Ahip certification exam - Study guides, Class notes & Summaries

2024 Anthem Administrative Guidelines Exam I completed all my training on Friday. When will I know I'm ready to sell? - ANS Only after receipt of the confirmation email should arrive on Monday. Training completed one day should be validated the following business day. What tool does BlueCross provide for you to submit notes taken during the meeting with a prospect? - ANS Cavulus If a member chooses to cancel or withdraw an enrollment application or terminate enrollment in a plan o...

AHIP CERTIFICATION 2024 FINAL EXAM QUESTIONS AND DETAILED ANSWERS| LATEST VERSIONS 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. Mr. Davis i...

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AHIP CERTIFICATION 2024 EXAM QUESTIONS AND DETAILED ANSWERS| A+ GRADE Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? Correct Answer Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan's web...

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A health plan can best be defined as an organization that Integrates the delivery and financing of healthcare and seeks to manage healthcare cost, access, and quality The earliest versions of heath plans appeared in 1910 What is not an early form of health plan Preferred provider organization Which is a provision of the HMO act of 1973 Federally qualified HMOs were exempted from some state laws For an HMO which was not an advantage of federal qualification The HMO did not have to meet c...

AHIP 2024 Certification Version 2 All New Qs & As for A++ Exam - Guaranteed Pass! 1. Mrs. Mulcahy, age 65, is concerned that she may not qualify for enrollmentin a Medicare prescription drug plan because, although she is entitled to PartA, she is not enrolled under Medicare Part B. What should you tell her? Answer: An individual 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, ...