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AHIP FINAL EXAM|| ACTUAL EXAM WITH
ALL QUESTIONS AND 100% CORRECT
ANSWERS ALREADY GRADED A+|| LATEST
AND COMPLETE VERSION 2024-2025 WITH
VERIFIED SOLUTIONS|| ASSURED PASS!!!
Agent Harriet Walker has recently begun marketing Medicare Advantage and
related products aimed at meeting the needs of senior citizens. Client Mildred
Jones has expressed interest in a Medicare Advantage plan. It is now the beginning
of September. If you were in Agent Walker's position, what would you do? -
ANSWER: Inquire whether the client qualifies for a special enrollment period,
andif not, solicit an enrollment application once the annual open enrollment
election period begins on October 15th.
Mrs. Fields wants to know whether applying for the Part D low income subsidy
will be worth the time to fill out the paperwork. What could you tell her? -
ANSWER: The Part D low income subsidy could substantially lower her overall
costs. She can apply by contacting her state Medicaid office, or calling theSocial
Security Administration
Mr. Wendt suffers from diabetes which has gotten progressively worse during the
last year. He is currently enrolled in Original Medicare (Parts A and B) and a Part
D prescription drug plan and did not enroll in a Medicare Advantage (MA) plan
during the last annual open enrollment period (AEP) which hasjust closed. Mr.
Wendt has heard certain MA plans might provide him with more specialized
coverage for his diabetes and wants to know if he must wait until the next annual
open enrollment period (AEP) before enrolling in such a plan. What should you
tell him? - ANSWER: If there is a special needs plan (SNP) in Mr. Wendt's area
that specializes in caring for individuals with diabetes, he may enroll in the SNP at
any time under a special election period (SEP)
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Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent
health and will have considerable income when she retires. She is concerned that
her income will make it impossible for herto qualify for Medicare. What could you
tell her to address her concern? - ANSWER: Medicare is aprogram for people age
65 or older and those under age 65 with certain disabilities, end stage renal disease
or Lou Gehrig's disease, so she will be eligible for Medicare
Mr. Schmidt would like to plan for retirement and has asked you what is covered
under Original Fee-for- Service (FFS) Medicare? What could you tell him? -
ANSWER: Part A, which covers hospital, skilled nursing facility, hospice
and home health services and Part B, which covers professional services such as
those provided by a doctor are covered under Original Medicare.
Mr. Hernandez is concerned that if he signs up for a Medicare Advantage plan, the
health plan may, at some time in the future, reduce his benefits below what is
available in Original Medicare. What should you tell him about his concern?
- ANSWER: Medicare health plans must cover all benefits availableunder
Medicare Part A and Part B. Many also cover Part D prescription drugs.
Mrs. Raskin is a widow who will attain aged 65 and enroll in Medicare in just a
few weeks. She concernedabout having prescription drug coverage. Which of the
following statements provides the best advice?
- ANSWER: Prescription drug coverage can be obtained by enrolling in a
Medicare Advantage planthat includes Part D coverage.
Mrs. Willard wants to know generally how the benefits under Original Medicare
might compare to the benefit package of a Medicare Health Plan before she starts
looking at specific plans. What could you tellher? - ANSWER: Medicare Health
Plans may offer extra benefits that Original Medicare does not
,3|Pag e
offer such as vision, hearing, and dental services and must include a maximum out-
of-pocket limit onPart A and Part B services.
Mr. Meoni's wife has a Medicare Advantage plan, but he wants to understand what
coverage Medicare Supplemental Insurance provides since his health care needs
are different from his wife's needs. What could you tell Mr.Meoni? - ANSWER:
Medicare Supplemental Insurance would help cover his Part Aand Part B cost
sharing in Original Fee-for-Service (FFS) Medicare as well as possibly some
services that Medicare does not cover.
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed
full time, and paid taxes during that entire period. She is concerned that she will
not qualify for coverage under part A because she was not born in the United
States. What should you tell her? - ANSWER: Most individuals who are citizens
and over age 65 are covered under Part A by virtue of having paid Medicaretaxes
while working, though some may be covered as a result of paying monthly
premiums.
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the
Social Security Administration and has been receiving disability payments. He is
wondering whether he can obtain coverage under Medicare. What should you tell
him? - ANSWER: After receiving such disabilitypayments for 24 months, he will
be automatically enrolled in Medicare, regardless of age.
Mr. Davis is 49 years old and has been receiving disability benefits from the Social
Security Administration for 12 months. Can you sell him a Medicare Advantage or
Part D Prescription Drug policy? - ANSWER: No, he cannot purchase a Medicare
Advantage or Part D policy because he has not received Social Security or
Railroad Retirement disability benefits for 24 months.
Ms. Henderson believes that she will qualify for Medicare coverage when she turns
65, without paying any premiums, because she has been working for 40 years and
paying Medicare taxes. What should youtell her? - ANSWER: In order to obtain
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Part B coverage, she must pay a standard monthly premium, though it is higher for
individuals with higher incomes.
Mr. Diaz continued working with his company and was insured under his
employer's group plan until hereached age 68. He has heard that there is a premium
penalty for those who did not sign up for Part B when first eligible and wants to
know how much he will have to pay. What should you tell him? - ANSWER: Mr.
Diaz will not pay any penalty because he had continuous coverage under his
employer's plan.
Mrs. Peňa 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.
Mrs. Kelly is entitled to Part A, but is not yet enrolled in Part B. She is considering
enrollment in a Medicare health plan. What should you advise her to do before she
will be able to enroll into a Medicarehealth plan? - ANSWER: In order to join a
Medicare health plan, she also must enroll in Part B.
Mrs. Park has a low, fixed income. What could you tell her that might be of
assistance? - ANSWER: She should contact her state Medicaid agency to see if
she qualifies for one of several programs that canhelp with Medicare costs for
which she is responsible.
Mr. Yu has limited income and resources so you have encouraged him to see if he
qualifies for some type of financial assistance. Mr. Yu is not sure it is worth the
trouble to apply and wants to know what the assistance could do for him if he
qualifies. What could you tell him? - ANSWER: He might qualify forhelp with
AHIP FINAL EXAM|| ACTUAL EXAM WITH
ALL QUESTIONS AND 100% CORRECT
ANSWERS ALREADY GRADED A+|| LATEST
AND COMPLETE VERSION 2024-2025 WITH
VERIFIED SOLUTIONS|| ASSURED PASS!!!
Agent Harriet Walker has recently begun marketing Medicare Advantage and
related products aimed at meeting the needs of senior citizens. Client Mildred
Jones has expressed interest in a Medicare Advantage plan. It is now the beginning
of September. If you were in Agent Walker's position, what would you do? -
ANSWER: Inquire whether the client qualifies for a special enrollment period,
andif not, solicit an enrollment application once the annual open enrollment
election period begins on October 15th.
Mrs. Fields wants to know whether applying for the Part D low income subsidy
will be worth the time to fill out the paperwork. What could you tell her? -
ANSWER: The Part D low income subsidy could substantially lower her overall
costs. She can apply by contacting her state Medicaid office, or calling theSocial
Security Administration
Mr. Wendt suffers from diabetes which has gotten progressively worse during the
last year. He is currently enrolled in Original Medicare (Parts A and B) and a Part
D prescription drug plan and did not enroll in a Medicare Advantage (MA) plan
during the last annual open enrollment period (AEP) which hasjust closed. Mr.
Wendt has heard certain MA plans might provide him with more specialized
coverage for his diabetes and wants to know if he must wait until the next annual
open enrollment period (AEP) before enrolling in such a plan. What should you
tell him? - ANSWER: If there is a special needs plan (SNP) in Mr. Wendt's area
that specializes in caring for individuals with diabetes, he may enroll in the SNP at
any time under a special election period (SEP)
,2|Pag e
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent
health and will have considerable income when she retires. She is concerned that
her income will make it impossible for herto qualify for Medicare. What could you
tell her to address her concern? - ANSWER: Medicare is aprogram for people age
65 or older and those under age 65 with certain disabilities, end stage renal disease
or Lou Gehrig's disease, so she will be eligible for Medicare
Mr. Schmidt would like to plan for retirement and has asked you what is covered
under Original Fee-for- Service (FFS) Medicare? What could you tell him? -
ANSWER: Part A, which covers hospital, skilled nursing facility, hospice
and home health services and Part B, which covers professional services such as
those provided by a doctor are covered under Original Medicare.
Mr. Hernandez is concerned that if he signs up for a Medicare Advantage plan, the
health plan may, at some time in the future, reduce his benefits below what is
available in Original Medicare. What should you tell him about his concern?
- ANSWER: Medicare health plans must cover all benefits availableunder
Medicare Part A and Part B. Many also cover Part D prescription drugs.
Mrs. Raskin is a widow who will attain aged 65 and enroll in Medicare in just a
few weeks. She concernedabout having prescription drug coverage. Which of the
following statements provides the best advice?
- ANSWER: Prescription drug coverage can be obtained by enrolling in a
Medicare Advantage planthat includes Part D coverage.
Mrs. Willard wants to know generally how the benefits under Original Medicare
might compare to the benefit package of a Medicare Health Plan before she starts
looking at specific plans. What could you tellher? - ANSWER: Medicare Health
Plans may offer extra benefits that Original Medicare does not
,3|Pag e
offer such as vision, hearing, and dental services and must include a maximum out-
of-pocket limit onPart A and Part B services.
Mr. Meoni's wife has a Medicare Advantage plan, but he wants to understand what
coverage Medicare Supplemental Insurance provides since his health care needs
are different from his wife's needs. What could you tell Mr.Meoni? - ANSWER:
Medicare Supplemental Insurance would help cover his Part Aand Part B cost
sharing in Original Fee-for-Service (FFS) Medicare as well as possibly some
services that Medicare does not cover.
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed
full time, and paid taxes during that entire period. She is concerned that she will
not qualify for coverage under part A because she was not born in the United
States. What should you tell her? - ANSWER: Most individuals who are citizens
and over age 65 are covered under Part A by virtue of having paid Medicaretaxes
while working, though some may be covered as a result of paying monthly
premiums.
Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the
Social Security Administration and has been receiving disability payments. He is
wondering whether he can obtain coverage under Medicare. What should you tell
him? - ANSWER: After receiving such disabilitypayments for 24 months, he will
be automatically enrolled in Medicare, regardless of age.
Mr. Davis is 49 years old and has been receiving disability benefits from the Social
Security Administration for 12 months. Can you sell him a Medicare Advantage or
Part D Prescription Drug policy? - ANSWER: No, he cannot purchase a Medicare
Advantage or Part D policy because he has not received Social Security or
Railroad Retirement disability benefits for 24 months.
Ms. Henderson believes that she will qualify for Medicare coverage when she turns
65, without paying any premiums, because she has been working for 40 years and
paying Medicare taxes. What should youtell her? - ANSWER: In order to obtain
, 4|Pag e
Part B coverage, she must pay a standard monthly premium, though it is higher for
individuals with higher incomes.
Mr. Diaz continued working with his company and was insured under his
employer's group plan until hereached age 68. He has heard that there is a premium
penalty for those who did not sign up for Part B when first eligible and wants to
know how much he will have to pay. What should you tell him? - ANSWER: Mr.
Diaz will not pay any penalty because he had continuous coverage under his
employer's plan.
Mrs. Peňa 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.
Mrs. Kelly is entitled to Part A, but is not yet enrolled in Part B. She is considering
enrollment in a Medicare health plan. What should you advise her to do before she
will be able to enroll into a Medicarehealth plan? - ANSWER: In order to join a
Medicare health plan, she also must enroll in Part B.
Mrs. Park has a low, fixed income. What could you tell her that might be of
assistance? - ANSWER: She should contact her state Medicaid agency to see if
she qualifies for one of several programs that canhelp with Medicare costs for
which she is responsible.
Mr. Yu has limited income and resources so you have encouraged him to see if he
qualifies for some type of financial assistance. Mr. Yu is not sure it is worth the
trouble to apply and wants to know what the assistance could do for him if he
qualifies. What could you tell him? - ANSWER: He might qualify forhelp with
