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AHIP Practice EXAM Questions &
Answers | 100% Verified solutions
|Questions with Correct Answers 2025
latest update!!
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? - (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? - (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? - (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
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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? - (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: - (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? -
(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? - (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.
AHIP Practice EXAM Questions &
Answers | 100% Verified solutions
|Questions with Correct Answers 2025
latest update!!
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? - (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? - (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? - (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
, 2
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? - (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: - (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? -
(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? - (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.
