AHIP 2025 FINAL EXAM STUDY PREP WITH COMPLETE QUESTIONS AND CORRECT SOLUTIONS GRADED A+
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AHIP
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AHIP
AHIP 2025 FINAL EXAM STUDY PREP WITH
COMPLETE QUESTIONS AND CORRECT
SOLUTIONS GRADED A+
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 co...
AHIP 2025 FINAL EXAM STUDY PREP WITH
COMPLETE QUESTIONS AND CORRECT
SOLUTIONS GRADED A+
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 answer 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.
Your colleague works at a third-party marketing organization
(TMO) and she said she did not need to take the Medicare
training for brokers and agents or pass a test to market Medicare
plans since her contract is with the TMO, not the plans that have
the products she sells. What could you say to her? Correct
Answer You could tell her she is wrong, and that only agents
selling employer/union group plans are permitted an exemption
from testing, but some employer/union group plans may require
testing to promote agent compliance with CMS marketing
requirements.
You are mailing invitations to new Medicare beneficiaries for a
marketing event. You want an idea of how many people to expect,
so you would like to request RSVPs. What should you keep in
mind? Correct Answer You may request RSVPs, but you are not
permitted to require contact information.
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? Correct
,Answer Mr. Wu may still qualify for help in paying Part D costs
through his State Pharmaceutical Assistance Program.
Mr. Cole has been a Medicaid beneficiary for some time, and
recently qualified for Medicare as well. He is concerned about
changes in his cost-sharing. What should you tell him? Correct
Answer He should know that Medicaid will pay cost sharing only
for services provided by Medicaid participating providers.
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 benefits package. What should you do to make sure
your clients know about these pieces of information? Correct
Answer You may make comparisons between plans if you can
support them by studies or statistical data and such comparisons
are factually based.
What impact, if any, have recent regulatory changes had upon
Medigap plans? Correct Answer The Part B deductible is no
longer covered for individuals newly eligible for Medicare starting
January 1, 2020.
Mrs. Lyons is in good health, uses a single prescription, and lives
independently in her own home. She is attracted by the idea of
maintaining control over a Medical Savings Account (MSA) but is
not sure if the plan associated with the account will fit her needs.
What specific piece of information about a Medicare MSA plan
would it be important for her to know, prior to enrolling in such a
plan? Correct Answer All MSAs cover Part A and Part B benefits,
but not Part D prescription drug benefits, which could be obtained
by also enrolling in a separate prescription drug plan.
This year you have decided to focus your efforts on marketing to
employer group plans. One employer provides you with a list of
, their retirees and asks you to contact them to explain the
characteristics of the plan they have selected. What should you
do? Correct Answer You may go ahead and call them.
Mrs. Sanchez lives in a state located near Canada. She has
recently become eligible for Medicare and is considering
enrollment in Part D prescription drug coverage. One of her
friends has told her that she needs to be aware of something
called TrOOP. What should you tell her when she asks you about
TrOOP? Correct Answer TrOOP are out-of-pocket costs that
count toward the annual out-of-pocket threshold to move into
catastrophic coverage and generally include the annual
deductible(s) and costs for drugs on the plan's formulary
purchased at a plan's participating pharmacy. In some instances,
amounts not directly paid by the enrollee (like manufacturer
discounts) count toward TrOOP
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 answer beneficiaries under
original medicare have no cost-sharing for most preventive
services which include immunizations such as annual flu shots.
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 answer
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
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