AHIP FINAL EXAM – ACTUAL EXAM STUDY KIT WITH COMPLETE QUESTIONS AND CORRECT ANSWERS RATED A+
1 view 0 purchase
Course
AHIP
Institution
AHIP
AHIP FINAL EXAM – ACTUAL EXAM STUDY
KIT WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS RATED A+
You are seeking to represent an individual Medicare Advantage
plan and an individual Part D in your state. You have completed
the required training for each plan, but you did not achieve a
pass...
AHIP FINAL EXAM – ACTUAL EXAM STUDY
KIT WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS RATED A+
You are seeking to represent an individual Medicare Advantage
plan and an individual Part D 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? Correct Answer You will not be able to
represent any Medicare Advantage or Part D plan until you
complete the training and achieve and adequate score. However,
you will not have to take a test if you exclusively market employer/
union group plans and the companies do not require testing
Another agent working for you agency claims that because you
are not employed by the Medicare Advantage plans that you
represent, you are not subject to the same marketing
requirements as the plans themselves. How should you respond
to such a statement? Correct Answer Your coworker is not
correct. Marketing on behalf of a plan is considered marketing by
the plan and requires that all contracted and employed agents
comply with all Medicare marketing rules
Your friend's mother just moved to an assisted living facility and
he asked if you could present a program for the residents about
the MA-PD plans you market. What could you tell him? Correct
Answer You appreciate the opportunity and would be happy to
schedule an appointment with anyone at their request
Miguel Sanchez is a relatively new agent who has come to you for
advice as to what he can do during the Medicare Advantage
Open Enrollment Period. What advice should you give Miguel?
Correct Answer During the MA-OEP, Miguel can have one-on-one
meetings with beneficiaries who have requested such meetings
,Anthony Retirement Benefits on his 65th birthday. He was
interested in obtaining Medicare coverage and is eligible for
premium-free Part A. Before he could enroll in Medicare, his
entire area was impacted by a hurricane causing massive flooding
and severe wind damage. The Federal government declared this
to be a natural disaster which has recently ended. During this
period Anthony's initial enrollment period expired. Anthony asks
you how he can now obtain Medicare coverage. What should you
say? Correct Answer Anthony is eligible for a SEP because he
missed an enrollment period due to the impact of the Federally
declared disaster. This SEP will allow Anthony to enroll in Part B
up to 6 months after the end of the emergency declaration.
Anthony may enroll in premium-free Part A at any time and his
Part A coverage will be retroactive for up to 6 months
Shirly Thomas was enrolled in Medicaid during the Public Health
Emergency. This coverage has recently been terminated due to
the end of the PHE. While Shirley was enrolled in Medicaid, she
missed an opportunity to enroll in Medicare and now wants Part
B. Which of the following statements best describes Shirley's
ability to now enroll in Medicare Part B? Correct Answer Shirley is
eligible for SEP for up to 6 months after the termination of her
Medicaid coverage. Under this SEP, Shirley can choose
retroactive coverage back to the date of termination from
Medicaid or coverage beginning the month after the month of
enrollment
Mrs. Pena is years old, has coverage under an employer plan,
and will retire next year. She heard she must enroll in Part B at
the beginning of the year to ensure no gap in coverage. What can
you tell her? Correct Answer Mrs. Pena may enroll in Part B at
any time while she has employer-sponsored coverage. Upon
retirement, she will be able to enroll in Part B during SEP that
lasts 8 months following the last month of her employer coverage
, Mr. Bauer is 49 years old, but eighteen months ago he was
declared disabled by the Social Security Administration and has
been receiving disability payments. He is wondering whether he
can obtain coverage under Medicare. What should you tell him?
Correct Answer After receiving such disability payments for
months, he will be automatically enrolled in Medicare, regardless
of age
Mr. Capadona would like to purchase a Medicare Advantage (MA)
plan and a Medigap plan to pick up costs not covered by that
plan. What should you tell him? Correct Answer The purpose of
Medigap plans is to supplement Original Medicare benefits.
Medigap plans do not work with Medicare Advantage plans. It is
illegal to sell a Medigap plan to someone already in a Medicare
Advantage health plan.
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? Correct Answer Medicare coverage for
individuals with ESRD typically begins on the 4th month after
dialysis treatments start.
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap
policy as well, but it provides no drug coverage. She would like to
keep the coverage she has, but replace her existing Medigap plan
with one that provides drug coverage. What should you tell her?
Correct Answer Mrs. Gonzalez cannot purchase a Medigap plan
that covers drugs, but she could keep her Medicap policy and
enroll in a Part D prescription drug plan.
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
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 wachiraMaureen. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $23.29. You're not tied to anything after your purchase.
