Complete; 2024 AHIP (AMERICA’S HEALTH INSURANCE PLANS) Modules 1,2,3,4,5 Exam Test With Correct Verified Answers
AHIP (AMERICA’S HEALTH INSURANCE PLANS)
AHIP 2024 Module 1 Latest| New
Questions With 100% Verified Answers
- 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?
[Correct Ans: – C.Most individuals who are citizens and over age 65 are
covered under Part A by virtue of having paid Medicare taxes while working,
though some may be covered as a result of paying monthly premiums. - Mr. Xi will soon turn age 65 and has come to you for advice as to what
services are provided under Original Medicare. What should you tell Mr.
Xi that best describes the health coverage provided to Medicare
beneficiaries?
[Correct Ans: – c. Beneficiaries under Original Medicare have no cost-sharing
for most preventive services which include immunizations such as annual flu
shots. - 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?
[Correct Ans: – D?
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- Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as
well, but it provides no drug coverage. She would like to keep the
coverage she has, but replace her existing Medigap plan with one that
provides drug coverage. What should you tell her?
[Correct Ans: – Mrs. Gonzalez cannot purchase a Medigap plan that covers
drugs, but she could keep her Medigap policy and enroll in a Part D
prescription drug plan. - Mr. Davis is 52 years old and has recently been diagnosed with end-stage
renal disease (ESRD) and will soon begin dialysis. He is wondering if he
can obtain coverage under Medicare. What should you tell him?
[Correct Ans: – B .He may sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis treatments start. - Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is
currently enrolled in Medicare Parts A and B. Jerry has also purchased a
Medicare Supplement (Medigap) plan which he has had for several years.
However, the plan does not provide drug benefits. How would you advise
Agent John Miller to proceed?
[Correct Ans: – d. Tell prospect Jerry Smith that he should consider adding a
standalone Part D prescription drug coverage policy to his present coverage.
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AHIP (AMERICA’S HEALTH INSURANCE PLANS)
AHIP 2024 MODULE 2 Latest| New
Questions With 100% Verified Answers
- Mr. Kumar is considering a Medicare Advantage HMO and has questions
about his ability to access providers. What should you tell him?
[Correct Ans: – In Medicare Advantage HMO plans, services provided by
primary care physicians are covered at 100%, but those of specialists are
covered at 80% ? - Mrs. Chi is age 75 and enjoys a comfortable but not extremely highincome level. She wishes to enroll in a MA MSA plan that she heard about
from her neighbor. She also wants to have prescription drug coverage
since her doctor recently prescribed several expensive medications.
Currently, she is enrolled in Original Medicare and a standalone Part D
plan. How would you advise Mrs. Chi?
[Correct Ans: – Mrs. Chi may enroll in a MA MSA plan and remain in her
current standalone Part D prescription drug plan. - Mr. Wells is trying to understand the difference between Original
Medicare and Medicare Advantage. What would be a correct description?
[Correct Ans: – Medicare Advantage is a way of covering all the Original
Medicare benefits through private health insurance companies.
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- Mr. Sinclair has diabetes and heart trouble and is generally satisfied with
the care he has received under Original Medicare, but he would like to
know more about Medicare Advantage Special Needs Plans (SNPs). What
could you tell him?
[Correct Ans: – SNPs have special programs for enrollees w chronic
conditions like mr.sinclair and they provide script drug coverage that could
be very helpful as well - Mr. Romero is 64, retiring soon, and considering enrollment in his
employer-sponsored retiree group health plan that includes drug coverage
with nominal copays. He heard about a neighbor’s MA-PD plan that you
represent and because he takes numerous prescription drugs, he is
considering signing up for it. What should you tell him?
[Correct Ans: – He should compare the benefits in his employer-sponsored
retiree group health plan with the benefits in his neighbor’s MA-PD plan to
determine which one will provide sufficient coverage for his prescription
needs. - Mrs. Wang wants to know generally how the benefits under Original
Medicare might compare to the benefits package of a Medicare Advantage
Plan before she starts looking at specific plans. What could you tell her?
[Correct Ans: – Medicare Advantage Plans may offer extra benefits that
Original Medicare does not offer such as vision, hearing, and dental services.
It must include a maximum out-of-pocket limit on Part A and Part B services.
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AHIP 2024 Module 3 Latest| New
Questions With Verified Answers
- Mr. Torres has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal from his
savings account until it is exhausted, and then have his premiums
withheld from his Social Security check. What should you tell him?
[Correct Ans: – In general, he must select a single Part D premium payment
mechanism that will be used throughout the year. - Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not
include drug coverage and also enroll in a stand-alone Medicare
prescription drug plan. Under what circumstances can she do this?
[Correct Ans: – If the Medicare Advantage plan is a Private Fee-for-Service
(PFFS) plan that does not offer drug coverage or a Medical Savings Account,
Mrs. Berkowitz can do this. - Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. She has
recently lost creditable coverage previously available through her
husband’s employer. She is interested in enrolling in a Medicare Part D
prescription drug plan (PDP). What should you tell her?
[Correct Ans: – If a Part D benefit is offered through her plan she may choose
to enroll in that plan or a standalone PDP.
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- Mr. Shapiro gets by on a very small amount of fixed income. He has heard
there may be extra help paying for Part D prescription drugs for Medicare
beneficiaries with limited income. He wants to know whether he might
qualify. What should you tell him?
[Correct Ans: – The extra help is available to beneficiaries whose income and
assets do not exceed annual limits specified by the government. Correct - Mrs. Imelda Diaz is a Medicare beneficiary enrolled in a MA-PD plan you
represent. Her neighbor recently suffered from a painful case of shingles.
Mrs. Diaz hopes to avoid such an illness through vaccination. She asks
you whether the cost of shingles vaccination will be covered under the
plan you represent. What should you say?
[Correct Ans: – Yes, there is no cost sharing for the shingles vaccine even in
the deductible phase of her prescription drug plan because it is an adult
vaccine recommended by the Advisory Committee on Immunization Practices
(AICP). - Mrs. McIntire is enrolled in her state’s Medicaid plan and has just become
eligible for Medicare as well. What can she expect will happen to her drug
coverage?
[Correct Ans: – Unless she chooses a Medicare Part D prescription drug plan
on her own, she will be automatically enrolled in one available in
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AHIP 2024 Module 4 Latest|
New Questions With Verified
Answers 100% Correct
- 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?
{Correct Ans: – After executing a scope of appointment (SOA) with Clara
Burton, meet with Edward Young and Clara Burton to discuss their Medicare
Advantage options. - You have been providing a pre-Thanksgiving meal during sales
presentations in November for many years and your clients look forward
to attending this annual event. When marketing Medicare Advantage and
Part D plans, what are you permitted to do with respect to meals?
{Correct Ans: – You may provide light snacks, but a Thanksgiving style meal
would be prohibited, regardless of who provides or pays for the meal. - Wendy Park becomes eligible for Medicare for the first time in July. With
the help of Agent James Chan, she enrolls in FeelBetter Medicare
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Advantage plan with an effective date of July 1st. Which statement best
describes how Agent Chan may be compensated under CMS rules?
{Correct Ans: – FeelBetter will pay Agent Chan initial year compensation for
the months July through December. Renewal amounts will be paid starting in
January if Ms. Park remains enrolled the following year.
- You are working several plans and community organizations to sponsor
an educational event. When putting together advertisements for this
event, what should you do?
{Correct Ans: – You must ensure that the advertisements indicate it is an
educational event, otherwise it will be considered a marketing event. - Linda Sanchez is conducting a previously agreed upon appointment with
client, Maria Gomez about a MA-Part D plan she represents. Before an
enrollment form is completed, Linda needs to provide Maria with
information about __
{Correct Ans: – I, II, and III only - 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?
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AHIP (AMERICA’S HEALTH INSURANCE PLANS)
2024 AHIP Module 5 Latest| New
Questions With 100% Correct
Verified Answers
- 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?
[Correct Ans: – She can enroll in a Medigap plan to supplement the benefits
of the MA plan that she’s also enrolling in. - Mr. White has Medicare Parts A and B with a Part D plan. Last year, he
received a notice that his plan sponsor identified him as a “potential at-risk”
beneficiary. This month, he started receiving assistance from Medicaid. He
wants to find a different Part D plan that’s more suitable to his current
prescription drug needs. He believes he’s entitled to a SEP since he is now a
dual eligible. Is he able to change to a different Part D plan during a SEP for
dual eligible individuals?
[Correct Ans: – No. Once he is identified by the plan sponsor as a “potential
at-risk” beneficiary, he cannot use the dual eligible SEP to change plans while
this designation is in place. - Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part
D during the Annual Enrollment Period (AEP). At the beginning of January,
her neighbor told her about the Medicare Advantage (MA) plan he selected.
He also told her there was an open enrollment period that she might be able
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to use to enroll in a MA plan. Ms. Gonzales comes to you for advice shortly
after speaking to her neighbor. What should you tell her?
[Correct Ans: – There is a MA Open Enrollment Period (OEP) that takes place
between January 1 and March 31, but Ms. Gonzales cannot use it because
eligibility to use the OEP is available only to MA enrollees.
- Mr. Ziegler is turning 65 next month and has asked you what he can do, and
when he must do it, with respect to enrolling in Part D. What could you tell
him?
[Correct Ans: – He is currently in the Part D Initial Enrollment Period (IEP)
and, during this time, he may make one Part D enrollment choice, including
enrollment in a stand-alone Part D plan or an MA-PD plan. - Mrs. Parker likes to handle most of her business matters through telephone
calls. She currently is enrolled in Original Medicare Parts A and B but has
heard about a Medicare Advantage plan offered by Senior Health from a
neighbor. Mrs. Parker asks you whether she can enroll in Senior Health’s MA
plan over the telephone. What can you tell her?
I. Enrollment requests can only be made in face-to-face interviews or
by mail.
II. Telephone enrollment request calls must be recorded.
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