AHIP Test 2 Gary Corr Test 100% & Test 3
AHIP Test 2 Gary Corr Test 100% & Test 3
Test100% Corect
AgentGaryfromFlorida-TEST2sentmehisAHIP2020TestQuestionsandAnswers.
AtachedismyAHIPFinalExam–Igota98% onithefirstime.RealizethatIhavebendoingtheseAHIPexams
since2010andMedicareismyprimarybusines.IamsurprisedIgotanywrong.Notsurewhichansweris
incorect.Sincerely,AgentGary
(IbelievethatIfoundthewronganswer-pleasecomment)-PatyandSusanfoundthewronganswer-al50
questionsarenowansweredcorectly.
Question1.
Ms.Gibsonrecentlylostheremployergrouphealthanddrugcoverageandnowshewantstoenroll
inaPOthatdoesnotincludedrugcoverage.Whatshouldyoutellheraboutobtainingdrug coverage?
ShecanenrollinthePO,butshewillnotbeabletopurchaseastand-aloneMedicarePartD prescriptiondrugplan-Corect.
b.b.ShecanenrollinthePOandpurchasedrugcoveragethroughastand-aloneMedicarePart Dprescriptiondrugplan.
a.
c.c.ShecanenrollinthePOandpurchasedrugcoveragethroughaMedigapplan.
d.d.ShecanenrollinthePOandifshedecidesthatshewantsdrugcoverage,shewillbeable
todropherPOatanytimeinfavorofaMedicareAdvantageplanthatincludesuchdrug coverage
Question2.
Mr.ColehasbenaMedicaidbeneficiaryforsometime,andrecentlyqualifiedforMedicareas
well.Heisconcernedaboutchangesinhiscost-sharing.Whatshouldyoutellhim? a.Medicaidwillcoverhiscost-
sharing,regardlesofromwhichphysicianorhospitalhereceives hisMedicare-coveredservices.
b.HeshouldknowthatMedicaidwillpaycostsharingonlyforservicesprovidedbyMedicaid participatingproviders-Corect.
c.ForMedicaidbeneficiaries,Medicarereducesitscost-sharingamountstomatchthosechargedby
thestateMedicaidprogramsotherewillbenochangeinhiscost-sharingamounts.d.Medicaidwill
nolongerpayanycostsharingonceheiseligibleforMedicare,sohewillnedtorelyonlyon Medicareproviders
Question3.
Youhavedecidedtofocusondoingin-homepresentationstomarketheMedicareAdvantage(MA)
plansyourepresent.Beforeyouconductsuchsalespresentations,whatmustyoudo?
Youmustreceiveaninvitationfromthebeneficiaryanddocumenthespecifictypesof
a.
productsthebeneficiarywantstodiscuspriortomakinganin-homepresentation.
b.b.Thereisnospecialactionthatyoumustake.Iftheychoose,youmaygotoanindividual’s
housetoprovidepresentationsandofferasistancewithenrollinginaplan.
c.c.YoumustfirstcontactheMedicareagencytoensurethatheindividualisactuallya Medicarebeneficiary.
d.d.Aproperintroductionathedoorthatincludesadisclaimeregardingyourelationship
,AHIP Test 2 Gary Corr Test 100% & Test 3
withtheplanyourepresentistheonlyrequiredactionyoumustake,priortoenteringthe
,AHIP Test 2 Gary Corr Test 100% & Test 3
beneficiary’shome.
Question4.
Mr.RiverahasQualifiedMedicareBeneficiary(QMB)eligibilityandisthuscoveredbyboth
MedicareandMedicaid.HedecidestoenrollinaMedicareAdvantage(MA)POplan.Laterhe sesanout-of-
networkdoctortoreceiveaMedicarecoveredservice.Howmuchmaythedoctor collectfromMr.Rivera?
a.ThedoctormayonlycollectheamountallowableunderMedicareplus25percentbalancebilling.
b.ThedoctormayonlycollectheamountallowableunderMedicareAdvantage(MA)POplan costsharingfornon-QMBenrolles.
c.ThedoctormayonlycollectheamountallowableunderMedicareplus15percentbalancebilling.
dThedoctormayonlycollectfromMr.Riverathecostsharingallowableunderthestate’s Medicaidprogram
Question5 BMrs.ShieldsiscoveredbyOriginalMedicare.Shesustainedahipfractureandisbeing
sucesfulytreatedforthatcondition.However,sheandherphysiciansfelthatafterherlengthy
.
hospitalstayshewillnedamonthortwoofnursingandrehabilitativecare.Whatshouldyoutell
themaboutOriginalMedicare’scoverageofcareinaskillednursingfacility?
a.Onceshehasexpendedherliquidasets,Medicarewillcover80% ofMrs.Shields'long-term carecosts.
b.b.Medicarewillcoveranunlimitednumberofdaysinaskilled-nursingfacility,aslongasa
physiciancertifiesthatsuchcareisneded.
c.c.Mrs.ShieldswillhavetoapplyforMedicaidtohaveherskillednursingservicescovered
becauseMedicaredoesnotprovidesuchabenefit.
d d.MedicarewillcoverMrs.Shields'skillednursingservicesprovidedduringthefirst20days
.
ofherstay,afterwhichshewouldhaveacoinsuranceuntilshehasbeninthefacilityfor100 days
Question6.
Youareworkingwithanumberofplansandcommunityorganizationstosponsoraneducational
event.Whenputingtogetheradvertisementsforthisevent,whatshouldyoudo?
a.Youmustensurethatheadvertisementsindicateitisaneducationalevent,otherwiseitwillbe consideredamarketingevent.
b.Plansmaynotparticipateinadvertisingsuchanevent.Alladvertisingmustbedoneby communityorganizations.
c.Youmuststateintheadvertisementhatitwillbeaneducationaleventandthatheeducationwill
consistofspecificinformationaboutheparticipatingplans.
d.Youmustonlyensurethatheadvertisementisfactuallyacurate.
Question7.
YouarevisitingwithMr.Tullyandhisdaughteratherequest.HehasadvancedAlzheimer’sandis
incapableofunderstandingtheimplicationsofchoosingaMedicareAdvantageorprescriptiondrug
plan.Canhisdaughterfilloutheenrolmentformandsignitforhim?
, AHIP Test 2 Gary Corr Test 100% & Test 3
a.AsignatureisnotnecesarysinceMr.Tullyisnotphysicallyormentallycapableoffillingout andsigningtheform.b
b..Mr.Tully’sdaughtercandosobecausesheisanimmediatefamilymemberwhohastaken responsibilityforherfather’scare.
c.Mr.Tully’sdaughtercandosoonly,ifsheisauthorizedunderstatelawasacourt-
appointedlegalguardian,hasadurablepowerofatorneyforhealthcaredecisions,oris
c.
authorizedunderstatesurogateconsentlawstomakehealthdecisions.
d.d.IftheenrollmentformiscountersignedbyoneofMr.Tully’streatingphysicians,shecan signitforhim.
Question8.
Mrs.Chenwillbe65soon,hasbenacitizenfortwelveyears,hasbenemployedfulltime,and
paidtaxesduringthatentireperiod.Sheisconcernedthatshewillnotqualifyforcoverageunder
partAbecauseshewasnotbornintheUnitedStates.Whatshouldyoutellher?
a.Allindividualswhoarecitizensandoverage65willbecoveredunderPartA.
b.Mostindividualswhoarecitizensandoverage65andarecoveredunderPartAmustpaya monthlypremiumforthatcoverage.
c.Mostindividualswhoarecitizensandoverage65andwishtobecoveredunderPartAmust enrollinaMedicareHealthPlan.
d.Mostindividualswhoarecitizensandoverage65arecoveredunderPartAbyvirtueof
havingpaidMedicaretaxeswhileworking,thoughsomemaybecoveredasaresultofpaying monthlypremiums.
Question9.
Mr.Lopez,whoisfairlywell-offfinancially,wouldliketoenrollinaMedicareprescriptiondrug
planyourepresentandsimplygiveyouachecktocoverhispremiumsfortheentireyear.What shouldyoutellhim?
a.Hewillnedtomailinhispaymentwithhisenrollmentform
b.Youcantakehisfirstpayment,butafterthat,hewillnedtomakearangementstosendhis monthlypremiumpaymentotheplan
c.Thisisperfectlyaceptable.Youwillbehappytoforwardhispaymentotheplan.d.Enroles
shouldpayusingautomaticwithdrawalfromabankacountorcreditordebitcard,direct
monthlybillingfromtheplan,ordeductionsfromtheirSocialSecuritycheck.
dEnrolleshouldpayusingautomaticwithdrawalfromabankacountorcreditordebitcard,
.
directmonthlybillingfromtheplan,ordeductionsfromtheirSocialSecuritycheck
Question10.
Mrs.Patersonisanewenrolle intheHealthBestMedicareAdvantage(MA-PD)plan.Sheisnew
tothistypeofcoverageandasksyouwhatmaterials,ifany,sheshouldexpectoreceive.How wouldyoureply?
a.SheshouldexpectoreceiveEvidenceofCoverage(EOC)within21daysofconfirmationof enrollment.
b.Sheshouldexpectoreceivehardcopiesofboththeproviderandpharmacydirectories
automaticallywithin30daysofconfirmationofenrollment.
AHIP Test 2 Gary Corr Test 100% & Test 3
Test100% Corect
AgentGaryfromFlorida-TEST2sentmehisAHIP2020TestQuestionsandAnswers.
AtachedismyAHIPFinalExam–Igota98% onithefirstime.RealizethatIhavebendoingtheseAHIPexams
since2010andMedicareismyprimarybusines.IamsurprisedIgotanywrong.Notsurewhichansweris
incorect.Sincerely,AgentGary
(IbelievethatIfoundthewronganswer-pleasecomment)-PatyandSusanfoundthewronganswer-al50
questionsarenowansweredcorectly.
Question1.
Ms.Gibsonrecentlylostheremployergrouphealthanddrugcoverageandnowshewantstoenroll
inaPOthatdoesnotincludedrugcoverage.Whatshouldyoutellheraboutobtainingdrug coverage?
ShecanenrollinthePO,butshewillnotbeabletopurchaseastand-aloneMedicarePartD prescriptiondrugplan-Corect.
b.b.ShecanenrollinthePOandpurchasedrugcoveragethroughastand-aloneMedicarePart Dprescriptiondrugplan.
a.
c.c.ShecanenrollinthePOandpurchasedrugcoveragethroughaMedigapplan.
d.d.ShecanenrollinthePOandifshedecidesthatshewantsdrugcoverage,shewillbeable
todropherPOatanytimeinfavorofaMedicareAdvantageplanthatincludesuchdrug coverage
Question2.
Mr.ColehasbenaMedicaidbeneficiaryforsometime,andrecentlyqualifiedforMedicareas
well.Heisconcernedaboutchangesinhiscost-sharing.Whatshouldyoutellhim? a.Medicaidwillcoverhiscost-
sharing,regardlesofromwhichphysicianorhospitalhereceives hisMedicare-coveredservices.
b.HeshouldknowthatMedicaidwillpaycostsharingonlyforservicesprovidedbyMedicaid participatingproviders-Corect.
c.ForMedicaidbeneficiaries,Medicarereducesitscost-sharingamountstomatchthosechargedby
thestateMedicaidprogramsotherewillbenochangeinhiscost-sharingamounts.d.Medicaidwill
nolongerpayanycostsharingonceheiseligibleforMedicare,sohewillnedtorelyonlyon Medicareproviders
Question3.
Youhavedecidedtofocusondoingin-homepresentationstomarketheMedicareAdvantage(MA)
plansyourepresent.Beforeyouconductsuchsalespresentations,whatmustyoudo?
Youmustreceiveaninvitationfromthebeneficiaryanddocumenthespecifictypesof
a.
productsthebeneficiarywantstodiscuspriortomakinganin-homepresentation.
b.b.Thereisnospecialactionthatyoumustake.Iftheychoose,youmaygotoanindividual’s
housetoprovidepresentationsandofferasistancewithenrollinginaplan.
c.c.YoumustfirstcontactheMedicareagencytoensurethatheindividualisactuallya Medicarebeneficiary.
d.d.Aproperintroductionathedoorthatincludesadisclaimeregardingyourelationship
,AHIP Test 2 Gary Corr Test 100% & Test 3
withtheplanyourepresentistheonlyrequiredactionyoumustake,priortoenteringthe
,AHIP Test 2 Gary Corr Test 100% & Test 3
beneficiary’shome.
Question4.
Mr.RiverahasQualifiedMedicareBeneficiary(QMB)eligibilityandisthuscoveredbyboth
MedicareandMedicaid.HedecidestoenrollinaMedicareAdvantage(MA)POplan.Laterhe sesanout-of-
networkdoctortoreceiveaMedicarecoveredservice.Howmuchmaythedoctor collectfromMr.Rivera?
a.ThedoctormayonlycollectheamountallowableunderMedicareplus25percentbalancebilling.
b.ThedoctormayonlycollectheamountallowableunderMedicareAdvantage(MA)POplan costsharingfornon-QMBenrolles.
c.ThedoctormayonlycollectheamountallowableunderMedicareplus15percentbalancebilling.
dThedoctormayonlycollectfromMr.Riverathecostsharingallowableunderthestate’s Medicaidprogram
Question5 BMrs.ShieldsiscoveredbyOriginalMedicare.Shesustainedahipfractureandisbeing
sucesfulytreatedforthatcondition.However,sheandherphysiciansfelthatafterherlengthy
.
hospitalstayshewillnedamonthortwoofnursingandrehabilitativecare.Whatshouldyoutell
themaboutOriginalMedicare’scoverageofcareinaskillednursingfacility?
a.Onceshehasexpendedherliquidasets,Medicarewillcover80% ofMrs.Shields'long-term carecosts.
b.b.Medicarewillcoveranunlimitednumberofdaysinaskilled-nursingfacility,aslongasa
physiciancertifiesthatsuchcareisneded.
c.c.Mrs.ShieldswillhavetoapplyforMedicaidtohaveherskillednursingservicescovered
becauseMedicaredoesnotprovidesuchabenefit.
d d.MedicarewillcoverMrs.Shields'skillednursingservicesprovidedduringthefirst20days
.
ofherstay,afterwhichshewouldhaveacoinsuranceuntilshehasbeninthefacilityfor100 days
Question6.
Youareworkingwithanumberofplansandcommunityorganizationstosponsoraneducational
event.Whenputingtogetheradvertisementsforthisevent,whatshouldyoudo?
a.Youmustensurethatheadvertisementsindicateitisaneducationalevent,otherwiseitwillbe consideredamarketingevent.
b.Plansmaynotparticipateinadvertisingsuchanevent.Alladvertisingmustbedoneby communityorganizations.
c.Youmuststateintheadvertisementhatitwillbeaneducationaleventandthatheeducationwill
consistofspecificinformationaboutheparticipatingplans.
d.Youmustonlyensurethatheadvertisementisfactuallyacurate.
Question7.
YouarevisitingwithMr.Tullyandhisdaughteratherequest.HehasadvancedAlzheimer’sandis
incapableofunderstandingtheimplicationsofchoosingaMedicareAdvantageorprescriptiondrug
plan.Canhisdaughterfilloutheenrolmentformandsignitforhim?
, AHIP Test 2 Gary Corr Test 100% & Test 3
a.AsignatureisnotnecesarysinceMr.Tullyisnotphysicallyormentallycapableoffillingout andsigningtheform.b
b..Mr.Tully’sdaughtercandosobecausesheisanimmediatefamilymemberwhohastaken responsibilityforherfather’scare.
c.Mr.Tully’sdaughtercandosoonly,ifsheisauthorizedunderstatelawasacourt-
appointedlegalguardian,hasadurablepowerofatorneyforhealthcaredecisions,oris
c.
authorizedunderstatesurogateconsentlawstomakehealthdecisions.
d.d.IftheenrollmentformiscountersignedbyoneofMr.Tully’streatingphysicians,shecan signitforhim.
Question8.
Mrs.Chenwillbe65soon,hasbenacitizenfortwelveyears,hasbenemployedfulltime,and
paidtaxesduringthatentireperiod.Sheisconcernedthatshewillnotqualifyforcoverageunder
partAbecauseshewasnotbornintheUnitedStates.Whatshouldyoutellher?
a.Allindividualswhoarecitizensandoverage65willbecoveredunderPartA.
b.Mostindividualswhoarecitizensandoverage65andarecoveredunderPartAmustpaya monthlypremiumforthatcoverage.
c.Mostindividualswhoarecitizensandoverage65andwishtobecoveredunderPartAmust enrollinaMedicareHealthPlan.
d.Mostindividualswhoarecitizensandoverage65arecoveredunderPartAbyvirtueof
havingpaidMedicaretaxeswhileworking,thoughsomemaybecoveredasaresultofpaying monthlypremiums.
Question9.
Mr.Lopez,whoisfairlywell-offfinancially,wouldliketoenrollinaMedicareprescriptiondrug
planyourepresentandsimplygiveyouachecktocoverhispremiumsfortheentireyear.What shouldyoutellhim?
a.Hewillnedtomailinhispaymentwithhisenrollmentform
b.Youcantakehisfirstpayment,butafterthat,hewillnedtomakearangementstosendhis monthlypremiumpaymentotheplan
c.Thisisperfectlyaceptable.Youwillbehappytoforwardhispaymentotheplan.d.Enroles
shouldpayusingautomaticwithdrawalfromabankacountorcreditordebitcard,direct
monthlybillingfromtheplan,ordeductionsfromtheirSocialSecuritycheck.
dEnrolleshouldpayusingautomaticwithdrawalfromabankacountorcreditordebitcard,
.
directmonthlybillingfromtheplan,ordeductionsfromtheirSocialSecuritycheck
Question10.
Mrs.Patersonisanewenrolle intheHealthBestMedicareAdvantage(MA-PD)plan.Sheisnew
tothistypeofcoverageandasksyouwhatmaterials,ifany,sheshouldexpectoreceive.How wouldyoureply?
a.SheshouldexpectoreceiveEvidenceofCoverage(EOC)within21daysofconfirmationof enrollment.
b.Sheshouldexpectoreceivehardcopiesofboththeproviderandpharmacydirectories
automaticallywithin30daysofconfirmationofenrollment.
