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AHIP FINAL EXAM TEST QUESTIONS AND CORRECT
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DETAILED ANSWERS COMPLETE SOLUTION 2023-2024
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ALREADY GRADED A+
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Mr. Davis is 52 years old and has recently been diagnosed with
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end-stage renal disease (ESRD) and will soon begin dialysis. He
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is wondering if he can obtain coverage under Medicare. What
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should you tell him? - CORRECT ANSWER-He may sign-up for
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Medicare at any time however coverage usually begins on the
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fourth month after dialysis treatments start.
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Mr. Johannsen is entitled to Medicare Part A and Part B. He
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gains the Part D low-income subsidy. How does that affect his
ability to enroll or disenroll in a Part D plan? - CORRECT
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ANSWER-He qualifies for a special election period and can
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enroll in or disenroll from a Part D plan once during that period.
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Mr. Lopez, who is fairly well-off financially, would like to enroll
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in a Medicare prescription drug plan you represent and simply
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give you a check to cover his premiums for the entire year.
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What should you tell him? - CORRECT ANSWER-Enrollees should
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pay using automatic withdrawal from a bank account or credit
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or debit card, direct monthly billing from the plan, or
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deductions from their Social Security check.
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You have approached a hospital administrator about marketing
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in her facility. The administrator is uncomfortable with the
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suggestion. How could you address her concerns? - CORRECT
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ANSWER-Tell her that Medicare guidelines allow you to conduct
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marketing activities in common areas of a provider's facility.
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You have come to Mrs. Midler's home for a sales presentation.
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At the beginning of the presentation, Mrs. Midler tells you that
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she has a copy of her medical record available because she
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thinks this will help you understand her needs. She suggests
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that you will know which questions to ask her about her health
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status in order to best assist her in selecting a plan. What
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should you do? - CORRECT ANSWER-You can only ask Mrs.
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Midler questions about conditions that affect eligibility,
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specifically, whether she has end stage renal disease or one of
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the conditions that would qualify her for a special needs plan.
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Mrs. Reeves is newly eligible to enroll in a Medicare
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Advantage plan and her MA Initial Coverage Election Period
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(ICEP) has just begun. Which of the following can she not do
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during the ICEP? - CORRECT ANSWER-She can enroll in a
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Medigap plan to supplement the benefits of the MA plan that
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she's also enrolling in.
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Mrs. West wears glasses and dentures and has enjoyed
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considerable pain relief from arthritis through acupuncture. She
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is concerned about whether or not Medicare will cover these
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items and services. What should you tell her? -
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CORRECT ANSWER-Medicare does not cover acupuncture, or, in
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general, glasses or dentures.
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Mr. Bickford did not quite qualify for the extra help low income
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subsidy under the Medicare Part D Prescription Drug program
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and he is wondering if there is any other option he has for
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obtaining help with his considerable drug costs. What should
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you tell him? - CORRECT ANSWER-He could check with the
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manufacturers of his medications to see if they offer an
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assistance program to help people with limited means obtain
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the medications they need. Alternatively, he could check to see
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whether his state has a pharmacy assistance program to help
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him with his expenses.
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Mr. Lombardi is interested in a Medicare Advantage (MA) PPO
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plan that you represent. It is one of three plans operated by the
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same organization in Mr. Lombardi's area. The MA PPO plan
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does not include drug coverage, but the other two plans do. Mr.
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Lombardi likes the PPO plan that does not include drug
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AHIP FINAL EXAM TEST QUESTIONS AND CORRECT
ne
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DETAILED ANSWERS COMPLETE SOLUTION 2023-2024
tz
sh
ALREADY GRADED A+
Sp
ne
la
sh
Sp
ne
Mr. Davis is 52 years old and has recently been diagnosed with
la
end-stage renal disease (ESRD) and will soon begin dialysis. He
tz
sh
Sp
is wondering if he can obtain coverage under Medicare. What
ne
should you tell him? - CORRECT ANSWER-He may sign-up for
la
Medicare at any time however coverage usually begins on the
sh
Sp
fourth month after dialysis treatments start.
ne
la
tz
sh
Sp
Mr. Johannsen is entitled to Medicare Part A and Part B. He
ne
gains the Part D low-income subsidy. How does that affect his
ability to enroll or disenroll in a Part D plan? - CORRECT
la
sh
Sp
ne
ANSWER-He qualifies for a special election period and can
la
enroll in or disenroll from a Part D plan once during that period.
tz
sh
Sp
ne
la
Mr. Lopez, who is fairly well-off financially, would like to enroll
sh
in a Medicare prescription drug plan you represent and simply
Sp
ne
give you a check to cover his premiums for the entire year.
a
What should you tell him? - CORRECT ANSWER-Enrollees should
tz
l
sh
Sp
pay using automatic withdrawal from a bank account or credit
ne
la
sh
Sp
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Sp
, ne
sh
or debit card, direct monthly billing from the plan, or
ne
la
deductions from their Social Security check.
tz
sh
Sp
ne
You have approached a hospital administrator about marketing
la
in her facility. The administrator is uncomfortable with the
sh
Sp
suggestion. How could you address her concerns? - CORRECT
ne
ANSWER-Tell her that Medicare guidelines allow you to conduct
la
tz
marketing activities in common areas of a provider's facility.
sh
Sp
ne
la
You have come to Mrs. Midler's home for a sales presentation.
sh
Sp
At the beginning of the presentation, Mrs. Midler tells you that
ne
la
she has a copy of her medical record available because she
tz
sh
thinks this will help you understand her needs. She suggests
Sp
ne
that you will know which questions to ask her about her health
la
status in order to best assist her in selecting a plan. What
sh
Sp
should you do? - CORRECT ANSWER-You can only ask Mrs.
ne
Midler questions about conditions that affect eligibility,
la
tz
specifically, whether she has end stage renal disease or one of
sh
Sp
the conditions that would qualify her for a special needs plan.
ne
la
sh
Sp
Mrs. Reeves is newly eligible to enroll in a Medicare
ne
Advantage plan and her MA Initial Coverage Election Period
a
tz
(ICEP) has just begun. Which of the following can she not do
l
sh
Sp
ne
during the ICEP? - CORRECT ANSWER-She can enroll in a
la
sh
Sp
la
Sp
, ne
sh
Medigap plan to supplement the benefits of the MA plan that
ne
la
she's also enrolling in.
tz
sh
Sp
Mrs. West wears glasses and dentures and has enjoyed
ne
considerable pain relief from arthritis through acupuncture. She
la
is concerned about whether or not Medicare will cover these
sh
Sp
items and services. What should you tell her? -
ne
CORRECT ANSWER-Medicare does not cover acupuncture, or, in
la
tz
general, glasses or dentures.
sh
Sp
ne
la
Mr. Bickford did not quite qualify for the extra help low income
sh
Sp
subsidy under the Medicare Part D Prescription Drug program
ne
la
and he is wondering if there is any other option he has for
tz
sh
obtaining help with his considerable drug costs. What should
Sp
ne
you tell him? - CORRECT ANSWER-He could check with the
la
manufacturers of his medications to see if they offer an
sh
assistance program to help people with limited means obtain
Sp
ne
the medications they need. Alternatively, he could check to see
la
whether his state has a pharmacy assistance program to help
tz
sh
Sp
him with his expenses.
ne
la
sh
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO
Sp
ne
plan that you represent. It is one of three plans operated by the
a
tz
same organization in Mr. Lombardi's area. The MA PPO plan
l
sh
Sp
does not include drug coverage, but the other two plans do. Mr.
ne
Lombardi likes the PPO plan that does not include drug
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sh
Sp
la
Sp
