AHIP Final Exam Questions LATEST 2025/ 2026
TEST BANK| COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+
(BRAND NEW!!)
Save
Terms in this set (28)
Types of Medicare Advantage Plans PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans Serve both Medicare and Medicaid individuals.
Include Part D coverage. Individuals sometimes
referred to as dual eligibles
Medicare Cost Plan 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 - Individuals with ESRD may sign up at anytime. Date
Part A & Part B on which coverage begins is the fourth month after
dialysis begins.
, Medicare Enrollment Period 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 Individuals who have group health coveage
Health Coverage 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 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 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.
Medicare Part B Premium In 2019, the standard monthly premium is $135.50 or
higher depending on income. Deducted from S.S.
check or Railroad Retirement check. Do not enroll
when first eligible, premium is increased 10% for
each 12 month period not enrolled. Deductible for
2019 is $185.00
Part C Medicare Advantage plans Entiled to benefits under Part A AND enrolled in
Part B.
TEST BANK| COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+
(BRAND NEW!!)
Save
Terms in this set (28)
Types of Medicare Advantage Plans PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans Serve both Medicare and Medicaid individuals.
Include Part D coverage. Individuals sometimes
referred to as dual eligibles
Medicare Cost Plan 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 - Individuals with ESRD may sign up at anytime. Date
Part A & Part B on which coverage begins is the fourth month after
dialysis begins.
, Medicare Enrollment Period 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 Individuals who have group health coveage
Health Coverage 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 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 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.
Medicare Part B Premium In 2019, the standard monthly premium is $135.50 or
higher depending on income. Deducted from S.S.
check or Railroad Retirement check. Do not enroll
when first eligible, premium is increased 10% for
each 12 month period not enrolled. Deductible for
2019 is $185.00
Part C Medicare Advantage plans Entiled to benefits under Part A AND enrolled in
Part B.
