1/11/26, 5:05 PM AHIP Practice EXAM fully solved & updated 2026(latest version verified for accuracy) | 2026 Latest!! Flashcards | Quizlet
AHIP Practice EXAM fully solved & updated
2026(latest version verified for accuracy) | 2026
Latest!!
Save
Terms in this set (50)
Mr. Carlini has heard that Medicare Mr. Carlini can stay with Original Medicare and also
prescription drug plans are only enroll in a Medicare prescription drug plan through
offered through private companies a private company that has contracted with the
under a program known as Medicare government to provide only such drug coverage to
Advantage (MA), not by the eligible Medicare beneficiaries.
government. He likes Original
Medicare and does not want to sign
up for an MA product, but he also
wants prescription drug coverage.
What should you tell him?
During a sales presentation to Ms The Medicare Advantage plan received a 5-star
Daley for a Medicare Advantage rating in customer service and care coordination
plan that has a 5-star rating in with an overall performance rating of 4-stars
customer service and care
coordination, and received an
overall plan performance of a 4-star,
which of the following would be the
correct statement to say to her?
https://quizlet.com/1129303422/ahip-practice-exam-fully-solved-updated-2026latest-version-verified-for-accuracy-2026-latest-flash-cards/?new 1/16
,1/11/26, 5:05 PM AHIP Practice EXAM fully solved & updated 2026(latest version verified for accuracy) | 2026 Latest!! Flashcards | Quizlet
Mrs. Pena is 66 years old, has She may enroll at any time while she is covered
coverage under an employer plan under her employer plan, but she will have a
and will retire next year. She heard special eight-month enrollment period that differs
she must enroll in Part B at the from the standard general enrollment period,
beginning of the year to ensure no during which she may enroll in Medicare Part B
gap in coverage. What can you tell
her?
Mr. Bickford did not quite qualify for He could check with the manufacturers of his
the extra help low-income subsidy medications to see if they offer an assistance
under the Medicare Part D program to help people with limited means obtain
Prescription Drug program and he is the medications they need. Alternatively, he could
wondering if there is any other check to see whether his state has a pharmacy
option he has for obtaining help with assistance program to help him with his expenses.
his considerable drug costs. What
should you tell him?
Alice is a marketing representative Betty and Denise, but not Alice (the employee) or
employed by a health plan. Betty is a Carl or Edward (to whom exceptions apply).
captive agent of a health plan who
markets to multiple plans and
sponsors. Carl is a captive agent who
markets to only one plan/sponsor.
Denise is an independent agent who
markets to different types of groups.
Edward is an independent agent who
markets only to employer and union
groups. CMS marketing
representative compensation rules
generally apply to:
https://quizlet.com/1129303422/ahip-practice-exam-fully-solved-updated-2026latest-version-verified-for-accuracy-2026-latest-flash-cards/?new 2/16
, 1/11/26, 5:05 PM AHIP Practice EXAM fully solved & updated 2026(latest version verified for accuracy) | 2026 Latest!! Flashcards | Quizlet
Mrs. Valentino is currently enrolled in Mrs. Valentino can submit a written request to
a Medicare Cost plan. This plan is no Medicare to be disenrolled from the Cost plan and
longer meeting her needs, but it is enroll in Original Medicare.
now mid-year and past the annual
election period (AEP). What would
you say to Mrs. Valentino regarding
her options?
When Myra first became eligible for She should remain in Original Medicare until the
Medicare, she enrolled in Original annual election period running from October 15 to
Medicare (Parts A and B). She is now December 7, during which she can select an MA
67 and will turn 68 on July 1. She plan.
would now like to enroll in a
Medicare Advantage (MA) plan and
approaches you about her options.
What advice would you give her?
Mrs. Tanner is enrolled in a Medicare Mrs. Tanner can go to non-plan doctors for certain
Advantage HMO that offers a point services without receiving prior approval
of service options. This allows Mrs.
Tanner to do which of the following?
Agent Harriet Walker has recently Inquire whether the client qualifies for a special
begun marketing Medicare enrollment period, and if not, solicit an enrollment
Advantage and related products application once the annual open enrollment
aimed at meeting the needs of senior election period begins on October 15th.
citizens. Client Mildred Jones has
expressed interest in a Medicare
Advantage plan. It is now the
beginning of September. If you were
in Agent Walker's position, what
would you do?
https://quizlet.com/1129303422/ahip-practice-exam-fully-solved-updated-2026latest-version-verified-for-accuracy-2026-latest-flash-cards/?new 3/16
AHIP Practice EXAM fully solved & updated
2026(latest version verified for accuracy) | 2026
Latest!!
Save
Terms in this set (50)
Mr. Carlini has heard that Medicare Mr. Carlini can stay with Original Medicare and also
prescription drug plans are only enroll in a Medicare prescription drug plan through
offered through private companies a private company that has contracted with the
under a program known as Medicare government to provide only such drug coverage to
Advantage (MA), not by the eligible Medicare beneficiaries.
government. He likes Original
Medicare and does not want to sign
up for an MA product, but he also
wants prescription drug coverage.
What should you tell him?
During a sales presentation to Ms The Medicare Advantage plan received a 5-star
Daley for a Medicare Advantage rating in customer service and care coordination
plan that has a 5-star rating in with an overall performance rating of 4-stars
customer service and care
coordination, and received an
overall plan performance of a 4-star,
which of the following would be the
correct statement to say to her?
https://quizlet.com/1129303422/ahip-practice-exam-fully-solved-updated-2026latest-version-verified-for-accuracy-2026-latest-flash-cards/?new 1/16
,1/11/26, 5:05 PM AHIP Practice EXAM fully solved & updated 2026(latest version verified for accuracy) | 2026 Latest!! Flashcards | Quizlet
Mrs. Pena is 66 years old, has She may enroll at any time while she is covered
coverage under an employer plan under her employer plan, but she will have a
and will retire next year. She heard special eight-month enrollment period that differs
she must enroll in Part B at the from the standard general enrollment period,
beginning of the year to ensure no during which she may enroll in Medicare Part B
gap in coverage. What can you tell
her?
Mr. Bickford did not quite qualify for He could check with the manufacturers of his
the extra help low-income subsidy medications to see if they offer an assistance
under the Medicare Part D program to help people with limited means obtain
Prescription Drug program and he is the medications they need. Alternatively, he could
wondering if there is any other check to see whether his state has a pharmacy
option he has for obtaining help with assistance program to help him with his expenses.
his considerable drug costs. What
should you tell him?
Alice is a marketing representative Betty and Denise, but not Alice (the employee) or
employed by a health plan. Betty is a Carl or Edward (to whom exceptions apply).
captive agent of a health plan who
markets to multiple plans and
sponsors. Carl is a captive agent who
markets to only one plan/sponsor.
Denise is an independent agent who
markets to different types of groups.
Edward is an independent agent who
markets only to employer and union
groups. CMS marketing
representative compensation rules
generally apply to:
https://quizlet.com/1129303422/ahip-practice-exam-fully-solved-updated-2026latest-version-verified-for-accuracy-2026-latest-flash-cards/?new 2/16
, 1/11/26, 5:05 PM AHIP Practice EXAM fully solved & updated 2026(latest version verified for accuracy) | 2026 Latest!! Flashcards | Quizlet
Mrs. Valentino is currently enrolled in Mrs. Valentino can submit a written request to
a Medicare Cost plan. This plan is no Medicare to be disenrolled from the Cost plan and
longer meeting her needs, but it is enroll in Original Medicare.
now mid-year and past the annual
election period (AEP). What would
you say to Mrs. Valentino regarding
her options?
When Myra first became eligible for She should remain in Original Medicare until the
Medicare, she enrolled in Original annual election period running from October 15 to
Medicare (Parts A and B). She is now December 7, during which she can select an MA
67 and will turn 68 on July 1. She plan.
would now like to enroll in a
Medicare Advantage (MA) plan and
approaches you about her options.
What advice would you give her?
Mrs. Tanner is enrolled in a Medicare Mrs. Tanner can go to non-plan doctors for certain
Advantage HMO that offers a point services without receiving prior approval
of service options. This allows Mrs.
Tanner to do which of the following?
Agent Harriet Walker has recently Inquire whether the client qualifies for a special
begun marketing Medicare enrollment period, and if not, solicit an enrollment
Advantage and related products application once the annual open enrollment
aimed at meeting the needs of senior election period begins on October 15th.
citizens. Client Mildred Jones has
expressed interest in a Medicare
Advantage plan. It is now the
beginning of September. If you were
in Agent Walker's position, what
would you do?
https://quizlet.com/1129303422/ahip-practice-exam-fully-solved-updated-2026latest-version-verified-for-accuracy-2026-latest-flash-cards/?new 3/16
