AHIP FINAL EXAM TEST
QUESTIONS LATEST VERSION
2022-2025 / AHIP FINAL EXAM
TEST REAL EXAM QUESTIONS
AND ANSWERS GRADED A+
,Ms. Gardner is currently enrolled in an MA-PD plan.
However, she wants to disenroll from the MAPD plan and
instead enroll in a Part D only plan and go back to Original
Medicare. According to Medicare's enrollment guidelines,
when could she do this? -CORRECT ANSWER-- : She may
make such a change during the Annual Election Period that
runs from Oct. 15 to December 7, or during the MA Open
Enrollment Period which takes place from January 1- March
31 of each year (beginning in 2019).
Agent Lopez helps Ralph to enroll in Top Choice Medicare
Advantage plan during the Annual Open Enrollment Period.
Ralph's effective enrollment date is January 1st. Ralph
disenrolls on February 12th because he did not understand
that the plan did not cover services furnished by several of
his longtime providers. Which of the following statements
best describes the impact of Ralph's action upon Agent
Lopez's compensation? -CORRECT ANSWER-- Answer:
Agent Lopez's entire compensation must be recouped
because Ralph disenrolled within 3 months of enrollment.
Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through acupuncture.
She is concerned about whether or not Medicare will cover
these items and services. What should you tell her? - ANS-
, Medicare does not cover acupuncture, or, in general, glasses
or dentures.
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? - ANS-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.
Mr. Lombardi is interested in a Medicare Advantage (MA)
PPO plan that you represent. It is one of three plans
operated by the same organization in Mr. Lombardi's area.
The MA PPO plan does not include drug coverage, but the
other two plans do. Mr. Lombardi likes the PPO plan that
does not include drug coverage and intends to obtain his
drug coverage through a stand-alone Medicare prescription
drug plan. What should you tell him about this situation? -
ANS-He could enroll in one of the MA plans that include
prescription drug coverage or a Medigap plan and a stand-
alone prescription drug plan, but he cannot enroll in the MA-
only PPO plan and a stand-alone prescription drug plan.
QUESTIONS LATEST VERSION
2022-2025 / AHIP FINAL EXAM
TEST REAL EXAM QUESTIONS
AND ANSWERS GRADED A+
,Ms. Gardner is currently enrolled in an MA-PD plan.
However, she wants to disenroll from the MAPD plan and
instead enroll in a Part D only plan and go back to Original
Medicare. According to Medicare's enrollment guidelines,
when could she do this? -CORRECT ANSWER-- : She may
make such a change during the Annual Election Period that
runs from Oct. 15 to December 7, or during the MA Open
Enrollment Period which takes place from January 1- March
31 of each year (beginning in 2019).
Agent Lopez helps Ralph to enroll in Top Choice Medicare
Advantage plan during the Annual Open Enrollment Period.
Ralph's effective enrollment date is January 1st. Ralph
disenrolls on February 12th because he did not understand
that the plan did not cover services furnished by several of
his longtime providers. Which of the following statements
best describes the impact of Ralph's action upon Agent
Lopez's compensation? -CORRECT ANSWER-- Answer:
Agent Lopez's entire compensation must be recouped
because Ralph disenrolled within 3 months of enrollment.
Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through acupuncture.
She is concerned about whether or not Medicare will cover
these items and services. What should you tell her? - ANS-
, Medicare does not cover acupuncture, or, in general, glasses
or dentures.
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? - ANS-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.
Mr. Lombardi is interested in a Medicare Advantage (MA)
PPO plan that you represent. It is one of three plans
operated by the same organization in Mr. Lombardi's area.
The MA PPO plan does not include drug coverage, but the
other two plans do. Mr. Lombardi likes the PPO plan that
does not include drug coverage and intends to obtain his
drug coverage through a stand-alone Medicare prescription
drug plan. What should you tell him about this situation? -
ANS-He could enroll in one of the MA plans that include
prescription drug coverage or a Medigap plan and a stand-
alone prescription drug plan, but he cannot enroll in the MA-
only PPO plan and a stand-alone prescription drug plan.
