AHIP EXAM | QUESTIONS AND
ANSWERS GRADED AND RATED A+
| 2024/2025 GUIDE
Mrs. Roberts has Original Medicare and would like to enroll in a
Private Fee-for-Service (PFFS) plan. All types of PFFS plans
are available in her area. Which options could Mrs. Roberts
consider before selecting a PFFS plan?
- Correct Answer - A Medicare Advantage Prescription Drug
(MA-PD) PFFS plan that combines medical benefits and Part D
prescription drug coverage, a PFFS plan offering only medical
benefits, or a PFFS plan in combination with a stand-alone
prescription drug plan.
Which of the following individuals is most likely to be eligible to
enroll in a Medicare Advantage or Part D Plan?
- Correct Answer - Jose, a grandfather who was granted
asylum and has worked in the United States for many years.
Mr. and Mrs. Nunez attended one of your sales presentations.
They've asked you to come to their home to clear up a few
questions. During the presentation, Mrs. Nunez feels tired and
,tells you that her husband can finish things up. She goes to
bed. At the end of your discussion, Mr. Nunez says that he
wants to enroll both himself and his wife. What should you do?
- Correct Answer - As long as she is able to do so, only Mrs.
Nunez can sign her enrollment form. Mrs. Nunez will have to
wake up to sign her form or do so at another time.
You are visiting with Mr. Tully and his daughter at her request.
He has advanced Alzheimer's and is incapable of
understanding the implications of choosing a Medicare
Advantage or prescription drug plan. Can his daughter fill out
the enrollment form and sign it for him?
- Correct Answer - Mr. Tully's daughter can do so only, if she is
authorized under state law as a court-appointed legal guardian,
has durable power of attorney for health care decisions, or is
authorized under state surrogate consent laws to make health
decisions.
You are meeting with Ms. Berlin and she has completed an
enrollment form for a MA-PD plan you represent. You notice
that her handwriting is illegible and as a result, the spelling of
her street looks incorrect. She asks you to fill in the corrected
street name. What should you do?
,- Correct Answer - You may correct this information as long as
you add your initials and date next to the correction
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?
I. If a legal representative is completing an electronic
enrollment request, he or she must first upload proof of his or
her authority.
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.
IV. The mechanism must capture an accurate time and date
stamp at the time the applicant enters the online site.
- Correct Answer - II and III only.
Mr. Block is currently enrolled in a Medicare Advantage plan
that includes drug coverage. He found a stand-alone Medicare
, prescription drug plan in his area that offers better coverage
than that available through his MA-PD plan and in addition has
a low premium. It won't cost him much more and, because he
has the means to do so, he wishes to enroll in the stand-alone
prescription drug plan in addition to his MA-PD plan. What
should you tell him?
- Correct Answer - If Mr. Block enrolls in the stand-alone
Medicare prescription drug plan, he will be disenrolled from the
Medicare Advantage plan.
You are doing a sales presentation for Mrs. Pearson. You know
that the Medicare marketing guidelines prohibit certain types of
statements. Apply those guidelines to the following statements
and identify which would be prohibited.
- Correct Answer - "If you're not in very good health, you will
probably do better with a different product."
You have come to Mrs. Midler's home for a sales presentation.
At the beginning of the presentation, Mrs. Midler tells you that
she has a copy of her medical record available because she
thinks this will help you understand her needs. She suggests
that you will know which questions to ask her about her health
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