AHIP Practice Exam Questions with
Verified Answers
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? ✔✔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.
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? ✔✔The Medicare
Advantage plan received a 5-star rating in customer service and care coordination with an overall
performance rating of 4-stars
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? ✔✔She may enroll at any time while she 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
, 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? ✔✔He could check
with the manufacturers of his medications to see if they offer 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.
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: ✔✔Betty and Denise, but not
Alice (the employee) or Carl or Edward (to whom exceptions apply).
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? ✔✔Mrs. Valentino can submit a written request to
Medicare to be disenrolled from the Cost plan and enroll in Original Medicare.
Verified Answers
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? ✔✔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.
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? ✔✔The Medicare
Advantage plan received a 5-star rating in customer service and care coordination with an overall
performance rating of 4-stars
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? ✔✔She may enroll at any time while she 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
, 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? ✔✔He could check
with the manufacturers of his medications to see if they offer 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.
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: ✔✔Betty and Denise, but not
Alice (the employee) or Carl or Edward (to whom exceptions apply).
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? ✔✔Mrs. Valentino can submit a written request to
Medicare to be disenrolled from the Cost plan and enroll in Original Medicare.
