{"id":131661,"date":"2024-01-19T10:07:58","date_gmt":"2024-01-19T10:07:58","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=131661"},"modified":"2024-01-19T10:08:01","modified_gmt":"2024-01-19T10:08:01","slug":"complete-ahip-2024-final-exams-test-practice-modules-questions-and-answers-verified-answer-guarantee-pass","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/01\/19\/complete-ahip-2024-final-exams-test-practice-modules-questions-and-answers-verified-answer-guarantee-pass\/","title":{"rendered":"Complete; AHIP 2024 Final Exams\/Test\/Practice\/Modules| Questions and Answers (Verified Answer) Guarantee Pass"},"content":{"rendered":"\n

Complete; AHIP 2024 Final Exams\/Test\/Practice\/Modules| Questions and Answers (Verified Answer) Guarantee Pass<\/p>\n\n\n\n

AHIP 2024 final Exam Solved 100% Correct With Verified Answers\/2024-Guarantee Pass<\/p>\n\n\n\n

AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
AHIP 2024 final Exam Solved
100% Correct With Verified
Answers\/2024-Guarantee Pass
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you
tell Mrs. Park that might be of assistance?
{Correct Ans: -She should contact her state Medicaid agency to see if she qualifies
forprograms that can help with Medicare costs for which she is responsible.
Madeline Martinez was widowed several years ago. Her husband worked for
many years and contributed into the Medicare system. He also left a substantial
estate which provides Madeline with an annual income of approximately
$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 to you for
advice. What should you tell her?
{Correct 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 work record
and participation in the Medicare system. You should also tell Madeline that she
will pay Part B premiums at more than the standard lowest rate but less than the
highest rate due her substantial income.
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?
{Correct Ans: -After receiving such disability payments for 24 months, he will be
automatically enrolled in Medicare, regardless of age.
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?
{Correct 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.
Mrs. Pe\u0148a 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?<\/p>\n\n\n\n

AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
{Correct Ans: -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.
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: -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 his
employer’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
wants to know how much he will have to pay. What should you tell him?
{Correct Ans: -The penalty will be a permanent 10% increase in his Part B premium
for every 12-month period that passed during which he could have enrolled and did
not.
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 her to qualify for Medicare. What could
you tell her to address her concern?
{Correct Ans: -Medicare is a program for people age 65 or older and those under age
65 with certain disabilities, end-stage renal disease, and Lou Gehrig’s disease so she
will be eligible for Medicare.
Mildred Savage enrolled in Allcare Medicare Advantage plan several years ago.
Mildred recently learned that she is suffering from inoperable cancer and has
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 paid for under
the Allcare Medicare Advantage plan. What should you say?
{Correct Ans: -Mildred may 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 to pay for any non-hospice services.
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?
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AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
2024 AHIP Final Exam| Latest
Updated |170 Questions Solved
100% Correct\/ Verified Answers<\/p>\n\n\n\n

    \n
  1. 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 his Medicare coverage will continue, what should you say?
    {Correct Ans: – Individuals eligible for Medicare based on ESRD generally lose
    eligibility 36 months after the month in which the individual receives a
    kidney transplant unless they are eligible for Medicare on another basis such
    as age or disability. Edward may, however, remain enrolled in Part B but
    solely for coverage of immunosuppressive drugs if he has no other health
    care coverage that would cover the drugs.<\/li>\n\n\n\n
  2. Mildred Savage enrolled in Allcare Medicare Advantage plan several years
    ago. Mildred recently learned that she is suffering from inoperable cancer
    and has 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 paid for under the Allcare Medicare Advantage plan. What
    should you say?
    {Correct Ans: – Mildred may 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 to pay for any non-hospice services.<\/li>\n\n\n\n
  3. 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 penalty for those who did not sign up for Part B when first<\/li>\n<\/ol>\n\n\n\n

    AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
    eligible and wants to know how much he will have to pay. What should
    you tell him?
    {Correct Ans: – Mr. Diaz will not pay any penalty because he had continuous
    coverage under his employer’s plan.<\/p>\n\n\n\n

      \n
    1. 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: – 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.<\/li>\n\n\n\n
    2. 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: – Most individuals who are citizens and age 65 or over 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.<\/li>\n\n\n\n
    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?
      {Correct Ans: – After receiving such disability payments for 24 months, he
      will be automatically enrolled in Medicare, regardless of age.<\/li>\n<\/ol>\n\n\n\n

      AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)<\/p>\n\n\n\n

        \n
      1. 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: – Beneficiaries under Original Medicare have no cost-sharing for
        most preventive services which include immunizations such as annual flu
        shots.<\/li>\n\n\n\n
      2. Mrs. Pe\u0148a 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 Ans: – She may enroll at any time while she is covered under her
        employer plan, but she will have a special eight-month enrollment period
        after the last month on her employer plan that differs from the standard
        general enrollment period, during which she may enroll in Medicare Part B.<\/li>\n\n\n\n
      3. 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: – He may sign-up for Medicare at any time however coverage
        usually begins on the fourth month after dialysis treatments start.
        10.Madeline Martinez was widowed several years ago. Her husband worked
        for many years and contributed into the Medicare system. He also left a
        substantial estate which provides Madeline with an annual income of
        approximately $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 to you for advice. What should you tell her?<\/li>\n<\/ol>\n\n\n\n

        AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
        {Correct 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 work record and participation in the Medicare system. You should also
        tell Madeline that she will pay Part B premiums at more than the standard
        lowest rate but less than the highest rate due her substantial income.
        11.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?
        {Correct Ans: – To obtain Part B coverage, she must pay a standard monthly
        premium, though it is higher for individuals with higher incomes.<\/p>\n\n\n\n

          \n
        1. To obtain Part B coverage, she must pay a standard monthly premium,
          though it is higher for individuals with higher incomes.
          {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.
          13.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: – Tell prospect Jerry Smith that he should consider adding a
          standalone Part D prescription drug coverage policy to his present coverage.
          14.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
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          AHIP Final Exam Test 2024 Questions Solved 100% Correct (Verified Answers) 50Q&A<\/strong><\/p>\n\n\n\n

          AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
          AHIP Final Exam Test 2024 Questions
          Solved 100% Correct (Verified Answers)
          50Q&A<\/p>\n\n\n\n

            \n
          1. 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 her to qualify for
            Medicare. What could you tell her to address her concern?
            {Correct Ans: – Medicare is a program 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.<\/li>\n\n\n\n
          2. Agent Armstrong is employed by XYZ Agency, which is under contract with
            ABC Health Plan, a Medicare Advantage (MA) plan that offers plans in
            multiple states. XYZ Agency maintains a website marketing the MA plans
            with which it has contracts. Agent Armstrong follows up with individuals
            who request more information about ABC MA plans via the website and tries
            to persuade them to enroll in ABC plans. What statement best describes the
            marketing and compliance rules that apply to Agent Armstrong?
            {Correct Ans: – Agent Armstrong needs to be licensed and appointed in every
            state in which beneficiaries to whom he markets ABC MA plans are located.<\/li>\n<\/ol>\n\n\n\n

            AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)<\/p>\n\n\n\n

              \n
            1. 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?
              {Correct 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.<\/li>\n\n\n\n
            2. You are seeking to represent an individual Medicare Advantage plan and an
              individual Part D plan in your state. You have completed the required
              training for each plan, but you did not achieve a passing score on the tests
              that came after the training. What can you do in this situation?
              {Correct Ans: – You will not be able to represent any Medicare Advantage or
              Part D plan until you complete the training and achieve an adequate score,
              although you will not have to take a test if you exclusively market
              employer\/union group plans and the companies do not require testing.<\/li>\n\n\n\n
            3. Mr. Chen is enrolled in his employer’s group health plan and will be retiring
              soon. He would like to know his options since he has decided to drop his
              retiree coverage and is eligible for Medicare. What should you tell him?<\/li>\n<\/ol>\n\n\n\n

              AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
              {Correct Ans: – Mr. Chen can disenroll from his employer-sponsored coverage
              to elect a Medicare Advantage or Part D plan within 2 months of his
              disenrollment, but he should revaluate if he really wants to drop his
              employer coverage.<\/p>\n\n\n\n

                \n
              1. Mrs. West wears glasses and dentures and has enjoyed considerable pain
                relief from arthritis through acupuncture. She is concerned about whether or
                not Medicare will cover these items and services. What should you tell her?
                {Correct Ans: – Medicare does not cover acupuncture, or, in general, glasses
                or dentures.<\/li>\n\n\n\n
              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?
                {Correct Ans: – 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.
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                AHIP Latest Questions 2024 Final Exam Practice Test #1| 200 Questions Solved 100% Correct 2024 with Verified Answers\/Guarantee Pass 2024<\/strong><\/p>\n\n\n\n

                AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
                AHIP Latest Questions 2024 Final Exam
                Practice Test #1| 200 Questions Solved
                100% Correct 2024 with Verified
                Answers\/Guarantee Pass 2024<\/p>\n\n\n\n

                  \n
                1. Mrs. Quinn has just turned 65 and received a letter informing her that she
                  has been automatically enrolled in Medicare Part B. She wants to
                  understand what this means. What should you tell Mrs. Quinn?
                  [Correct Ans: – Part B primarily covers physician services. She will be paying a
                  monthly premium and, with the exception of many preventive and screening
                  tests, generally will have 20% co-payments for these services, in addition to
                  an annual deductible.<\/li>\n\n\n\n
                2. Mr. Buck has several family members who died from different cancers. He
                  wants to know if Medicare covers cancer screening. What should you tell
                  him?
                  [Correct Ans: – Medicare covers periodic performance of a range of screening
                  tests that are meant to provide early detection of disease. Mr. Buck will need
                  to check specific tests before obtaining them to see if they will be covered.<\/li>\n\n\n\n
                3. Mrs. Turner is comparing her employer’s retiree insurance to Original
                  Medicare and would like to know which of the following services Original
                  Medicare will cover if the appropriate criteria are met? What could you tell
                  her?
                  [Correct Ans: – Original Medicare covers ambulance services<\/li>\n\n\n\n
                4. Mrs. Wolf wears glasses and dentures and has enjoyed considerable pain
                  relief from arthritis through acupuncture. She is concerned about whether
                  or not Medicare will cover these items and services. What should you tell
                  her?
                  [Correct Ans: – Medicare does not cover acupuncture, or, in general, glasses
                  or dentures<\/li>\n\n\n\n
                5. Mr. Singh would like drug coverage, but does not want to be enrolled into
                  a health plan. What should you tell him?<\/li>\n<\/ol>\n\n\n\n

                  AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
                  [Correct Ans: – Mr. Singh can enroll in a stand-alone prescription drug plan
                  and continue to be covered for Part A and Part B services through Original
                  Fee-for-Service Medicare.<\/p>\n\n\n\n

                    \n
                  1. Mr. Alonso receives some help paying for his two generic prescription
                    drugs from his employer’s retiree coverage, but he wants to compare it to
                    a Part D prescription drug plan. He asks you what costs he would
                    generally expect to encounter when enrolling into a standard Medicare
                    Part D prescription drug plan. What should you tell him?
                    [Correct Ans: – He generally would pay a monthly premium, annual
                    deductible, and per-prescription cost sharing<\/li>\n\n\n\n
                  2. Mrs. Geisler’s neighbor told her she should look at her Part D options
                    during the annual Medicare enrollment period because features of Part D
                    might have changed. Mrs. Geisler can’t remember what Part D is so she
                    called you to ask what her neighbor was talking about. What could you
                    tell her?
                    [Correct Ans: – Part D covers prescription drugs and she should look at her
                    premiums, formulary, and cost sharing among other factors to see if they
                    have changed.<\/li>\n\n\n\n
                  3. Mrs. Paterson is concerned about the deductibles and co-payments
                    associated with Original Medicare. What can you tell her about Medigap as
                    an option to address this concern?
                    [Correct Ans: – Medigap plans help beneficiaries cover coinsurance, copayments, and\/or deductibles for medically necessary services.<\/li>\n\n\n\n
                  4. 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.
                    10.Mr. Kelly has substantial financial means. He enrolled in Original Medicare
                    and purchased a Medigap policy many years ago that offered prescription
                    drug coverage. The prescription drug coverage has not been comparable
                    to that offered by Medicare Part D for several years and despite<\/li>\n<\/ol>\n\n\n\n

                    AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
                    notification, Mr. Kelly took no action. Which of the following statements
                    best describes what will occur if Mr. Kelly now decides to enroll in
                    Medicare Part D?
                    [Correct Ans: – He will incur a late enrollment penalty
                    11.Mr. Capadona would like to purchase a Medicare Advantage (MA) plan and
                    a Medigap plan to pick up costs not covered by that plan. What should
                    you tell him?
                    [Correct Ans: – It is illegal for you to sell Mr. Capadona a Medigap plan if he is
                    enrolled in an MA plan, and besides, Medigap only works with Original
                    Medicare
                    12.What impact, if any, will the Medicare Access and CHIP Reauthorization
                    Act of 2015 (MACRA) have upon Medigap plans?
                    [Correct Ans: – The Part B deductible will no longer be covered for individuals
                    newly eligible for Medicare starting January 1, 2020
                    13.Mrs. Raskin is a widow who will attain aged 65 and enroll in Medicare in
                    just a few weeks. She concerned about having prescription drug coverage.
                    Which of the following statements provides the best advice?
                    [Correct Ans: – Prescription drug coverage can be obtained by enrolling in a
                    Medicare Advantage plan that includes Part D coverage.
                    14.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 tell her?
                    [Correct Ans: – Medicare Health Plans may offer extra benefits that Original
                    Medicare does not offer such as vision, hearing, and dental services and must
                    include a maximum out-of-pocket limit on Part A and Part B services
                    15.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?
                    [Correct Ans: – Medicare health plans must cover all benefits available under
                    Medicare Part A and Part B. Many also cover Part D prescription drugs<\/p>\n\n\n\n

                    AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
                    16.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 her to qualify for
                    Medicare. What could you tell her to address her concern?
                    [Correct Ans: – Medicare is a program 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.
                    17.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?
                    [Correct 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
                    18.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?
                    [Correct Ans: – Medicare Supplemental Insurance would help cover his Part A
                    and Part B cost sharing in Original Fee-for-Service (FFS) Medicare as well as
                    possibly some services that Medicare does not cover
                    19.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 like his current HMO plan requires him to do. What should
                    you tell him?
                    [Correct 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.
                    20.Mrs. Lee is discussing with you the possibility of enrolling in a Private
                    Fee-for-Service (PFFS) plan. As part of that discussion, what should you be
                    sure to tell her?
                    [Correct Ans: – If she uses non-network providers, her doctors and hospital
                    could decide whether to treat her on a visit-by-visit basis
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                    AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
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                      \n
                    1. Mrs. Chou likes a Private Fee-for-Service (PFFS) plan available in her area
                      that does not include drug coverage. She wants to enroll in the plan and
                      enroll in a stand-alone prescription drug plan. What should you tell her?
                      [Correct Ans: – She could enroll in a PFFS plan and a stand-alone Medicare
                      prescription drug plan.<\/li>\n\n\n\n
                    2. Mrs. Roswell is a new Medicare beneficiary who has just retired from
                      retail work. She is interested in selecting a Medicare Part D prescription
                      drug plan. She takes a number of medications and is concerned that she
                      has not been able to identify a plan that covers all of her medications. She
                      does not want to make an abrupt change to new drugs that would be
                      covered and asks what she should do. What should you tell her?
                      [Correct Ans: – Every Part D drug plan is required to cover a single one-month
                      fill of her existing medications sometime during a 90-day transition period.<\/li>\n\n\n\n
                    3. Mr. Robinson was quite ill recently and forgot to pay his monthly
                      premium for his MA-PD plan. He is worried that he will lose his coverage
                      now when he needs it the most. He is certain his plan will disenroll him
                      because that is what happened to a friend of his in a similar type of plan.
                      What can you tell Mr. Robinson about his situation?<\/li>\n<\/ol>\n\n\n\n

                      AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
                      [Correct Ans: – Plan sponsors have the option to do nothing when a plan
                      member does not pay their premiums or disenroll the member after a grace
                      period and notice.<\/p>\n\n\n\n

                        \n
                      1. Mrs. Allen has a rare condition for which two different brand name drugs
                        are the only available treatment. She is concerned that since no generic
                        prescription drug is available and these drugs are very high cost, she will
                        not be able to find a Medicare Part D prescription drug plan that covers
                        either one of them. What should you tell her?
                        [Correct Ans: – Medicare prescription drug plans are required to cover drugs
                        in each therapeutic category. She should be able to enroll in a Medicare
                        prescription drug plan that covers the medications she needs.<\/li>\n\n\n\n
                      2. One of your clients, Lauren Nichols, has heard about a Medicare concept
                        from one of her neighbors called TrOOP. She asks you to explain it. What
                        do you say?
                        [Correct Ans: – TrOOP stands for true out-of-pocket expenses that count
                        toward the Medicare Part D catastrophic limit and include not only expenses
                        paid by a beneficiary but also in some instances drug manufacturer
                        discounts.<\/li>\n\n\n\n
                      3. Mrs. Fiore is a retired federal worker with coverage under a Federal
                        Employee Health Benefits (FEHB) plan that includes creditable drug<\/li>\n<\/ol>\n\n\n\n

                        AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
                        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?
                        [Correct Ans: – She could compare the coverage to see if the Medicare Part D
                        plan offers 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.<\/p>\n\n\n\n

                          \n
                        1. Mrs. Shields is covered by Original Medicare. She sustained a hip fracture
                          and is being successfully treated for that condition. However, she and her
                          physicians feel that after her lengthy hospital stay she will need a month
                          or two of nursing and rehabilitative care. What should you tell them about
                          Original Medicare’s coverage of care in a skilled nursing facility?
                          [Correct Ans: – Medicare will cover Mrs. Shield’s skilled nursing services
                          provided during the first 20 days of her stay, after which she would have a
                          copay until she has been in the facility for 100 days.<\/li>\n\n\n\n
                        2. Madeline Martinez was widowed several years ago. Her husband worked
                          for many years and contributed into the Medicare system. He also left a
                          substantial estate which provides Madeline with an annual income of
                          approximately $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 to you for advice. What should you tell her?
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                          AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
                          AHIP 2024 Final Exam Practice Test #2
                          |80 Questions Solved 100% Correct
                          (Verified Answers) Guarantee Pass 2024<\/p>\n\n\n\n

                            \n
                          1. 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 with chronic
                            conditions, like Mr. Sinclair, and they provide prescription drug coverage that
                            could be very helpful as well.<\/li>\n\n\n\n
                          2. Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis,
                            putting him at severe risk for pneumonia. Otherwise, he has no problems
                            functioning. Which type of SNP is likely to be most appropriate for him?
                            [Correct Ans: – C-SNP<\/li>\n\n\n\n
                          3. 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 most Medicare Advantage HMOs, Mr. Kumar must generally
                            obtain his services only from providers within the plan’s network (except in
                            an emergency or where care is unavailable within the network).<\/li>\n<\/ol>\n\n\n\n

                            AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)<\/p>\n\n\n\n

                              \n
                            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?
                              [Correct 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.<\/li>\n\n\n\n
                            2. Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that
                              you represent. It is one of three plans operated by the same organization
                              in Mr. Lombardi’s area. The MA PPO plan does not include drug coverage,
                              but the other two plans do. Mr. Lombardi likes the PPO plan that does not
                              include drug coverage and intends to obtain his drug coverage through a
                              stand-alone Medicare prescription drug plan. What should you tell him
                              about this situation?
                              [Correct Ans: – He could enroll either in one of the MA plans that include
                              prescription drug coverage or Original Medicare with a Medigap plan and
                              standalone Part D prescription drug coverage, but he cannot enroll in the
                              MA-only PPO plan and a stand-alone prescription drug plan.<\/li>\n\n\n\n
                            3. Mrs. Radford asks whether there are any special eligibility requirements
                              for Medicare Advantage. What should you tell her?<\/li>\n<\/ol>\n\n\n\n

                              AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
                              [Correct Ans: – Mrs. Radford must be entitled to Part A and enrolled in Part B
                              to enroll in Medicare Advantage.<\/p>\n\n\n\n

                                \n
                              1. One of your clients, Lauren Nichols, has heard about a Medicare concept
                                from one of her neighbors called TrOOP. She asks you to explain it. What
                                do you say?
                                [Correct Ans: – TrOOP stands for true out-of-pocket expenses that count
                                toward the Medicare Part D catastrophic limit and include not only expenses
                                paid by a beneficiary but also in some instances drug manufacturer
                                discounts.<\/li>\n\n\n\n
                              2. Mrs. Mulcahy, age 65, is concerned that she may not qualify for
                                enrollment in a Medicare prescription drug plan because, although she is
                                entitled to Part A, she is not enrolled under Medicare Part B. What should
                                you tell her?
                                [Correct Ans: – An individual who is entitled to Part A or enrolled under Part
                                B is eligible to enroll in a Medicare prescription drug plan. As long as Mrs.
                                Mulcahy is entitled to Part A, she does not need to enroll under Part B before
                                enrolling in a prescription drug plan.<\/li>\n\n\n\n
                              3. Mrs. Roberts has Original Medicare and would like to enroll in a Private
                                Fee-for-Service (PFFS) plan. All types of PFFS plans are available in her
                                area. Which options could Mrs. Roberts consider before selecting a PFFS
                                plan?
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                                AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
                                AHIP Practice Exam 2024 Final
                                Questions Solved 100% Correct
                                With Verified Answers<\/p>\n\n\n\n

                                  \n
                                1. 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?
                                  [Correct Ans: – Mrs. Valentino can submit a written request to Medicare to be
                                  disenrolled from the Cost plan and enroll in Original Medicare.<\/li>\n\n\n\n
                                2. 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?
                                  [Correct Ans: – 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.<\/li>\n\n\n\n
                                3. Mrs. Tanner is enrolled in a Medicare Advantage HMO that offers a point
                                  of service options. This allows Mrs. Tanner to do which of the following?
                                  [Correct Ans: – Mrs. Tanner can go to non-plan doctors for certain services
                                  without receiving prior approval<\/li>\n<\/ol>\n\n\n\n

                                  AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)<\/p>\n\n\n\n

                                    \n
                                  1. 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?
                                    [Correct Ans: – Inquire whether the client qualifies for a special enrollment
                                    period, and if not, solicit an enrollment application once the annual open
                                    enrollment election period begins on October 15th.<\/li>\n\n\n\n
                                  2. 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: – 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.<\/li>\n\n\n\n
                                  3. Mr. Katz reached the Part D coverage gap in August last year. His
                                    prescriptions have not been changed, he is keeping the same Part D plan
                                    and the benefits, cost-sharing, and coverage of his drugs are all the same
                                    as last year. He asked what to expect for this year about his out-of-pocket
                                    costs. What could you tell him?<\/li>\n<\/ol>\n\n\n\n

                                    AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
                                    [Correct Ans: – Because he reached the coverage gap last year, he will
                                    probably reah it again this year close to the same time.<\/p>\n\n\n\n

                                      \n
                                    1. ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its
                                      enrollees’ protected health information to market non-health related
                                      products such as life insurance and annuities. To do so it must obtain
                                      authorization from the enrollees. Which statement best describes the
                                      authorization process?
                                      [Correct Ans: – Authorization may be obtained by directing a beneficiary to a
                                      website to provide consent<\/li>\n\n\n\n
                                    2. Mrs. 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?
                                      [Correct Ans: – In order to obtain Part B coverage, she must pay a standard
                                      monthly premium, though it is higher for individuals with higher incomes.<\/li>\n\n\n\n
                                    3. Mr. Buck has several family members who died from different cancers. He
                                      wants to know if Medicare covers cancer screening. What should you tell
                                      him?
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                                      AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)
                                      2024 AHIP Final Exam Practice Test # 3
                                      Questions Solved 100% Correct \/
                                      Verified Answers \/Guarantee Pass 2024<\/p>\n\n\n\n

                                        \n
                                      1. Mr. Wong is a single individual. He has a successful business career and is
                                        now able to retire with a comfortable income. Mr. Wong’s taxable income
                                        is in excess of $80,000. Mr. Wong has health coverage through his
                                        employer but will sign-up for Medicare Part A, Part B and Part D when he
                                        leaves the workforce. How would you advise him as he budgets for
                                        Medicare premiums?
                                        [Correct Ans: – Due to his participation in the workforce he will not have to
                                        pay a premium for Part A but he will pay higher premiums for Part B and
                                        Part D due to the amount of his income.<\/li>\n\n\n\n
                                      2. During an appointment scheduled to discuss a Medicare Advantage
                                        Prescription Drug plan (MA-PD), Mr. Peters asked his agent to describe a
                                        stand-alone prescription drug plan (Part D plan) that his neighbor told him
                                        about. What should his agent do?
                                        [Correct Ans: – Since Mr. Peters requested a description of the Part D plan, his
                                        agent must have Mr. Peters sign a new scope of appointment form that
                                        includes Part D, and then the agent may discuss the Part D plan so Mr. Peters
                                        can compare plans and make an informed enrollment choice during the
                                        appointment.<\/li>\n<\/ol>\n\n\n\n

                                        AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)<\/p>\n\n\n\n

                                          \n
                                        1. By contacting plans available in your area, you have learned that the plan
                                          you represent has a significantly lower monthly premium than the others.
                                          Furthermore, you see that the plan you represent has a unique benefit
                                          package. What should you do to make sure your clients know about these
                                          pieces of information?
                                          [Correct Ans: – You may make comparisons between plans if you can support
                                          them by studies or statistical data and such comparisons are factually based.<\/li>\n\n\n\n
                                        2. 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?
                                          [Correct 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.<\/li>\n\n\n\n
                                        3. Mr. Decaro has looked a Medicare prescription drug plans available in his
                                          area and noted a wide range in premiums. He thought that all drug plans
                                          were required to offer the same standard benefits and would like you to
                                          explain why there is such a range in premiums. What should you tell him?
                                          [Correct Ans: – Some prescription drug plans may have higher operating
                                          costs and\/or may offer enhanced coverage in return for an additional
                                          premium amount. He could look at plan designs to see if one of the
                                          enhanced plans would serve his needs better than a plan based on the
                                          standard design.<\/li>\n<\/ol>\n\n\n\n

                                          AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)<\/p>\n\n\n\n

                                            \n
                                          1. Mrs. Wellington is enrolled in Parts A and B of Original Medicare. A friend
                                            recently told her that there is an excellent Medicare Advantage (MA) plan
                                            with a five-star rating serving her area. On January 5 she comes to you for
                                            advise as to what options, if any, she has. What should you say regarding
                                            special enrollment periods (SEPs)?
                                            [Correct Ans: – Mrs. Wellington is eligible for a SEP that may be used once
                                            until November 30 to enroll in the five-star plan.<\/li>\n\n\n\n
                                          2. Mr. Landry is approaching his 65th birthday. He has signed up for
                                            Medicare Part A, but he did not enroll in Part B because he has employersponsored coverage and intends to keep working for several more years.
                                            But he is considering enrolling in Part D prescription drug coverage
                                            because he believes it is superior to his employer plan. How would you
                                            advise him?
                                            [Correct Ans: – Mr. Landry is eligible for Part D since he has Part A, and his
                                            initial enrollment period (IEP) for Part D will continue for three months after
                                            his 65th birthday.<\/li>\n\n\n\n
                                          3. Ms. Gates is dually eligible for Medicare and Medicaid. She is very
                                            concerned about being locked into a specific Medicare prescription drug
                                            plan for the entire year. what should you tell her?
                                            [Correct Ans: – Individuals who are enrolled in Medicaid can change their Part
                                            D plans throughout the year, so if she is not satisfied with her prescription
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                                            AHIP (AMERICA’S HEALTH INSURANCE PLANS)
                                            AHIP 2024 Module 1 Latest| New
                                            Questions With 100% Verified Answers<\/p>\n\n\n\n

                                              \n
                                            1. 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.<\/li>\n\n\n\n
                                            2. 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.<\/li>\n\n\n\n
                                            3. 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?<\/li>\n<\/ol>\n\n\n\n

                                              AHIP (AMERICA’S HEALTH INSURANCE PLANS)<\/p>\n\n\n\n

                                                \n
                                              1. 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.<\/li>\n\n\n\n
                                              2. 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.<\/li>\n\n\n\n
                                              3. 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 2024 MODULE 2 Latest| New Questions With 100% Verified Answers<\/strong><\/p>\n\n\n\n

                                                AHIP (AMERICA’S HEALTH INSURANCE PLANS)
                                                AHIP 2024 MODULE 2 Latest| New
                                                Questions With 100% Verified Answers<\/p>\n\n\n\n

                                                  \n
                                                1. 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% ?<\/li>\n\n\n\n
                                                2. 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.<\/li>\n\n\n\n
                                                3. 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.<\/li>\n<\/ol>\n\n\n\n

                                                  AHIP (AMERICA’S HEALTH INSURANCE PLANS)<\/p>\n\n\n\n

                                                    \n
                                                  1. 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<\/li>\n\n\n\n
                                                  2. 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.<\/li>\n\n\n\n
                                                  3. 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 (AMERICA’S HEALTH INSURANCE PLANS)
                                                    AHIP 2024 Module 3 Latest| New
                                                    Questions With Verified Answers<\/p>\n\n\n\n

                                                      \n
                                                    1. 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.<\/li>\n\n\n\n
                                                    2. 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.<\/li>\n\n\n\n
                                                    3. 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.<\/li>\n<\/ol>\n\n\n\n

                                                      AHIP (AMERICA’S HEALTH INSURANCE PLANS)<\/p>\n\n\n\n

                                                        \n
                                                      1. 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<\/li>\n\n\n\n
                                                      2. 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).<\/li>\n\n\n\n
                                                      3. 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 (AMERICA’S HEALTH INSURANCE PLANS)
                                                        AHIP 2024 Module 4 Latest|
                                                        New Questions With Verified
                                                        Answers 100% Correct<\/p>\n\n\n\n

                                                          \n
                                                        1. 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.<\/li>\n\n\n\n
                                                        2. 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.<\/li>\n\n\n\n
                                                        3. Wendy Park becomes eligible for Medicare for the first time in July. With
                                                          the help of Agent James Chan, she enrolls in FeelBetter Medicare<\/li>\n<\/ol>\n\n\n\n

                                                          AHIP (AMERICA’S HEALTH INSURANCE PLANS)
                                                          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.<\/p>\n\n\n\n

                                                            \n
                                                          1. 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.<\/li>\n\n\n\n
                                                          2. 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 __<\/em>
                                                            {Correct Ans: – I, II, and III only<\/li>\n\n\n\n
                                                          3. 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<\/p>\n\n\n\n

                                                              \n
                                                            1. 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.<\/li>\n\n\n\n
                                                            2. 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.<\/li>\n\n\n\n
                                                            3. 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<\/li>\n<\/ol>\n\n\n\n

                                                              AHIP (AMERICA’S HEALTH INSURANCE PLANS)
                                                              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.<\/p>\n\n\n\n

                                                                \n
                                                              1. 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.<\/li>\n\n\n\n
                                                              2. 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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                                                                AHIP (AMERICA’S HEALTH INSURANCE PLANS)
                                                                AHIP (Medicare) 2024 Exam
                                                                Questions And Answers updated
                                                                latest (Verified Answers)<\/p>\n\n\n\n

                                                                  \n
                                                                1. 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?
                                                                  a. Medicare Supplemental Insurance would cover his long-term care
                                                                  services.
                                                                  b. 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.
                                                                  c. Medicare Supplemental Insurance would cover all of his IRS
                                                                  approved health care expenditures not covered under Original Feefor-Service (FFS) Medicare.
                                                                  d. Medicare Supplemental Insurance would cover his dental, vision
                                                                  and hearing services only.<\/li>\n\n\n\n
                                                                2. 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?
                                                                  a. He became eligible for Medicare when his disability eligibility
                                                                  determination was first made.
                                                                  b. Individuals receiving such disability payments from the Social
                                                                  Security Administration continue to receive those payments but
                                                                  only become eligible for Medicare upon reaching age 65.<\/li>\n<\/ol>\n\n\n\n

                                                                  AHIP (AMERICA’S HEALTH INSURANCE PLANS)
                                                                  c. Individuals who become eligible for such disability payments only
                                                                  have to wait 12 months before they can apply for coverage under
                                                                  Medicare.
                                                                  d. After receiving such disability payments for 24 months, he will be
                                                                  automatically enrolled in Medicare, regardless of age.<\/p>\n\n\n\n

                                                                    \n
                                                                  1. 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 her to qualify for
                                                                    Medicare. What could you tell her to address her concern?
                                                                    a. Medicare is a program for people age 65 or older and those under
                                                                    age 65 with certain disabilities, end-stage renal disease, and Lou
                                                                    Gehrig’s disease so she will be eligible for Medicare.
                                                                    b. Eligibility for Medicare is based on whether or not a person has
                                                                    ever been employed by the federal government. If she or her
                                                                    husband were ever employed by the federal government, she can
                                                                    enroll in Medicare.
                                                                    c. Medicare is a program for people who have incomes and assets
                                                                    below specific limits, so you will have to find out her exact
                                                                    financial situation before telling her whether she can obtain
                                                                    Medicare coverage.
                                                                    d. Medicare is a program for people of all ages w<\/li>\n\n\n\n
                                                                  2. 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?<\/li>\n<\/ol>\n\n\n\n

                                                                    AHIP (AMERICA’S HEALTH INSURANCE PLANS)
                                                                    a. Mrs. Ramos should be aware that generally plan providers can
                                                                    decide, on a case-by-case basis, whether they will treat her.
                                                                    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 a part of the PPO
                                                                    network.
                                                                    c. In general, Mrs. Ramos will need a referral to see specialists.
                                                                    d. In general, Mrs. Ramos can obtain care from any provider who
                                                                    participates in Original Medicare but will have to pay the difference
                                                                    between the plan’s allowed amount and the provider’s usual and
                                                                    customary charge.<\/p>\n\n\n\n

                                                                      \n
                                                                    1. 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?
                                                                      a. Mr. Wu may still qualify for help in paying Part D costs through his
                                                                      State Pharmaceutical Assistance Program.
                                                                      b. Mr. Wu may still qualify for help in paying for Part D costs through
                                                                      the Federal Pharmaceutical Assistance Program.
                                                                      c. Mr. Wu may still qualify for help in paying for Part D costs through
                                                                      the local Office of the Aging.
                                                                      d. Mr. Wu has no alternative but to liquidate his remaining assets and
                                                                      apply for coverage through his state’s Medicaid program.<\/li>\n\n\n\n
                                                                    2. 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
                                                                      Powered by                                                                       https:\/\/learnexams.com\/search\/study?query=<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

                                                                      Complete; AHIP 2024 Final Exams\/Test\/Practice\/Modules| Questions and Answers (Verified Answer) Guarantee Pass AHIP 2024 final Exam Solved 100% Correct With Verified Answers\/2024-Guarantee Pass AHIP CERTIFICATION (AMERICA’S HEALTH INSURANCE PLANS)AHIP 2024 final Exam Solved100% Correct With VerifiedAnswers\/2024-Guarantee PassMrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could youtell Mrs. Park that […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-131661","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131661","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=131661"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/131661\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=131661"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=131661"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=131661"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}