AHIP PRACTICE EXAM NEWEST 2025
ACTUAL EXAM WITH QUESTIONS AND
CORRECT DETAILED ANSWERS FROM A
VERIFIED SOURCE |ALREADY GRADED
A+
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? - CORRECT
ANSWER-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? - CORRECT ANSWER-
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? -
CORRECT ANSWER-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? - CORRECT
ANSWER-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: - CORRECT ANSWER-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? - CORRECT ANSWER-Mrs. Valentino can submit a written
request to Medicare to be disenrolled from the Cost plan and enroll in
Original Medicare.
When Myra first became eligible for Medicare, she enrolled in Original
Medicare (Parts A and B). She is now 67 and will turn 68 on July 1. She
would now like to enroll in a Medicare Advantage (MA) plan and
approaches you about her options. What advice would you give her? -
CORRECT ANSWER-She should remain in Original Medicare until the
annual election period running from October 15 to December 7, during
which she can select an MA plan.
Mrs. Tanner is enrolled in a Medicare Advantage HMO that offers a
point of service options. This allows Mrs. Tanner to do which of the
following? - CORRECT ANSWER-Mrs. Tanner can go to non-plan doctors
for certain services without receiving prior approval
ACTUAL EXAM WITH QUESTIONS AND
CORRECT DETAILED ANSWERS FROM A
VERIFIED SOURCE |ALREADY GRADED
A+
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? - CORRECT
ANSWER-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? - CORRECT ANSWER-
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? -
CORRECT ANSWER-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? - CORRECT
ANSWER-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: - CORRECT ANSWER-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? - CORRECT ANSWER-Mrs. Valentino can submit a written
request to Medicare to be disenrolled from the Cost plan and enroll in
Original Medicare.
When Myra first became eligible for Medicare, she enrolled in Original
Medicare (Parts A and B). She is now 67 and will turn 68 on July 1. She
would now like to enroll in a Medicare Advantage (MA) plan and
approaches you about her options. What advice would you give her? -
CORRECT ANSWER-She should remain in Original Medicare until the
annual election period running from October 15 to December 7, during
which she can select an MA plan.
Mrs. Tanner is enrolled in a Medicare Advantage HMO that offers a
point of service options. This allows Mrs. Tanner to do which of the
following? - CORRECT ANSWER-Mrs. Tanner can go to non-plan doctors
for certain services without receiving prior approval
