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2024 AHIP FINAL EXAM WITH ANSWERS
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2024 AHIP FINAL EXAM WITH ANSWERS
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2024 AHIP FINAL EXAM WITHANSWERS
A client wants to give you an enrollment application on October 1 before the
beginning of the Annual Election Period because he is leaving on vacation for
two weeks and does not want to forget about turning it in. What should you
tell him? - CORRECT-ANSWERSYou must tell him you are not permitted to
take the form. If he sends the form directly to the plan, the plan will process
the enrollment on the day the Annual Election Period begins.
Mrs. Kumar would like her daughter, who lives in another state, to meet with
you during the Annual Election Period to help her complete her enrollment in
a Part D plan. She asked you when she should have her daughter plan to
visit. What could you tell her? - CORRECT-ANSWERSHer daughter should
come in November.
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-
ANSWERSShe 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.
Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP).
What action could you help him take during this time? - CORRECT-
ANSWERSHe will have one opportunity to enroll in a Medicare Advantage
plan
Mr. Roberts is enrolled in an MA plan. He recently suffered complications
following hip replacement surgery. As a result, he has spent the last three
months in Resthaven, a skilled nursing facility. Mr. Roberts is about to be
discharged. What advice would you give him regarding his health coverage
options? - CORRECT-ANSWERSHis open enrollment period as an
institutionalized individual will continue for two months after the month he
moves out of the facility.
If a beneficiary is enrolled in a stand-alone prescription drug plan and wants
to keep that plan, what type of Medicare health plan could the individual also
enroll in, without being automatically disenrolled from the stand-alone
prescription drug plan? - CORRECT-ANSWERSThe beneficiary could enroll in a
, private fee-for-service (PFFS) plan that does not include prescription drug
coverage; a cost plan; or a Medicare Medical Savings Account (MSA) plan.
Since 2004 Ms. Eisenberg has had a Medigap plan that provides some drug
coverage. She has recently received a letter from her Medigap carrier
informing her that her drug coverage is not "creditable." She wants to know
what this means. What should you tell her? - CORRECT-ANSWERSThe letter is
to inform her that the drug coverage offered through her Medigap plan does
not offer drug coverage that is at least comparable to that provided under
the Medicare Part D prescription drug program. If she does not have such
creditable coverage during periods when she is first eligible for the Part D
program, she will face a premium penalty if she enrolls in a Part D plan at a
later date.
Mr. Albert has heard about something called the Star Rating system for
Medicare Advantage plans. He asks you to explain it to him since he is
interested in enrolling in a plan that is newly available in his area. After you
explain that it is the way for consumers to judge plan performance, what else
would you say? - CORRECT-ANSWERSNew plans and Part D sponsors that do
not have any Star Rating are not required to provide Star Rating information
until the next contract year.
Ms. Brooks has an aggressive cancer and would like to know if Medicare will
cover hospice services in case she needs them. What should you tell her? -
CORRECT-ANSWERSMedicare covers hospice services and they will be
available for her.
Mr. Lee was intending to enroll in MaxCare's Medicare Advantage plan this
year. However, due to his current medical condition, his daughter Debbie has
been appointed as his legal representative over both health and financial
matters. Debbie would like to ensure that her father is still able to enroll in
MaxCare's plan, but she is unsure what her role is to help with his enrollment
request. What advice can you give her? - CORRECT-ANSWERSDebbie can
submit an telephonic enrollment request on Mr. Lee's behalf as long as she
attests that she has the legal authority to do so
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-ANSWERSShe
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
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