STUDENTS SUCCESS
Revision Examination Tests
“Come all for this Greatness”
... 100% Correct Ans ...
AHIP 2020 FINAL EXAMINATION 2024-2025 ACTUAL EXAM COMPLETE -
QUESTIONS AND CORRECT DETAILED ANSWERS
Quiz Mr. Davies is turning 65 next month. He would like to enroll in a Medicare
health plan, but does not want to be limited in terms of where he obtains his care.
What should you tell him about how a Medicare Cost Plan might fit his needs?
Ans: a. Cost plan enrollees can choose to receive Medicare covered services under
the plan's benefits by going to plan network providers and paying plan cost sharing,
or may receive services from non-network providers and pay cost-sharing due under
Original Medicare.
Quiz b. Ms. Lopez is considered a marketing representative of Best Care and thus is
obligated to comply with CMS marketing requirements, including those regarding
using only approved call scripts.
Ans: Ms. Lopez is an independent agent under contract with MarketCo, a third-party
marketing organization. MarketCo has a contract with BestCare health plan, a
Medicare Advantage (MA) organization, to offer marketing services through its
contracted agents and agencies. Ms. Lopez returns calls to individuals who contact
MarketCo in response to its mailers promoting BestCare health plan. Which of the
following best describes the responsibilities of Ms. Lopez?
a. Ms. Lopez is considered a marketing representative of BestCare but is exempt
from the marketing rules regarding approved call scripts because she works directly
for MarketCo.
b. Ms. Lopez is considered a marketing representative of BestCare and thus is
obligated to comply with CMS marketing requirements, including those regarding
using only approved call scripts.
,c. Ms. Lopez no longer needs to be concerned about state licensure since she is
marketing an MA product subject to federal rules.
d. Ms. Lopez needs to maintain state l
Quiz Mr. Edwards, a marketing representative of the ACME Insurance Company,
scheduled a marketing event and expects about 40 people to attend. He has hired a
magician at a cost of $200 to entertain attendees. Can he do this in a way that
complies with guidance from the Medicare agency?
Ans: a. He can do this because the estimated number of attendees is based on the
venue size and response rate and the value of the gift does not exceed $15.
Quiz Mrs. Ramos is considering a Medicare Advantage PPO and has questions
about which providers she can go to for her health care. What should you tell her?
Ans: b. Mrs. Ramos can obtain care from any provider who participates in Original
Medicare, but generally will have a higher cost-sharing amount if she sees a provider
who/that is not a part of the PPO network.
Quiz Julia Harris is turning 66 in July, at which time she will retire. She has contacted
your office and requested a meeting so that she can learn about Medicare and the
products you represent. How should you respond?
Ans: c. Tell Julia that you will meet with her to explain Medicare and should she be
interested you can accept and submit an enrollment request, since this is an initial
enrollment qualifying her for a special enrollment period.
Quiz Mr. Rivera has Qualified Medicare Beneficiary (QMB) eligibility and is thus
covered by both Medicare and Medicaid. He decides to enroll in a Medicare
Advantage (MA) PPO plan. Later he sees an out-of-network doctor to receive a
Medicare covered service. How much The doctor may only collect from Mr. Rivera
the cost sharing allowable under the state's Medicaid program.may the doctor collect
from Mr. Rivera?
Ans: The doctor may only collect from Mr. Rivera the cost sharing allowable under
the state's Medicaid program.
Quiz During a sales presentation in Ms. Sullivan's home, she tells you that she has
heard about a type of Medicare health plan known as Private Fee-for-Service
(PFFS). She wants to know if this would be available to her. What should you tell her
about PFFS plans?
Ans:
Quiz Choose one answer.
Ans:
,Quiz
Ans: a. A PFFS plan is a type of Medicare Supplement plan and she may enroll in
one if it is available in her area.
Quiz
Ans: b. A PFFS plan is exactly the same as Original Medicare, only offered by a
private entity and she may enroll in one if it is available in her area.
Quiz
Ans: c. PFFS plans are designed to cover only prescription drugs and if that is the
type of coverage she wants, she may enroll in one if it is available in her area.
Quiz
Ans: d. A PFFS plan is one of the various types of Medicare Advantage plans
offered by private entities and she may enroll in one if it is available in her area.
Quiz Question8
Ans:
Quiz Marks: 1
Ans:
Quiz During an appointment scheduled to discuss a Medicare Advantage
Prescription Drug plan (MA-PD), Mr. Peters asked his agent to describe a stand-
alone prescription drug plan (Part D plan) that his neighbor told him about. What
should his agent do?
Ans:
Quiz Choose one answer.
Ans:
Quiz
Ans: a. Since Mr. Peters requested a description of the Part D plan, his agent must
leave the Part D plan brochure, but not an enrollment form, and would have to
schedule another appointment after at least 48 hours have passed to discuss the
Part D plan with Mr. Peters.
Quiz
Ans: b. Since Mr. Peters requested a description of the Part D plan, his agent must
have Mr. Peters sign a new scope of appointment form that includes Part D, and
, then the agent may discuss the Part D plan so Mr. Peters can compare plans and
make an informed enrollment choice during the appointment.
Quiz
Ans: c. Since Mr. Peters requested a description of the Part D plan, his agent must
inform Mr. Peters that he can only sign up for the MA-PD plan and cannot receive a
brochure or any other information about the Part D plan now because he did not
agree in advance to discuss that plan
Quiz
Ans: d. Since Mr. Peters requested a description of the Part D plan, his agent must
discuss both the Part D and the MA-PD plans and return after at least 48 hours to
complete the Part D plan enrollment form with Mr. Peters.
Quiz Question9
Ans:
Quiz Marks: 1
Ans:
Quiz Mr. Torres has a small savings account. He would like to pay for his monthly
Part D premiums with an automatic monthly withdrawal from his savings account
until it is exhausted, and then have his premiums withheld from his Social Security
check. What should you tell him?
Ans:
Quiz Choose one answer.
Ans:
Quiz
Ans: a. In general, he must select a single Part D premium payment mechanism that
will be used throughout the year.
Quiz
Ans: b. As long as he fills out the paperwork to begin withholding from his Social
Security check at least 63 days before such withholding should begin, he can
change his method of Part D premium payment and withholding will begin the month
after his savings account is exhausted.
Quiz
Revision Examination Tests
“Come all for this Greatness”
... 100% Correct Ans ...
AHIP 2020 FINAL EXAMINATION 2024-2025 ACTUAL EXAM COMPLETE -
QUESTIONS AND CORRECT DETAILED ANSWERS
Quiz Mr. Davies is turning 65 next month. He would like to enroll in a Medicare
health plan, but does not want to be limited in terms of where he obtains his care.
What should you tell him about how a Medicare Cost Plan might fit his needs?
Ans: a. Cost plan enrollees can choose to receive Medicare covered services under
the plan's benefits by going to plan network providers and paying plan cost sharing,
or may receive services from non-network providers and pay cost-sharing due under
Original Medicare.
Quiz b. Ms. Lopez is considered a marketing representative of Best Care and thus is
obligated to comply with CMS marketing requirements, including those regarding
using only approved call scripts.
Ans: Ms. Lopez is an independent agent under contract with MarketCo, a third-party
marketing organization. MarketCo has a contract with BestCare health plan, a
Medicare Advantage (MA) organization, to offer marketing services through its
contracted agents and agencies. Ms. Lopez returns calls to individuals who contact
MarketCo in response to its mailers promoting BestCare health plan. Which of the
following best describes the responsibilities of Ms. Lopez?
a. Ms. Lopez is considered a marketing representative of BestCare but is exempt
from the marketing rules regarding approved call scripts because she works directly
for MarketCo.
b. Ms. Lopez is considered a marketing representative of BestCare and thus is
obligated to comply with CMS marketing requirements, including those regarding
using only approved call scripts.
,c. Ms. Lopez no longer needs to be concerned about state licensure since she is
marketing an MA product subject to federal rules.
d. Ms. Lopez needs to maintain state l
Quiz Mr. Edwards, a marketing representative of the ACME Insurance Company,
scheduled a marketing event and expects about 40 people to attend. He has hired a
magician at a cost of $200 to entertain attendees. Can he do this in a way that
complies with guidance from the Medicare agency?
Ans: a. He can do this because the estimated number of attendees is based on the
venue size and response rate and the value of the gift does not exceed $15.
Quiz Mrs. Ramos is considering a Medicare Advantage PPO and has questions
about which providers she can go to for her health care. What should you tell her?
Ans: b. Mrs. Ramos can obtain care from any provider who participates in Original
Medicare, but generally will have a higher cost-sharing amount if she sees a provider
who/that is not a part of the PPO network.
Quiz Julia Harris is turning 66 in July, at which time she will retire. She has contacted
your office and requested a meeting so that she can learn about Medicare and the
products you represent. How should you respond?
Ans: c. Tell Julia that you will meet with her to explain Medicare and should she be
interested you can accept and submit an enrollment request, since this is an initial
enrollment qualifying her for a special enrollment period.
Quiz Mr. Rivera has Qualified Medicare Beneficiary (QMB) eligibility and is thus
covered by both Medicare and Medicaid. He decides to enroll in a Medicare
Advantage (MA) PPO plan. Later he sees an out-of-network doctor to receive a
Medicare covered service. How much The doctor may only collect from Mr. Rivera
the cost sharing allowable under the state's Medicaid program.may the doctor collect
from Mr. Rivera?
Ans: The doctor may only collect from Mr. Rivera the cost sharing allowable under
the state's Medicaid program.
Quiz During a sales presentation in Ms. Sullivan's home, she tells you that she has
heard about a type of Medicare health plan known as Private Fee-for-Service
(PFFS). She wants to know if this would be available to her. What should you tell her
about PFFS plans?
Ans:
Quiz Choose one answer.
Ans:
,Quiz
Ans: a. A PFFS plan is a type of Medicare Supplement plan and she may enroll in
one if it is available in her area.
Quiz
Ans: b. A PFFS plan is exactly the same as Original Medicare, only offered by a
private entity and she may enroll in one if it is available in her area.
Quiz
Ans: c. PFFS plans are designed to cover only prescription drugs and if that is the
type of coverage she wants, she may enroll in one if it is available in her area.
Quiz
Ans: d. A PFFS plan is one of the various types of Medicare Advantage plans
offered by private entities and she may enroll in one if it is available in her area.
Quiz Question8
Ans:
Quiz Marks: 1
Ans:
Quiz During an appointment scheduled to discuss a Medicare Advantage
Prescription Drug plan (MA-PD), Mr. Peters asked his agent to describe a stand-
alone prescription drug plan (Part D plan) that his neighbor told him about. What
should his agent do?
Ans:
Quiz Choose one answer.
Ans:
Quiz
Ans: a. Since Mr. Peters requested a description of the Part D plan, his agent must
leave the Part D plan brochure, but not an enrollment form, and would have to
schedule another appointment after at least 48 hours have passed to discuss the
Part D plan with Mr. Peters.
Quiz
Ans: b. Since Mr. Peters requested a description of the Part D plan, his agent must
have Mr. Peters sign a new scope of appointment form that includes Part D, and
, then the agent may discuss the Part D plan so Mr. Peters can compare plans and
make an informed enrollment choice during the appointment.
Quiz
Ans: c. Since Mr. Peters requested a description of the Part D plan, his agent must
inform Mr. Peters that he can only sign up for the MA-PD plan and cannot receive a
brochure or any other information about the Part D plan now because he did not
agree in advance to discuss that plan
Quiz
Ans: d. Since Mr. Peters requested a description of the Part D plan, his agent must
discuss both the Part D and the MA-PD plans and return after at least 48 hours to
complete the Part D plan enrollment form with Mr. Peters.
Quiz Question9
Ans:
Quiz Marks: 1
Ans:
Quiz Mr. Torres has a small savings account. He would like to pay for his monthly
Part D premiums with an automatic monthly withdrawal from his savings account
until it is exhausted, and then have his premiums withheld from his Social Security
check. What should you tell him?
Ans:
Quiz Choose one answer.
Ans:
Quiz
Ans: a. In general, he must select a single Part D premium payment mechanism that
will be used throughout the year.
Quiz
Ans: b. As long as he fills out the paperwork to begin withholding from his Social
Security check at least 63 days before such withholding should begin, he can
change his method of Part D premium payment and withholding will begin the month
after his savings account is exhausted.
Quiz
