100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Previously searched by you
Previously searched by you
logo
**AHIP 2023 Final Exam Test Questions and Answers Updated (Verified Answers)[50 questions] R380,65   Add to cart
Quickly navigate to
Preview
  2.  
  3. AHIP 2023
  4.  
  5. AHIP 2023

Exam (elaborations)

**AHIP 2023 Final Exam Test Questions and Answers Updated (Verified Answers)[50 questions]

2 reviews
 13 views  0 purchase
  • Course
  • AHIP 2023
  • Institution
  • AHIP 2023

**AHIP 2023 Final Exam Test Questions and Answers Updated (Verified Answers)[50 questions]

Preview 2 out of 9  pages

Document information

  • July 20, 2024
  • 9
  • 2023/2024
  • Exam (elaborations)
  • Unknown

Subjects

  • ahip 2023 final exam test questions and answers
  • ahip 2023 final exam test questions and answe
  • ahip 2023 final exam test questions and answe

Written for

  • AHIP 2023
  • AHIP 2023

2  reviews

review-writer-avatar

By: NursPauline • 3 months ago

review-writer-avatar

By: docwayne5 • 4 months ago

Seller

avatar-seller
Bestnursesteve

Reviews received

Content preview

**AHIP 2023 Final Exam Test Questions and Answers Updated ( Verified Answers)[ 50 questions] Mr. Albert has heard about something call ed the Star Rating system for Medicare Advantage plans. He asks you to explain it to him since he is interested in enrolling in a plan that is newly available in his area. After you explain that it is the way for consumers to judge plan performance, what e lse would you say? - ✔✔ANSW✔✔New plans and part D sponsors must provide a projection of the Star Rating they will receive until they have been officially awarded an overall Star Rating by CMS. Which of the following individuals has enrolled in a plan bas ed on a fixed enrollment period? - ✔✔ANSW✔✔Ben, who enrolls in a Medicare Advantage plan during the Medicare Advantage Open Enrollment Period (MA OEP). Mr. Hutchinson has drug coverage through his former employer's retiree plan. He is concerned about the Part D premium penalty if he does not enroll in a Medicare prescription drug plan, but does not want to purchase extra coverage that he will not need. What should you tell him? - ✔✔ANSW✔✔If the drug coverage he has is not expected to pay, on average, at least as much as Medicare's standard Part D coverage expects to pay, then he will need to enroll in Medicare Part D during his initial eligibility period to avoid the late enrollment penalty. Mr. Kumar is considering a Medicare Advantage HMO and has quest ions about his ability to access providers. What should you tell him? - ✔✔ANSW✔✔In most Medicare Advantage HMOs, Mr. Kumar must generally obtain his services only from providers within the plan's network (except in an emergency or where care is unavailabl e within the network). You market many different types of insurance and ordinarily you spend time each evening calling potential clients. To comply with requirements for marketing Medicare Advantage and Part D plans, what must you do about contacting pote ntial clients to market those plans? - ✔✔ANSW✔✔You will have to avoid calling any potential client unless he or she initiates contact with you and specifically asks that you give him or her a call. Mrs. Geisler's neighbor told her she should look at her Part D options during the annual Medicare enrollment period because features of Part D might have changed. Mrs. Geisler can't remember what Part D is so she called you to ask what her neighbor was talking about. What could you tell her? - ✔✔ANSW✔✔Part D c overs prescription drugs and she should look at her premiums, formulary, and cost-sharing among other factors to see if they have changed. Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage. What should you tel l her? - ✔✔ANSW✔✔Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in Medicare Advantage. Mrs. Fields wants to know whether applying for the Part D low -income subsidy will be worth the time to fill out the paperwork. What could you tell her? - ✔✔ANSW✔✔The Part D low -income subsidy could substantially lower her overall costs. She can apply by contacting her state Medicaid office or calling the Social Security Administration. Mr. Lopez, who is fairly well -off financially, would like to enroll in a Medicare prescription drug plan you represent and simply give you a check to cover his premiums for the entire year. What should you tell him? - ✔✔ANSW✔✔He will need to mail in his p ayment with his enrollment form. Mrs. Chou likes a Private Fee -for-Service (PFFS) plan available in her area that does not include drug coverage. She wants to enroll in the plan and enroll in a stand -alone prescription drug plan. What should you tell her? - ✔✔ANSW✔✔She could enroll in a PFFS plan and a stand -alone Medicare prescription drug plan. Mrs. Roswell is a new Medicare beneficiary who has just retired from retail work. She is interested in selecting a Medicare Part D prescription drug plan. She takes a number of medications and i s concerned that she has not been able to identify a plan that covers all of her medications. She does not want to make an abrupt change to new drugs that would be covered and asks what she should do. What should you tell her? - ✔✔ANSW✔✔Every Part D drug plan is required to cover a single one -month fill of her existing medications sometime during a 90 -day transition period.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through EFT, credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying this summary from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Bestnursesteve. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy this summary for R380,65. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

64438 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy summaries for 14 years now

Start selling
R380,65
  • (2)
  Buy now