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AHIP Final Exam (Version 4, 50 Q & A)

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AHIP Final Exam (Version 4, 50 Q & A)

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Final Exam - Attempt 1

1
Marks: 1




Agent Higgins helps Mrs. O'Malley to enroll in AB Medicare Advantage (MA) plan during the
Annual Open Enrollment Period. Mrs. O'Malley's effective enrollment date is January 1st.
Subsequently, Mrs. O'Malley disenrolls on February 12th following a move outside the plan's
service area. What impact will this have on Agent Higgins compensation?

Choose one a. Agent Higgins entire compensation must be recouped because Mrs.
O’Malley has answer. disenrolled within 3 months of enrollment.
b. AB MA plan must recoup a pro rata amount of Agent Higgins’ compensation if
Mrs.
O’Malley subsequently enrolls in Original Medicare and Part D
c. AB MA plan does not have to recoup Agent Higgins’ compensation
because she has moved away from its service area.
d. AB MA plan must recoup a pro rata amount of Agent Higgins’
compensation and pay him only for the month of January.




2
Marks: 1




Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare prescription
drug plan because, although she is entitled to Part A, she is not enrolled under Medicare Part B.
What should you tell her?


Choose one a. Everyone who is entitled to Part A or enrolled under Part B is eligible to
enroll in a answer. Medicare prescription drug plan. As long as Mrs. Mulcahy is entitled to
Part A, she
does not need to enroll under Part B before enrolling in a prescription drug plan.
b. To qualify for enrollment into a Medicare prescription drug plan, Mrs.
Mulcahy must be entitled to Part A and enrolled under Part B. She should
contact her local Social Security office and make arrangements to enroll in
Part B prior to selecting a prescription drug plan.
c. Like all Medicare beneficiaries, Mrs. Mulcahy will be automatically
enrolled in a Medicare prescription drug plan when she turns 65. She will
have a six-month window during which she can select a plan other than the
one into which she has been automatically enrolled.
d. As long as Mrs. Mulcahy is 65, eligibility for a Medicare prescription drug
plan is not dependent on entitlement to Part A or enrollment under Part B,
so she should not be concerned.



3
Marks: 1




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