AHIP Final Exam Questions With Best Answers
Types of Medicare Advantage Plans - CORRECT ANS-PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - CORRECT ANS-Serve both Medicare and Medicaid individuals. Include Part D
coverage. Individuals sometimes referred to as dual eligibles
Medicare Cost Plan - CORRECT ANS-Type of Medicare health plan. Have Part B to enroll. Can join
anytime plan is accepting new members. A non network provider will can charge higher coinsurances
and deuctibles. Different enrollment/disenrollment periods apply. Can get Part D Rx coverage if
available, or apply for a separate PDP.
Medicare Entitlement/Enrollment - Part A & Part B - CORRECT ANS-Individuals with ESRD may sign up at
anytime. Date on which coverage begins is the fourth month after dialysis begins.
Medicare Enrollment Period - CORRECT ANS-Individuals who do not enroll in Part B when first eligible
can enroll during a General Enrollment Period, Jan 1st to Mar 31st each year. Coverage begins July 1st of
that year.
Medicare Enrollment Period - Group Health Coverage - CORRECT ANS-Individuals who have group health
coveage through employer may enroll in Part A and/or Part B anytime while on group coverage during a
Special Enrollment Period. Occurs during the 8 month period following last month of group coverage.
Medicare Part A Premium - CORRECT ANS-Free if worked 40 quarters of your life and paid Medicare
taxes. Premium is $240.00 for individuals or spouses who paid Medicare taxes for 30 - 39 quarters.
Premium is $437.00 for less than 30 quarters.
Medicare Part A Penalty - CORRECT ANS-Don't enroll in Part A when fist eligible, will pay a late penalty
of up to 10% unless enroll during a Special Enrollment Period.
Medicare Part B Premium - CORRECT ANS-In 2019, the standard monthly premium is $135.50 or higher
depending on income. Deducted from S.S. check or Railroad Retirement check. Do not enroll when first
eligible, premium is increased 10% for each 12 month period not enrolled. Deductible for 2019 is
$185.00
Types of Medicare Advantage Plans - CORRECT ANS-PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans - CORRECT ANS-Serve both Medicare and Medicaid individuals. Include Part D
coverage. Individuals sometimes referred to as dual eligibles
Medicare Cost Plan - CORRECT ANS-Type of Medicare health plan. Have Part B to enroll. Can join
anytime plan is accepting new members. A non network provider will can charge higher coinsurances
and deuctibles. Different enrollment/disenrollment periods apply. Can get Part D Rx coverage if
available, or apply for a separate PDP.
Medicare Entitlement/Enrollment - Part A & Part B - CORRECT ANS-Individuals with ESRD may sign up at
anytime. Date on which coverage begins is the fourth month after dialysis begins.
Medicare Enrollment Period - CORRECT ANS-Individuals who do not enroll in Part B when first eligible
can enroll during a General Enrollment Period, Jan 1st to Mar 31st each year. Coverage begins July 1st of
that year.
Medicare Enrollment Period - Group Health Coverage - CORRECT ANS-Individuals who have group health
coveage through employer may enroll in Part A and/or Part B anytime while on group coverage during a
Special Enrollment Period. Occurs during the 8 month period following last month of group coverage.
Medicare Part A Premium - CORRECT ANS-Free if worked 40 quarters of your life and paid Medicare
taxes. Premium is $240.00 for individuals or spouses who paid Medicare taxes for 30 - 39 quarters.
Premium is $437.00 for less than 30 quarters.
Medicare Part A Penalty - CORRECT ANS-Don't enroll in Part A when fist eligible, will pay a late penalty
of up to 10% unless enroll during a Special Enrollment Period.
Medicare Part B Premium - CORRECT ANS-In 2019, the standard monthly premium is $135.50 or higher
depending on income. Deducted from S.S. check or Railroad Retirement check. Do not enroll when first
eligible, premium is increased 10% for each 12 month period not enrolled. Deductible for 2019 is
$185.00
