AHIP FINAL EXAMINATION WITH 100% VERIFIED ANSWERS. // GRADED A+. // LATEST 2025/2026 UPDATE. NEW EXAM!!!
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Course
AHIP 2025
Institution
AHIP 2025
AHIP FINAL EXAMINATION WITH 100%
VERIFIED ANSWERS. // GRADED A+. // LATEST
2025/2026 UPDATE.
NEW EXAM!!!
Ms. Stuart has heard about a special needs plan (SNP) that one of her friends is
enrolled in and is interested in that product. She wants to be sure she also has
coverage for prescript...
AHIP FINAL EXAMINATION WITH 100%
VERIFIED ANSWERS. // GRADED A+. // LATEST
2025/2026 UPDATE.
NEW EXAM!!!
Ms. Stuart has heard about a special needs plan (SNP) that one of her friends is
enrolled in and is interested in that product. She wants to be sure she also has
coverage for prescription drugs. Would she be able to obtain drug coverage if
she enrolled in the SNP? - Ans✔✔-a. Yes. All SNPs are required to provide Part D
coverage for prescription drugs.
b. Yes, but only if she qualifies for Part D prescription drug coverage under her
state Medicaid program.
c. No. Medicare beneficiaries who enroll in an SNP must always obtain their drug
coverage through a stand-alone Part D Medicare prescription drug plan that they
sign up for independent of their enrollment in the SNP.
d. Maybe. Some SNPs offer Part D coverage for prescription drugs and some do
not.
= ?????
Phiona works in the IT Department of BestCare Health Plan. Phiona is placed in
charge of BestCare's efforts to facilitate electronic enrollment in its Medicare
Advantage plans. In setting up the enrollment site, which of the following must
Phiona consider? - Ans✔✔-II. All data elements required to complete an
enrollment request must be captured.
III. The process must include a clear and distinct step that requires the applicant
to activate an "Enroll Now" or "I Agree" type of button or tool.
Ms. Lewis understands that Medicare prescription drug plans may use various
methods to control the use of specific drugs. She has heard about a technique
called "step therapy" and is wondering if you can explain what that is. What
should you tell her? - Ans✔✔-Step therapy involves using one or more lower
priced drugs before trying a more expensive drug when all are used to treat the
same condition.
, Mr. Gomez notes that a Private Fee-for-Service (PFFS) plan available in his area
has an attractive premium. He wants to know if he must use doctors in a
network as his current HMO plan requires him to do. What should you tell him? -
Ans✔✔-He may receive health care services from ANY doctor allowed to bill
Medicare, as long as he shows the doctor the plan's identification card and the
doctor agrees to accept the PFFS plan's payment terms and conditions, which
could include balance billing.
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? - Ans✔✔-Mr. Wu may still qualify for help in paying Part
D costs through his State Pharmaceutical Assistance Program.
Mr. Wong is a single individual. He has had a successful business career and is
now able to retire with a comfortable income. Mr. Wong's taxable income is in
excess of $100,000. Mr. Wong has health coverage through his employer but will
sign-up Medicare Part A, Part B and Part D when he leaves the workforce. How
would you advise him as he budgets for Medicare premiums? - Ans✔✔-a. Due to
the provisions of MACRA, his Part B and D coverage will be combined and
covered through a low-cost Medigap policy to supplement his Part A coverage.
b. Due to his participation in the workforce he will not have to pay premiums for
Part A and he will pay the lowest monthly premium rates for Part B and Part D.
c. Due to his participation in the workforce he will not have to pay premiums for
Part A but he will pay higher premiums for Part B and Part D due to the amount
of his income.
d. Due to his participation in the workforce he will not have to pay premiums for
Part A and will pay reduced premiums for Part B and Part D.
?????
Mr. Prentice has many clients who are Medicare beneficiaries. He should review
the Centers for Medicare & Medicaid Services' communication and Marketing
Guidelines to ensure he is compliant for which type of products? - Ans✔✔-
Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct
Ms. Hernandez has marketed several different types of insurance products in her
home state and has typically sought approval of her materials from her State
Department of Insurance. What would you advise her regarding seeking such
approval for materials she uses to market Medicare Advantage plans? - Ans✔✔-
a. States often volunteer to review marketing materials on behalf of the
Medicare agency. She should check with her Department of Insurance to see if
such a review is available and would satisfy CMS requirements.
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