Exam (elaborations)
AHIP PRACTICE EXAM WITH QUESTIONS AND CORRECT ANSWERS
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AHIP PRACTICE EXAM WITH QUESTIONS AND CORRECT ANSWERS ...
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Mr.DAVID is aware that Medicare prescription drug insurance is exclusively provided by private firms under a program called Medicare Advantage (MA), rather than being offered directly by the government. He prefers Original Medicare and has no interest in enrolling in an MA program, although he does desire prescription medication coverage. What information should you convey to him? Mr. DAVID has the option to remain in Original Medicare and also join a Medicare prescription drug plan offered by a private company that has been authorized by the government to provide medication coverage specifically for eligible Medicare beneficiaries. When presenting a sales pitch to Ms. Daley for a Medicare Advantage plan, it is important to mention that the plan has a 5-star rating for customer service and care coordination, and an overall plan performance rating of 4 stars. Which of the following statements would be accurate to convey to her? The Medicare Advantage plan achieved a 5-star rating for customer service and care coordination, resulting in an overall performance rating of 4-stars. Mrs. Pena, who is currently 66 years old, is enrolled in a health insurance plan provided by her company. She plans to retire in the upcoming year. She was informed that she needed to enroll in Part B at the start of the year to avoid any interruption in coverage. What information can you provide to her? She has the flexibility to enroll in Medicare Part B at any point while she is still covered under her employer's plan. However, she will have a unique eight-month enrollment period, separate from the usual general enrollment period, to do so. Mr. Bickford narrowly missed the eligibility criteria for the additional assistance low-income subsidy offered by the Medicare Part D Prescription Drug program. He is now inquiring about alternative options available to him for obtaining financial assistance to cover his substantial medication expenses. What information should you convey to him? - He should inquire with the pharmaceutical companies that provide his drugs to determine if they provide a program to assist individuals with financial constraints in acquiring the necessary medications. Alternatively, he could verify if his state offers a pharmacy aid program to provide financial support for his charges. Alice works as a marketing representative for a health plan. Betty is an agent who is bound to a specific health plan and is responsible for promoting it to various plans and sponsors. Carl is an exclusive agent that promotes and sells products for a single plan or sponsor. Denise is a self-reliant agent who promotes products or services to various categories of people. Edward is a self-reliant agent who exclusively targets employer and union organizations for marketing purposes. CMS marketing representative remuneration regulations typically pertain to Betty and Denise, excluding Alice (the employee) as well as Carl and Edward (who are subject to exclusions). Mrs. Valentino is presently participating in a Medicare Cost plan. This plan is currently inadequate for her requirements, but, it is already the middle of the year and beyond the designated period for making annual changes (AEP). What advice would you offer Mrs. Valentino on her available choices? Mrs. Valentino has the option to make a formal request to Medicare in order to be removed from the Cost plan and instead enroll in Original Medicare. Upon becoming eligible for Medicare, Myra promptly enrolled in Original Medicare, which includes Parts A and B. Currently, she is 67 years old and will celebrate her 68th birthday on July 1st. She is currently interested in enrolling in a Medicare Advantage (MA) plan and seeks your guidance regarding her choices. What counsel would you offer to her? - She should continue to be enrolled in Original Medicare until the yearly election period, which takes place from October 15 to DecemberThe benefits of buying summaries with Stuvia:
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