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. 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? - CORRECT-
ANSWERSHe will need to mail in his payment with his enrollment form.
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? -
CORRECT-ANSWERSC-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 tell her? - CORRECT-
ANSWERSTo obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher incomes.
You are scheduled to give a sales presentation at a local senior center at
which a drawing will be held for a prize. At the beginning of the presentation,
which of the following must you do? - CORRECT-ANSWERSClearly state that
no obligation exists to enroll if a gift or prize is being offered.
Mrs. Paterson is concerned about the deductibles and co-payments
associated with Original Medicare. What can you tell her about Medigap as
an option to address this concern? - CORRECT-ANSWERSMedigap plans help
beneficiaries cover Original Medicare benefits, but they coordinate with
Original Medicare coverage.
Mrs. Johnson calls to tell you she has not received her new plan ID card yet,
but she needs to see a doctor. What can she expect to receive from the plan
after the plan has received her enrollment form? - CORRECT-
ANSWERSEvidence of plan membership, information on how to obtain
services, and the effective date of coverage.
You work for Caring Health, a Medicare Advantage (MA) plan sponsor.
Recently, Mrs. Garcia has completed an enrollment application for a plan
offered by Caring Health, which is waiting for a reply from CMS indicating
whether or not Mrs. Garcia's enrollment has been accepted. Once CMS
replies, how long does Caring Health have to notify Mrs. Garcia that her
, enrollment has been accepted and in what format? - CORRECT-ANSWERSThe
plan has 10 calendar days to notify Mrs. Garcia in writing.
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income
level. She wishes to enroll in a MA MSA plan that she heard about from her
neighbor. She also wants to have prescription drug coverage since her
doctor recently prescribed several expensive medications. Currently, she is
enrolled in Original Medicare and a standalone Part D plan. How would you
advise Mrs. Chi? - CORRECT-ANSWERSMrs. Chi may enroll in a MA MSA plan
and remain in her current standalone Part D prescription drug plan.
Your colleague works at a third-party marketing organization (TMO) and she
said she did not need to take the Medicare training for brokers and agents or
pass a test to market Medicare plans since her contract is with the TMO, not
the plans that have the products she sells. What could you say to her? -
CORRECT-ANSWERSYou could tell her she is wrong, and that only agents
selling employer/union group plans are permitted an exemption from testing,
but some employer/union group plans may require testing to promote agent
compliance with CMS marketing requirements.
You are mailing invitations to new Medicare beneficiaries for a marketing
event. You want an idea of how many people to expect, so you would like to
request RSVPs. What should you keep in mind? - CORRECT-ANSWERSYou
may request RSVPs, but you are not permitted to require contact
information.
Mr. Wu is eligible for Medicare. He has limited financial resources but failed
to qualify for the Part D low-income subsidy. Where might he turn for help
with his prescription drug costs? - CORRECT-ANSWERSMr. Wu may still
qualify for help in paying Part D costs through his State Pharmaceutical
Assistance Program.
Mr. Cole has been a Medicaid beneficiary for some time, and recently
qualified for Medicare as well. He is concerned about changes in his cost-
sharing. What should you tell him? - CORRECT-ANSWERSHe should know that
Medicaid will pay cost sharing only for services provided by Medicaid
participating providers.
By contacting plans available in your area, you have learned that the plan
you represent has a significantly lower monthly premium than the others.
Furthermore, you see that the plan you represent has a unique benefits
package. What should you do to make sure your clients know about these
pieces of information? - CORRECT-ANSWERSYou may make comparisons
between plans if you can support them by studies or statistical data and
such comparisons are factually based.
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