AHIP FINAL EXAM – ACTUAL EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS RATED A+
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AHIP
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AHIP
AHIP FINAL EXAM – ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT
ANSWERS RATED A+
All plans must cover at least the standard Part D coverage or its
actuarial equivalent. Which of the following statements best
describes some of the costs a beneficiary would incur for
prescription drugs...
AHIP FINAL EXAM – ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT
ANSWERS RATED A+
All plans must cover at least the standard Part D coverage or its
actuarial equivalent. Which of the following statements best
describes some of the costs a beneficiary would incur for
prescription drugs under the standard coverage? Correct Answer
Standard Part D coverage would require payment of an annual
deductible, and once past the catastrophic coverage threshold,
the beneficiary pays whichever is greater of either the co-pays for
generic and brand name drugs or coinsurance of 5%
Mr. Zachow has a condition for which three drugs are available.
He has tried two but had an allergic reaction to them. Only the
third drug works for him and it is not on his Part D plan's
formulary. What could you tell him to do? Correct Answer Mr.
Zachow has a right to request a formulary exception to obtain
coverage for his Part D drug. He or his physician could obtain the
standardized request form on the plan's website, fill it out, and
submit it to his plan.
Mr. Shapiro gets by on a very small amount of fixed income. He
has heard there may be extra help paying for Part D prescription
drugs for Medicare beneficiaries with limited income. He wants to
know whether he might qualify. What should you tell him? Correct
Answer The extra help is available to beneficiaries whose income
and assets do not exceed annual limits specified by the
government
Mr. Hutchinson has drug coverage through his former employer's
retiree plan. He is concerned about the Part D premium penalty if
he does not enroll in a Medicare prescription drug plan, but does
,not want to purchase extra coverage that he will not need. What
should you tell him? Correct Answer If the drug coverage he has
is not expected to pay, on average, at least as much as
Medicare's standard Part D coverage expects to pay, then he will
need to enroll in Medicare Part D during his initial eligibility period
to avoid the late enrollment penalty.
If you are to comply with Medicare's guidance regarding
educational events, which of the following would be acceptable
activities? Correct Answer You may distribute business cards to
individuals who request information on how to contact you for
further details on the plan(s) you represent.
Agent Harriet Walker has recently begun marketing Medicare
Advantage and related products aimed at meeting the needs of
senior citizens. Client Mildred Jones has expressed interest in a
Medicare Advantage plan. It is now the beginning of September. If
you were in Agent Walker's position, what would you do? Correct
Answer Inquire whether the client qualifies for a special
enrollment period, and if not, solicit an enrollment application
once the annual open enrollment election period begins on
October 15th.
When you market Medicare Advantage and Part D plans, what
may you offer as a gift to induce enrollment in a plan? Correct
Answer You may provide gifts or prizes to all potential enrollees
during an event that does not exceed $15 in retail value
Mrs. Willard wants to know generally how the benefits under
Original Medicare might compare to the benefits package of a
Medicare Advantage Plan before she starts looking at specific
plans. What could you tell her? Correct Answer Medicare
Advantage Plans may offer extra benefits that Original Medicare
does not offer such as vision, hearing, and dental services and
, must include a maximum out-of-pocket limit on Part A and Part B
services.
Mrs. Kelly, age 65, is entitled to Part A but has not yet enrolled in
Part B. She is considering enrollment in a Medicare Advantage
plan (Part C). What should you advise her to do before she will be
able to enroll in a Medicare Advantage plan? Correct Answer To
join a Medicare Advantage plan, she also must enroll in Part B.
Which of the following statement(s) is/are correct about a
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 enrolled in an MSA plan is
responsible for a minimal deductible of $500 indexed for
inflation.IV. Non-network providers must accept the same amount
that Original Medicare would pay them as payment in full. Correct
Answer I, II, and IV
Mrs. Lyons is in good health, uses a single prescription, and lives
independently in her own home. She is attracted by the idea of
maintaining control over a Medical Savings Account (MSA) but is
not sure if the plan associated with the account will fit her needs.
What specific piece of information about a Medicare MSA plan
would it be important for her to know, prior to enrolling in such a
plan? Correct Answer All MSAs cover Part A and Part B benefits,
but not Part D prescription drug benefits, which could be obtained
by also enrolling in a separate prescription drug plan.
Mrs. Walters is enrolled in her state's Medicaid program in
addition to Medicare. What should she be aware of when
considering enrollment in a Medicare Advantage (MA) plan?
Correct Answer She cannot enroll in an MA Medical Savings
Account (MSA) plan
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