AHIP 2025 Final Exam Questions and Answers (2024 / 2025) (Verified Answers).1. PPO, HMO, MSA, Cost Plan, PFFS
ANS Types of Medicare Advantage Plans
2. Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles
ANS Medicare-Medicaid ...
AHIP Final Exam Questions & Answers
1.PPO, HMO, MSA, Cost Plan, PFFS
ANS Types of Medicare Advantage Plans
2.Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles
ANS Medicare-Medicaid plans
3.Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new members. A non network provider will can charge higher coin- surances and deuctibles. Different enrollment/disenrollment periods apply. Can get Part D Rx coverage if available, or apply for a separate PDP.
ANS Medicare Cost Plan
4.Individuals with ESRD may sign up at anytime. Date on which coverage be- gins is the fourth month after dialysis begins.
ANS Medicare Entitlement/Enrollment
-Part A & Part B
5.Individuals who do not enroll in Part B when first eligible can enroll
during a General Enrollment Period, Jan 1st to Mar 31st each year. Coverage begins July 1st of that year.
ANS Medicare Enrollment Period
6.Individuals who have group health coveage through employer may enroll in Part A and/or Part B anytime while on group coverage during a Special Enrollment Period. Occurs during the 8 month period following last month of group coverage.
ANS Medicare Enrollment Period - Group Health Coverage
7.Free if worked 40 quarters of your life and paid Medicare taxes. Premium is
$240.00 for individuals or spouses who paid Medicare taxes for 30 - 39 quar- ters. Premium is $437.00 for less than 30 quarters.
ANS Medicare Part A Premium
8.Don't enroll in Part A when fist eligible, will pay a late penalty of up to 10% unless enroll during a Special Enrollment Period.
ANS Medicare Part A Penalty
9.In 2019, the standard monthly premium is $135.50 or higher depending on income. Deducted from S.S. check or Railroad Retirement check. Do not enroll when first eligible, premium is increased 10% for each 12 month period not enrolled. Deductible for 2019 is $185.00
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