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Exam (elaborations)

AHIP Final Exam Test Questions and Correct Answers | Latest Update

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Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through acupuncture. She is concerned about whether or not Medicare will cover these items and services. What should you tell her?  Medicare does not cover acupuncture, or, in general, glasses or de...

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  • October 3, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AHIP
  • AHIP
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Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025


AHIP Final Exam Test Questions and
Correct Answers | Latest Update
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis

through acupuncture. She is concerned about whether or not Medicare will cover these items

and services. What should you tell her?


 Medicare does not cover acupuncture, or, in general, glasses or dentures.




Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare

Part D Prescription Drug program and he is wondering if there is any other option he has for

obtaining help with his considerable drug costs. What should you tell him?


 He could check with the manufacturers of his medications to see if they

offer an assistance program to help people with limited means obtain the

medications they need. Alternatively, he could check to see whether his

state has a pharmacy assistance program to help him with his expenses.




Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent. It is

one of three plans operated by the same organization in Mr. Lombardi's area. The MA PPO

plan does not include drug coverage, but the other two plans do. Mr. Lombardi likes the PPO

plan that does not include drug coverage and intends to obtain his drug coverage through a

stand-alone Medicare prescription drug plan. What should you tell him about this situation?


 He could enroll in one of the MA plans that include prescription drug

coverage or a Medigap plan and a stand -alone prescription drug plan,




~ 1 ~ for inquiry mail me @ supergrades12@gmail.com

, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025

but he cannot enroll in the MA-only PPO plan and a stand-alone

prescription drug plan.




Mr. Torres has a small savings account. He would like to pay for his monthly Part D premiums

with an automatic monthly withdrawal from his savings account until it is exhausted, and then

have his premiums withheld from his Social Security check. What should you tell him?


 In general, he must select a single Part D premium payment mechanism

that will be used throughout the year.




Agent Jennings makes a presentation on Medicare advertised as an educational event. Agent

Jennings distributes materials that are solely educational in nature. However, she gives a brief

presentation that mentions plan-specific premiums. Is this a prohibited activity at an event that

has been advertised as educational?


 Yes. When an event has been advertised as "educational," discussing

plan-specific premiums is impermissible.




Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare prescription

drug plan because, although she is entitled to Part A, she is not enrolled under Medicare Part

B. What should you tell her?


 Everyone who is entitled to Part A or enrolled under Part B is eligible to

enroll in a Medicare prescription drug plan. As long as Mrs. Mulcahy is

entitled to Part A, she does not need to enroll under Part B before

enrolling in a prescription drug plan.


~ 1 ~ for inquiry mail me @ supergrades12@gmail.com

, Best Grades | Must Pass | Latest Update | Correct Answers | 2024/ 2025




Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but

when he looks at information on various plans available in his area, he sees a wide range in

what they charge for deductibles, premiums and cost sharing. How can you explain this to him?


 Medicare Part D drug plans may have different benefit structures, but on

average, they must all be at least as good as the standard model

established by the government.




Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will

have considerable income when she retires. She is concerned that her income will make it

impossible for her to qualify for Medicare. What could you tell her to address her concern?


 Medicare is a program for people age 65 or older and those under age

65 with certain disabilities, end stage renal disease or Lou Gehrig's

disease, so she will be eligible for Medicare.




Agent Armstrong is employed by XYZ Agency, which is under contract with ABC Health Plan, a

Medicare Advantage (MA) plan that offers plans in multiple states. XYZ Agency maintains a

website marketing the MA plans with which it has contracts. Agent Armstrong follows up with

individuals who request more information about ABC MA plans via the website and tries to

persuade them to enroll in ABC plans. What statement best describes the marketing and

compliance rules that apply to Agent Armstrong?


 Agent Armstrong needs to be licensed and appointed in every state in

which beneficiaries to whom he markets ABC MA plans are located.



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