AHIP 2023 Final Exam Answers
1. When you market Medicare Advantage and Part D plans,
what may you offer as a gift to induce enrollment in a plan?:
You may provide gifts or prizes to all potential enrollees during an
event that does not exceed $15 in retail value.
2. By contacting plans available in your area, you have learned
that the plan you represent has a significantly lower monthly
premium than the others. Furthermore, you see that the plan
you represent has a unique benefits package. What should you
do to make sure your clients know about these pieces of
information?: You may make comparisons between plans if you
can support them by studies or statistical data and such comparisons
are factually based.
3. Mr. Cole has been a Medicaid beneficiary for some time, and
recently quali- fied for Medicare as well. He is concerned about
changes in his cost-sharing. What should you tell him?: He
should know that Medicaid will pay cost sharing only for services
provided by Medicaid participating providers.
4. If a beneficiary is enrolled in a stand-alone prescription
drug plan and wants to keep that plan, what type of Medicare
health plan could the in- dividual also enroll in, without being
automatically disenrolled from the stand-alone prescription
drug plan?: The beneficiary could enroll in a private fee-for-
service (PFFS) plan that does not include prescription drug coverage;
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1. When you market Medicare Advantage and Part D plans,
what may you offer as a gift to induce enrollment in a plan?:
You may provide gifts or prizes to all potential enrollees during an
event that does not exceed $15 in retail value.
2. By contacting plans available in your area, you have learned
that the plan you represent has a significantly lower monthly
premium than the others. Furthermore, you see that the plan
you represent has a unique benefits package. What should you
do to make sure your clients know about these pieces of
information?: You may make comparisons between plans if you
can support them by studies or statistical data and such comparisons
are factually based.
3. Mr. Cole has been a Medicaid beneficiary for some time, and
recently quali- fied for Medicare as well. He is concerned about
changes in his cost-sharing. What should you tell him?: He
should know that Medicaid will pay cost sharing only for services
provided by Medicaid participating providers.
4. If a beneficiary is enrolled in a stand-alone prescription
drug plan and wants to keep that plan, what type of Medicare
health plan could the in- dividual also enroll in, without being
automatically disenrolled from the stand-alone prescription
drug plan?: The beneficiary could enroll in a private fee-for-
service (PFFS) plan that does not include prescription drug coverage;
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