Exam (elaborations)
2024 AHIP FINAL EXAM WITH CORRECT ANSWERS
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2024 AHIP FINAL EXAM WITH CORRECT ANSWERS
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2024 AHIP FINAL EXAM WITHCORRECT ANSWERS
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-ANSWERSMr. 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.
Next week you will be participating in your first "educational event" for
prospective enrollees. To be sure that you do not violate any of the
applicable guidelines, in what activities should you plan to engage? -
CORRECT-ANSWERS
You plan to participate in an educational event sponsored by a large regional
health care system. One of your colleagues suggests that you do a
presentation on one of the Medicare Health plans you market and modify it
to include information about preventive screening tests showcased at the
event. How should you respond to your colleague's suggestion? - CORRECT-
ANSWERS
You will be holding a sales event soon, at which you would like to offer door
prizes to attendees. Under guidelines from the Medicare agency, what types
of gifts or prizes would not be allowed in this situation? - CORRECT-
ANSWERSGift cards or gift certificates of $15 or less that can be readily
converted to cash.
A Medicare beneficiary has walked into your office and requested that you sit
down with her and discuss her options under the Medicare Advantage
program. Before engaging in such a discussion, what should you do? -
CORRECT-ANSWERSYou must have her sign a scope of appointment form,
indicating which products she wishes to discuss. You may then proceed with
the discussion.
While making an appointment to discuss Medicare Advantage (MA) and Part
D plans with a potential enrollee, you are asked to describe other types of
insurance products that your client might wish to purchase. What additional
types of insurance can you present during the MA and Part D marketing
appointments? - CORRECT-ANSWERS
, Mr. Wendt suffers from diabetes which has gotten progressively worse during
the last year. He is currently enrolled in Original Medicare (Parts A and B)
and a Part D prescription drug plan and did not enroll in a Medicare
Advantage (MA) plan during the last annual open enrollment period (AEP)
which has just closed. Mr. Wendt has heard certain MA plans might provide
him with more specialized coverage for his diabetes and wants to know if he
must wait until the next annual open enrollment period (AEP) before
enrolling in such a plan. What should you tell him? - CORRECT-ANSWERSIf
there is a special needs plan (SNP) in Mr. Wendt's area that specializes in
caring for individuals with diabetes, he may enroll in the SNP at any time
under a special election period (SEP)
Mr. Yoo's employer has recently dropped comprehensive creditable
prescription drug coverage that was offered to company retirees. The
company told Mr. Yoo that, because he was affected by this change, he
would qualify for a special election period. Mr. Yoo contacted you to find out
more about what this means. What can you tell him - CORRECT-ANSWERS
Mr. Rodriguez is currently enrolled in a MA plan, but his plan doesn't
sufficiently cover his prescription drug needs. He is interested in changing
plans during the upcoming MA Open Enrollment Period. What are his options
during the MA OEP? - CORRECT-ANSWERS
Mr. Liu turns 65 on June 19. He has never previously qualified for Medicare so
his first Medicare eligibility date will be June 1. Mr. Liu's ICEP and Part D IEP
begin on March 1 and end on September 30. He wants prescription drug
coverage with his Part A and Part B benefits. What advice can you provide
him? - CORRECT-ANSWERS
Agent Chan is conducting a sales presentation on senior issues where he
hopes to enroll some attendees in the Medicare Advantage (MA) plans he
represents. What action(s) may Agent Chan take during the event? -
CORRECT-ANSWERSDiscuss plan specific information such as premiums and
benefits.
Mr. Landry is approaching his 65th birthday. He has signed up for Medicare
Part A, but he did not enroll in Part B because he has employer-sponsored
coverage and intends to keep working for several more years. But he is
considering enrolling in Part D prescription drug coverage because he
believes it is superior to his employer plan. How would you advise him? -
CORRECT-ANSWERSMr. Landry is eligible for Part D since he has Part A, and
his initial enrollment period (IEP) for Part D will continue for three months
after his 65th birthday.
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