AHIP Final Exam Questions.pdf file:///C:/Users/HP/Desktop/NIW/AHIP%20Final%20Exam%20Ques
AHIP Final Exam Questions
1. Types of Medicare Advantage Plans
: Answer PPO, HMO, MSA, Cost Plan, PFFS
2. Medicare-Medicaid plans
: Answer Serve both Medicare and Medicaid individuals. In-clude Part D coverage. Individuals
sometimes referred to as dual eligibles
3. Medicare Cost Plan
: Answer Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting
new members. A non network provider will can chargehigher coinsurances and deuctibles.
Different enrollment/disenrollment periods ap-ply. Can get Part D Rx coverage if available, or
apply for a separate PDP.
4. Medicare Entitlement/Enrollment - Part A & Part B
: Answer Individuals with ESRD maysign up at anytime. Date on which coverage begins is the
fourth month after dialysisbegins.
5. Medicare Enrollment Period
: Answer Individuals who do not enroll in Part B when firsteligible can enroll during a General
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,AHIP Final Exam Questions.pdf file:///C:/Users/HP/Desktop/NIW/AHIP%20Final%20Exam%20Ques
Enrollment Period, Jan 1st to Mar 31st each year. Coverage begins July 1st of that year.
6. Medicare Enrollment Period - Group Health Coverage
: Answer Individuals who havegroup health coveage through employer may enroll in Part A
and/or Part B anytimewhile on group coverage during a Special Enrollment Period. Occurs
during the 8 month period following last month of group coverage.
7. Medicare Part A Premium
: Answer Free if worked 40 quarters of your life and paid Medicare taxes. Premium is $240.00
for individuals or spouses who paid Medicaretaxes for 30 - 39 quarters. Premium is $437.00 for
less than 30 quarters.
8. Medicare Part A Penalty
: Answer Don't enroll in Part A when fist eligible, will pay a latepenalty of up to 10% unless
enroll during a Special Enrollment Period.
9. Medicare Part B Premium
: Answer In 2019, the standard monthly premium is $135.50 or higher depending on income.
Deducted from S.S. check or Railroad Retirementcheck.Do not enroll when first eligible,
premium is increased 10% for each 12 monthperiod not enrolled. Deductible for 2019 is $185.00
10. Part C Medicare Advantage plans
: Answer Entiled to benefits under Part A ANDenrolled in Part B.
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