AHIP MEDICARE BUNDLE ALL EXAMS COMPILED AND FULLY SOLVED BY EXPERTS 2024.

Medicare plan means -Answer A MA plan, MA-PD plan or PDP Subcontractor means -Answer **An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals or organizati...

Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to the benefits package of a Medicare Advantage Plan before she starts looking at specific plans. What could you tell her? - Answer Medicare Advantage Plans may offer extra benefits that Original Medicare d...

Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided under Original Medicare. What should you tell Mr. Xi that best describes the health coverage provided to Medicare beneficiaries? a. Medicare Part B generally provides prescription drug coverage. b. Bene...

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? - Answer Mr. Zachow has a right to request a formulary exception t...

A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss her options under the Medicare Advantage program. Before engaging in such a discussion, what should you do? - Answer You must have her sign a scope of appointment form, indicating which products...

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? - Answer Medicare does not cover acupuncture, or, in general, glasses or ...

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? -Answer He will need to mail in his payment with his enrollment form. Mrs. Cho...

Willard works as a representative focused on the senior marketplace. What would be considered prohibited activity by Willard? - Answer Implying that only seniors can enroll in a Medicare Advantage plan when meeting with Mr. Hernandez, who is 58 but qualifies for Medicare because he is disabled. ...

Mr. Prentice has many clients who are Medicare beneficiaries. He should review the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he is compliant for which type of products? - Answer Medicare Advantage (MA) and Prescription Drug (PDP) plans Correct Another agent work...

Mr. Greco is in excellent health, lives in his own home, and has a sizeable income from his investments. He has a friend enrolled in a Medicare Advantage Special Needs Plan (SNP). His friend has mentioned that the SNP charges very low cost-sharing amounts and Mr. Greco would like to join that plan. ...

Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access providers. What should you tell him? Choose one answer. a. In Medicare Advantage HMO plans, services provided by primary care physicians are covered at 100%, but those of specialists are covered at ...

Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and paid taxes during that entire period. She is concerned that she will not qualify for coverage under part A because she was not born in the United States. What should you tell her? Choose one answer. ...

Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him? - Answer He may sign-up for Medicare at any time however coverage usually begins on the fourth...

Ms. Jensen has heard about "Original Fee-for-Service Medicare" and "Private Fee-for-Service" plans. She wants to know what the difference is if any. What should you tell her? - Answer PFFS plans are a type of Medicare Advantage plan offered by private companies. This year you decide to foc...