AHIP Final Exam Test UPDATED ACTUAL Questions and CORRECT Answers
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Course
Ahip
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Ahip
AHIP Final Exam Test UPDATED
ACTUAL Questions and CORRECT
Answers
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? ...
AHIP Final Exam Test UPDATED
ACTUAL Questions and CORRECT
Answers
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? - CORRECT ANSWER- ✔✔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? - CORRECT
ANSWER- ✔✔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? -
CORRECT ANSWER- ✔✔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, 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? - CORRECT ANSWER- ✔✔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? - CORRECT ANSWER- ✔✔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? - CORRECT ANSWER- ✔✔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.
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? - CORRECT ANSWER- ✔✔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?
- CORRECT ANSWER- ✔✔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? - CORRECT ANSWER-
✔✔Agent Armstrong needs to be licensed and appointed in every state in which beneficiaries
to whom he markets ABC MA plans are located.
Mr. Schmidt would like to plan for retirement and has asked you what is covered under
Original Fee-for-Service (FFS) Medicare? What could you tell him? - CORRECT ANSWER-
✔✔Part A, which covers hospital, skilled nursing facility, hospice and home health services
and Part B, which covers professional services such as those provided by a doctor are covered
under Original Medicare.
You are seeking to represent an individual Medicare Advantage plan and an individual Part D
plan in your state. You have completed the required training for each plan, but you did not
achieve a passing score on the tests that came after the training. What can you do in this
situation? - CORRECT ANSWER- ✔✔You will not be able to represent any Medicare
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