fiore is a retired federal worker with coverage under a Federal Employee Health Benefits (FEHB)
plan that includes creditable drug coverage. She is ready to turn 65 and become Medicare eligible for the
first time. What issues might she consider about whether to enroll in a Medicare prescription drug plan?
- ✔✔She could compare the coverage to see if the Medicare Part D plan offers better benefits and
coverage than the FEHB plan for the specific medications she needs and whether any additional benefits
are worth the Part D premium costs on top of her FEHB contribution.
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being successfully
treated for that condition. However, she and her physicians feel that after her lengthy hospital stay she
will need a month or two of nursing and rehabilitative care. What should you tell them about Original
Medicare's coverage of care in a skilled nursing facility? - ✔✔Medicare will cover Mrs. Shield's skilled
nursing services provided during the first 20 days of her stay, after which she would have a copay until
she has been in the facility for 100 days.
Madeline Martinez was widowed several years ago. Her husband worked for many years and contributed
into the Medicare system. He also left a substantial estate which provides Madeline with an annual
income of approximately $130,000. Madeline, who has only worked part-time for the last three years,
will soon turn age 65 and hopes to enroll in Original Medicare. She comes to you for advice. What should
you tell her? - ✔✔You should tell Madeline that she will be able to enroll in Medicare Part A without
paying monthly premiums due to her husband's long work record and participation in the Medicare
system. You should also tell Madeline that she will pay Part B premiums at more than the standard
lowest rate but less than the highest rate due her substantial income.
Winthrop Brokerage wishes to place an advertisement in the local newspaper that says: "We offer
Medicare Advantage plans offered by AB Health and Top Choice Health. Contact us if you would like to
learn more." Which of the following best describes the obligation(s) of Winthrop Brokerage regarding
the advertisement? - ✔✔Winthrop Brokerage does not need to submit the advertisement to CMS for
prior approval because it does not include information about the plans' benefits structures, cost-sharing,
or information about measures or ranking standards.
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? - ✔✔C-SNP
Ms. Henderson believes that she will qualify for Medicare Coverage when she turns 65, without paying
any premiums, because she has been working for 40 years and paying Medicare taxes. What should you
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller hov. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.49. You're not tied to anything after your purchase.
