AHIP 2024 Module 1, 2, 3, 4, 5, Exam & AHIP 2024 Final Exam with Updated Latest Questions and Answers (Verified Answers)

AHIP 2024 Module 1, 2, 3, 4, 5, Exam & AHIP 2024 Final Exam with Updated Latest Questions and Answers (Verified Answers) AHIP 2024 Module 1, 2, 3, 4, 5, Exam & AHIP 2024 Final Exam with Updated Latest Questions and Answers (Verified Answers)

AHIP 2024 Module 1 Exam Questions and Answers (Verified by Expert)

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Ahip 2024 Module 1
1.Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance
ANS She should contact her state Medicaid agency to see if she
qualifies for one of several programs that can help with Medicare costs
for which she is responsible.
2.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
ANS 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.
3.Mr. Wu is eligible for Medicare. He has limited financial resources but
failed to qualify for the Part D low-income subsidy. Where might he turn for
help with his prescription drug costs

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ANS c. Mr. Wu may still qualify for help in paying Part D costs through
his State Pharmaceutical Assistance Program. Correct
4.Shirly Thomas was enrolled in Medicaid during the Public Health
Emergency (PHE). This coverage has recently been terminated due to the
end of the PHE. While Shirley was enrolled in Medicaid, she missed an
opportunity to enroll in Medicare and now wants Part B. Which of the
following statements best describes Shirley’s ability to now enroll in
Medicare Part B
ANS Shirley is eligible for a Special Enrollment Period (SEP) for up to six
months after the termination of her Medicaid coverage. Under this SEP,
Shirley can choose retroactive coverage back to the date of termination
from Medicaid or coverage beginning the month after the month of
enrollment.
5.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 you tell her
ANS c. In order to obtain Part B coverage, she must pay a standard
monthly premium, though it is higher for individuals with higher
incomes.
6.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
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AHIP 2024 Module 2 Exam Questions and Answers (Verified by Expert)

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AHIP 2024 MODULE 2
1.Mr. Gomez notes that a Private Fee-for-Service (PFFS) plan available in
his area has an attractive premium. He wants to know if he must use
doctors in a network as his current HMO plan requires him to do. What
should you tell him
ANS He may receive health care services from any doctor allowed to
bill Medicare, as long as he shows the doctor the plan’s identification
card and the doctor agrees to accept the PFFS plan’s payment terms
and conditions, which could include balance billing.
2.Juan Hernandez is turning 65 next month, Juan legally entered the United
States over twenty years ago but is not a citizen. Since his entry into the
country, Juan has worked at Smallcap Incorporated and contributed to the
Medicare system. Juan suffers from diabetes. He will soon retire and asks
you if he can enroll in a Medicare Advantage plan that you represent. How
would you respond
ANS Juan is eligible to enroll in a Medicare Advantage as long as he
is entitled to Part A and enrolled in Part B. Juan should go to the Social
Security website to enroll in Medicare Part A and B if he has not done
so already. Once he is enrolled, he can choose a Medicare Advantage

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plan.
3.Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B
but has recently stopped paying his Part B premium. Mr. Castillo is still
covered by Part A. He would like to enroll in a Medicare Advantage (MA)
plan and is still covered by Part A. What should you tell hi
ANS He is not eligible to enroll in a Medicare Advantage plan until he
re-enrolls in Medicare Part B.
4.Mrs. Ramos is considering a Medicare Advantage PPO and has questions
about which providers she can go to for her health care. What should you
tell her
ANS B. Mrs. Ramos can obtain care from any provider who participates
in Original Medicare, but generally will have a higher cost-sharing
amount if she sees a provider who/that is not part of the PPO network.
Correct
5.Mr. Kumar is considering a Medicare Advantage HMO and has questions
about his ability to access providers. What should you tell him
ANS In Medicare Advantage HMO plans, services provided by primary
care physicians are covered at 100%, but those of specialists are
covered at 80% ?
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AHIP 2024 Module 3 Exam Questions and Answers (Verified by Expert)

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AHIP 2024 MODULE 3
1.Which of the following statements about Medicare Part D are correct
ANS I, II, and III only
-I. Part D plans must enroll any eligible beneficiary who applies
regardless of health status except in limited circumstances.
II.Private fee-for-service (PFFS) plans are not required to use a
pharmacy network but may choose to have one.
III.Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan
may only obtain Part D benefits through a standalone PDP.
2.Mr. Schultz was still working when he first qualified for Medicare. At that
time, he had employer group coverage that was creditable. During his initial
Part D eligibility period, he decided not to enroll because he was satisfied
with his drug coverage. It is now a year later and Mr. Schultz has lost his
employer group coverage within the last two weeks. How would you advise
him
ANS Mr. Schultz should enroll in a Part D plan before he has a 63-day
break in coverage in order to avoid a premium penalty.

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3.Mrs. Fiore is a retired federal worker with coverage under a Federal
Employ- ee Health Benefits (FEHB) plan that includes creditable drug
coverage. She is ready to turn 65 and become Medicare eligible for the first
time. What issues might she consider about whether to enroll in a Medicare
prescription drug plan
ANS She could compare the coverage to see if the Medicare Part D planoffers better benefits and coverage than the FEHB plan for the specific
medications she needs and whether any additional benefits are worth
the Part D premium costs on top of her FEHB contribution.
4.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
he
ANS The Part D low income subsidy could substantially lower her
overall costs. She can apply by contacting her state Medicaid office, or
calling the Social Security Administration.
5.Mrs. Walters is entitled to Part A and has medical coverage without drug
coverage through an employer retiree plan. She is not enrolled in Part B.
Since the employer plan does not cover prescription drugs, she wants to
enroll in a Medicare prescription drug plan. Will she be able to
ANS Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to
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AHIP 2024 Module 4 Exam Questions and Answers (Verified by Expert)

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AHIP 2024 MODULE 4

Linda Sanchez is conducting a previously agreed upon appointment
with client, Maria Gomez about a MA-Part D plan she represents. Before an
enroll- ment form is completed, Linda needs to provide Maria with
information about
ANS I, II, and III only
2.Your client, Alexis Jones, calls you on December 4th about changing her
Medicare Advantage plan during the annual election period which ends December 7th. What should you do?
ANS Complete a scope of appointment (SOA) during the call and
indicate that they will meet to discuss Medicare Advantage plans duringan appointment the following da
3.ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its
enrollees’ information to market non-health related products such as life
insurance and annuities. Which statement best describes ABC’s obligation
to its enrollees regarding marketing such products?
ANS ?It must obtain a HIPAA compliant authorization from an enrollee

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that indicates the plan or plan ?sponsor may use their information for
marketing purposes.
4.Hector Hernandez is an independent agent. Hector sells plans on behalf ofthree Medicare Advantage organizations that offer a total of 10 plans but
does not represent all Medicare Advantage organizations offering plans that
are available in his area. Which of the following statements best describes
any steps Hector is required to take?
ANS During the first minute of a sales call, Hector must use a
disclaimer that says “I do not represent every plan available in your
area. I represent 3 organizations that offer 10 plans in your area. Please
contact Medicare.gov, 1-800-MEDICARE, or your local State Health
Insurance Program to get information on all your options.”
5.Agent Daniel Webber has properly set up a sales appointment to meet
with client Edward Young at Agent Webber’s office. At the agreed upon
appointment time, Mr. Young arrives with his elderly neighbor – Clara Burton,who wants to learn about her Medicare Advantage options. What should
Agent Daniel Webber do?
ANS After executing a scope of appointment (SOA) with Clara Burton,
meet with Edward Young and Clara Burton to discuss their Medicare
Advantage options.
6.You have been providing a pre-Thanksgiving meal during sales presentations in November for many years and your clients look forward to attending Powered by https://learnexams.com/search/study?query=

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AHIP 2024 Module 5 Exam Questions and Answers (Verified by Expert)

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2024 AHIP Module 5
1.Mrs. Margolis contacts you in August because she will become eligible
for Medicare for the first time in November. She would like to meet and
discuss plan choices with you. What advice should you give her?
ANS Tell her to wait until October to discuss plan choices with you so
that you can share plan benefits for the current year as well as any
changes for the following year that may impact her choice.
2.Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the PartD low-income subsidy. How does that affect his ability to enroll or disenrolin a Part D plan?
ANS He qualifies for a special election period and can enroll in or
disenroll from a Part D plan once during that period.
3.Mary Samuels recently suffered a stroke while visiting her daughter and
grandchildren. As a result, Mary has been admitted to a rehabilitation
hospital where she is expected to reside for several months. The
rehabilitation hospital is located outside the geographic area served by her
current Medicare Advan- tage (MA) plan. What options are available to Mary

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regarding her health plan coverage?
ANS Mary may make an unlimited number of MA enrollment requests
and may disenroll from her current MA plan.
4.Mr. Garrett has just entered his MA Initial Coverage Election Period
(ICEP). What action could you help him take during this time?
ANS He will have one opportunity to enroll in a Medicare Advantage
plan.
5.You have come to Mrs. Midler’s home for a sales presentation. At the
beginning of the presentation, Mrs. Midler tells you that she has a copy of
her medical records available because she thinks this will help you
understand her needs. She suggests that you will know which questions to
ask her about her health status in order to best assist her in selecting a
plan. What should you do?
ANS You can only ask Mrs. Midler questions about conditions that affect
eligibility, specifically, whether she has one of the conditions that would
qualify her for a special needs plan.
6.Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and
her MA Initial Coverage Election Period (ICEP) has just begun. Which of the
following can she not do during the ICEP?
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AHIP 2024 Final Exam Questions and Answers Updated (Verified Answers)

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AHIP 2024 Final Exam
Questions and Answers (Verified Answers)
1.Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance
ANS She should contact her state Medicaid agency to see if she
qualifies for programs that can help with Medicare costs for which she isresponsible.

Madeline Martinez was widowed several years ago. Her husband workedfor many years and contributed into the Medicare system. He also left asubstan- tial estate which provides Madeline with an annual income ofapproximately
$130,000. Madeline, who has only worked part-time for the last three years,
will soon turn age 65 and hopes to enroll in Original Medicare. She comes toyou for advice. What should you tell her
ANS You should tell Madeline that she will be able to enroll in Medicare
Part A without paying monthly premiums due to her husband’s long workrecord and participation in the Medicare system. You should also tell
Madeline that she will pay Part B premiums at more than the standard

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lowest rate but less than the highest rate due her substantial income.
3.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:
ANS After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
4.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
ANS 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.
5.Mrs. PeHa 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
ANS She may enroll at any time while she is covered under her employeplan, but she will have a special eight month enrollment period that
differs from the standard general enrollment period, during which she

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may enroll in Medicare Part B.
6.Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry iscur- rently enrolled in Medicare Parts A and B. Jerry has also purchased aMedicare Supplement (Medigap) plan which he has had for several years.However, the plan does not provide drug benefits. How would you adviseAgent John Miller to proceed
ANS Tell prospect Jerry Smith that he should consider adding a
standalone Part D prescription drug coverage policy to his present
coverage.

Mr. Diaz continued working with his company and was insured under hisemployer’s group plan until he reached 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
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AHIP 2024 Final Exam Test Updated Questions and Answers (Verified Answers)

Edward IP suffered from serious kidney disease. As a result. Edward became eligible for Medicare coverage due to end-stage renal disease (ESRD).
A close relative donated their kidney and Edward successfully underwent
transplant surgery 12 months ago. Edward is now age 50 and asks you if hisMedicare coverage will continue, what should you say
ANS Individuals eligible forMedicare based on ESRD generally lose eligibility 36
months after the month in which the individual receives a kidney transplant unless they are
eligible for Medicareon another basis such as age or disability. Edward may, however,
remain enrolled inPart B but solely for coverage of immunosuppressive drugs if he has no
other healthcare coverage that would coverthe drugs.
Mildred Savage enrolled in Allcare Medicare Advantage plan several yearsago. Mildred recently learned that she is suffering from inoperable cancer andhas just a few months to live. She would like to spend these final months in
hospice care. Mildred’s family asks you whether hospice benefits will be paidfor under the Allcare Medicare Advantage plan.What should you say
ANS Mildredmay remain enrolled in Allcare and make a hospice election. Hospice
benefits will be paid for by Original Medicare under Part A and Allcare will continue
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2024 AHIP Final Exam Updated Test Questions and Answers
(Verified Answers)

to pay for any non-hospice services.

Mr. Diaz continued working with his company and was insured under his
employer’s group plan until he reached age 68. He has heard that there is a
premium penaltyfor those who did not sign up for Part B when first eligible andwants to know how much he will have to pay. What should you tell him
ANS Mr. Diaz will not pay any penalty because he had continuous coverageunder his
employer’s plan.
Mr. Moy’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.
Moy
ANS Medicare Supplemental Insurance would help cover his Part A and Part B
deductibles or coinsurance 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 concernedthat she will not qualifyfor coverage under part Abecause she was not born inthe United States. What should you tell her
ANS Most individuals who are citizens and age 65 or over are covered under ParA by
virtue of having paid Medicare taxes while working, though some may be covered as a
result of paying monthly premiums.
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Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social Security Administration and has been receiving disability3 / 25

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