AHIP 2024 FINAL COMPLETE EXAM
LATEST edition with (Q & A)
You have sought permission from a hospital to place brochures for your product in their
gift shop and cafeteria. The hospital administration expresses some hesitation about
allowing marketing in a health care facility. What should you ...
AHIP 2024 FINAL COMPLETE EXAM
LATEST edition with (Q & A)
You have sought permission from a hospital to place brochures for your product in their
gift shop and cafeteria. The hospital administration expresses some hesitation about
allowing marketing in a health care facility. What should you tell them? - CORRECT
ANSWERMarketing in health care facilities is an acceptable practice, as long as it takes
place in common areas where patients are not receiving or waiting to receive health
care and as long as the hospital displays materials for all plans that provide them to the
hospital.
Hector Hernandez is an independent agent. Hector sells plans on behalf of three
Medicare Advantage organizations that offer a total of 10 plans but does not represent
all Medicare Advantage organizations offering plans that are available in his area.
Which of the following statements best describes any steps Hector is required to take? -
CORRECT ANSWERDuring the first minute of a sales call, Hector must send an email
to the prospect stating that "I represent 3 plans but not every plan available in your area.
Please contact Medicare.gov to get information on all your options.
Your friend's mother just moved to an assisted living facility and he asked if you could
present a program for the residents about the MA-PD plans you market. What could you
tell him? - CORRECT ANSWERYou appreciate the opportunity and would be happy to
schedule an appointment with anyone at their request.
Agent Martinez wishes to solicit Medicare Advantage prospects through e-mail and asks
you for advice as to whether this is possible. What should you tell her? - CORRECT
ANSWERMarketing representatives may initiate electronic contact through e-mail but
an opt-out process must be provided.
You are doing a sales presentation for Mrs. Pearson. You know that Medicare
marketing guidelines prohibit certain types of statements. Apply those guidelines to the
following statements and identify which would be prohibited. - CORRECT ANSWER"If
you're not in very good health, you will probably do better with a different product."
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 ANSWERShe can enroll in a Medigap plan to
supplement the benefits of the MA plan that she's also enrolling in.
, Edna, Felix, George, and Harriet are Medicare beneficiaries. Edna lives in an area that
has suffered from major flooding that has been declared a major disaster by both the
Federal government and her state. As a result of dealing with the flooding issues and
being evacuated from her home, Edna missed her chance to enroll in MA during her
Initial Coverage Election Period. Felix lives in an area with a Medicare Advantage plan
with a 4-star rating that he would like to join. George dropped his Medigap policy six
months ago when he first enrolled in a Medicare Advantage plan. He now wants to
return to Original Medicare. Harriet has recently developed diabetes and would like to
enroll in a Medicare Advantage plan that focuses on care for those with that disease.
Which, if any, of these individuals would qualify for a special election period (SEP)? -
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 ANSWERShe 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 ANSWERYou 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 ANSWERAfter 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
ANSWERPart 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. Peňa 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 ANSWERShe 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.
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