AHIP 2026 Final Exam Questions and Answers
() (Verified Answers)
Types of Medicare Advantage Plans - VERIFIED ANSWER- PPO,
HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - VERIFIED ANSWER- Serve both
Medicare and Medicaid individuals. Include Part D coverage.
Individuals sometimes referred to as dual eligibles
Medicare Cost Plan - VERIFIED ANSWER- 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
coinsurances and deuctibles. Different enrollment/disenrollment
periods apply. Can get Part D Rx coverage if available, or apply
for a separate PDP.
Medicare Entitlement/Enrollment - Part A & Part B - VERIFIED
ANSWER- Individuals with ESRD may sign up at anytime. Date on
which coverage begins is the fourth month after dialysis begins.
, Medicare Enrollment Period - VERIFIED ANSWER- 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.
Medicare Enrollment Period - Group Health Coverage - VERIFIED
ANSWER- 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.
Medicare Part A Premium - VERIFIED ANSWER- 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 quarters. Premium is $437.00 for less than 30 quarters.
Medicare Part A Penalty - VERIFIED ANSWER- 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.
() (Verified Answers)
Types of Medicare Advantage Plans - VERIFIED ANSWER- PPO,
HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - VERIFIED ANSWER- Serve both
Medicare and Medicaid individuals. Include Part D coverage.
Individuals sometimes referred to as dual eligibles
Medicare Cost Plan - VERIFIED ANSWER- 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
coinsurances and deuctibles. Different enrollment/disenrollment
periods apply. Can get Part D Rx coverage if available, or apply
for a separate PDP.
Medicare Entitlement/Enrollment - Part A & Part B - VERIFIED
ANSWER- Individuals with ESRD may sign up at anytime. Date on
which coverage begins is the fourth month after dialysis begins.
, Medicare Enrollment Period - VERIFIED ANSWER- 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.
Medicare Enrollment Period - Group Health Coverage - VERIFIED
ANSWER- 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.
Medicare Part A Premium - VERIFIED ANSWER- 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 quarters. Premium is $437.00 for less than 30 quarters.
Medicare Part A Penalty - VERIFIED ANSWER- 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.
