AHIP PRACTICE EXAM WITH
CORRECTQUESTIONS AND ANSWERS
2025
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-ANSWERSMr. 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-ANSWERSThe 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-
ANSWERSShe 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-ANSWERSHe 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-ANSWERSBetty 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
CORRECTQUESTIONS AND ANSWERS
2025
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-ANSWERSMr. 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-ANSWERSThe 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-
ANSWERSShe 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-ANSWERSHe 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-ANSWERSBetty 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
