AH IP Pr actice Exam Questions and Answ er s
1. Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage
(MA), not by the 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?
Answer Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan
through a private company that has contracted with the government to provide only such drug coverage to eligible
Medicare beneficiaries.
2. During a sales presentation to Ms Daley for a Medicare Advantage plan that
has a 5-star rating in 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?
Answer The Medicare Advantage plan received a 5-star rating in customer service and care coordination with
an overall performance rating of 4-stars
3. Mrs. Pena is 66 years old, has coverage under an employer plan and will retire
next year. She heard she must enroll in Part B at the beginning of the year to
ensure no gap in coverage. What can you tell her?
Answer She may enroll at any time while she
1/
17
,is covered under her employer plan, but she will have a special eight-month enrollment period that differs from the
standard general enrollment period, during which she may enroll in Medicare Part B
4. Mr. Bickford did not quite qualify for the extra help low-income subsidy under
the Medicare Part D Prescription Drug program and he is wondering if there
is any other option he has for obtaining help with his considerable drug costs.
What should you tell him?
Answer He could check with the manufacturers of his medications to see if they otter an assistance program to
help people with limited means obtain the medications they need. Alternatively, he could check to see whether his
state has a pharmacy assistance program to help him with his expenses.
5. Alice is a marketing representative employed by a health plan. Betty is a
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
Answer
Betty and Denise, but not Alice (the employee) or Carl or Edward (to whom exceptions apply).
6. Mrs. Valentino is currently enrolled in a Medicare Cost plan. This plan is no
longer meeting her needs, but it is now mid-year and past the annual election
period (AEP). What would you say to Mrs. Valentino regarding her options?
2/
17
, Answer Mrs. Valentino can submit a written request to Medicare to be disenrolled from the Cost plan and enroll in
Original Medicare.
7. When Myra first became eligible for Medicare, she enrolled in Original
Medicare (Parts A and B). She is now 67 and will turn 68 on July 1. She would
now like to enroll in a Medicare Advantage (MA) plan and approaches you about
her options. What advice would you give her?
Answer She should remain in Original Medicare until the annual election period running from
October 15 to December 7, during which she can select an MA plan.
8. Mrs. Tanner is enrolled in a Medicare Advantage HMO that offers a point of
service options. This allows Mrs. Tanner to do which of the following?
Answer Mrs. Tanner can go to non-plan doctors for certain services without receiving prior approval
9. Agent Harriet Walker has recently begun marketing Medicare Advantage
and related products aimed at meeting the needs of senior 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?
Answer Inquire whether the client qualifies for a special enrollment period, and if not, solicit an enrollment
application once the annual open enrollment election period begins on October 15th.
10. Mrs. Chen will be 65 soon, has been a citizen for twelve years, has
3/
17
1. Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage
(MA), not by the 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?
Answer Mr. Carlini can stay with Original Medicare and also enroll in a Medicare prescription drug plan
through a private company that has contracted with the government to provide only such drug coverage to eligible
Medicare beneficiaries.
2. During a sales presentation to Ms Daley for a Medicare Advantage plan that
has a 5-star rating in 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?
Answer The Medicare Advantage plan received a 5-star rating in customer service and care coordination with
an overall performance rating of 4-stars
3. Mrs. Pena is 66 years old, has coverage under an employer plan and will retire
next year. She heard she must enroll in Part B at the beginning of the year to
ensure no gap in coverage. What can you tell her?
Answer She may enroll at any time while she
1/
17
,is covered under her employer plan, but she will have a special eight-month enrollment period that differs from the
standard general enrollment period, during which she may enroll in Medicare Part B
4. Mr. Bickford did not quite qualify for the extra help low-income subsidy under
the Medicare Part D Prescription Drug program and he is wondering if there
is any other option he has for obtaining help with his considerable drug costs.
What should you tell him?
Answer He could check with the manufacturers of his medications to see if they otter an assistance program to
help people with limited means obtain the medications they need. Alternatively, he could check to see whether his
state has a pharmacy assistance program to help him with his expenses.
5. Alice is a marketing representative employed by a health plan. Betty is a
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
Answer
Betty and Denise, but not Alice (the employee) or Carl or Edward (to whom exceptions apply).
6. Mrs. Valentino is currently enrolled in a Medicare Cost plan. This plan is no
longer meeting her needs, but it is now mid-year and past the annual election
period (AEP). What would you say to Mrs. Valentino regarding her options?
2/
17
, Answer Mrs. Valentino can submit a written request to Medicare to be disenrolled from the Cost plan and enroll in
Original Medicare.
7. When Myra first became eligible for Medicare, she enrolled in Original
Medicare (Parts A and B). She is now 67 and will turn 68 on July 1. She would
now like to enroll in a Medicare Advantage (MA) plan and approaches you about
her options. What advice would you give her?
Answer She should remain in Original Medicare until the annual election period running from
October 15 to December 7, during which she can select an MA plan.
8. Mrs. Tanner is enrolled in a Medicare Advantage HMO that offers a point of
service options. This allows Mrs. Tanner to do which of the following?
Answer Mrs. Tanner can go to non-plan doctors for certain services without receiving prior approval
9. Agent Harriet Walker has recently begun marketing Medicare Advantage
and related products aimed at meeting the needs of senior 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?
Answer Inquire whether the client qualifies for a special enrollment period, and if not, solicit an enrollment
application once the annual open enrollment election period begins on October 15th.
10. Mrs. Chen will be 65 soon, has been a citizen for twelve years, has
3/
17
