PSY325 325 AHIP FINAL EXAM Questions and Answers
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Final Exam - Attempt 1
1
Marks: 1 Mr. Moreno invited his neighbor, Agent Tom Smith, to discuss Medicare Advantage (MA) and Part D plans that Agent Smith sells at the regular
Tuesday brunch the neighbors have for senior citizens. What should Agent Tom Smith tell Mr. Moreno about the kinds of food that can be provided to
potential enrollees who attend the sales presentation?
Choose one answer. a. Nothing may be provided to eat or drink during the sales presentation.
b. Any type of meal or food is allowed, as long as it is available to the general public and not just those who are
eligible to enroll in the plans.
2 c. Any meal is allowed, as long as it is valued at less than $15.
Marks: 1
Last year Agent Melanie Meyers marketed and enrolled several clients in Medicare Advantage (MA) health plans. This year she has decided to focus
d. A meal
on non-MA products. What advice wouldcannot
you givebe provided,
Melanie if but
shelight snacks
wishes would be
to continue topermitted.
receive renewal fees?
Choose one answer. a. All that she needs to do is avoid being terminated for cause.
b. Melanie must remain trained, tested, licensed, and appointed, regardless of whether she is actively selling MA
products.
c. Melanie will need to do nothing to continue receiving renewal fees since the initial sale was made when she met
PSY325 325 AHIP Final Exam Questions and Answers rated A+ Guaranteed
all requirements.
d. All that she needs to do is meet state licensure requirements moving forward.
Success
3
Latest Update 2022/2023GRADED A+ 1/19
, Mrs. Kendrick is six months away from turning 65. She wants to know what she will
have to do to enroll in a Medicare Advantage (MA) plan as soon as possible. What could
you tell her?
Choose one answer. a. MA plans are only available to those who have been
enrolled in a Medigap plan for at least six months. Therefore, before
enrolling in an MA plan, she must first use a Medigap plan to
supplement her Original Medicare coverage.
b. She must first enroll in a Medicare Part D plan, before enrolling in a
Medicare Advantage plan.
c. She must have previously been enrolled in Original Fee-for-Service
Medicare for at least one year before she may enroll in an MA plan.
d. She may enroll in an MA plan beginning three months
immediately before her first entitlement to both Medicare Part A and
Part B.
PSY325 325 AHIP Final Exam Questions and Answers rated A+ Guaranteed
Success Latest Update 2022/2023GRADED A+ 2/19
, 4
Marks: 1
Mrs. Roswell is a new Medicare beneficiary and 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?
Choose one answer. a. 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.
b. The Medicare Part D drug plan is required to offer her coverage of the exact same drugs that she is currently
stabilized on, so she does not need to be concerned about transitioning to any new medications.
c. There is no possibility of obtaining coverage for her existing medications once coverage under the Medicare Part
D plan begins. She will need to have her physician help her select a new drug that is covered.
d. She should use an existing prescription drug coverage to get as large a supply of her existing drugs as possible,
and then pick new drugs that are covered under her Medicare plan’s formulary.
5
Marks: 1 Mr. James has end-stage renal disease (ESRD). He has been covered under Original Medicare but would like to know if he can enroll in a Medicare
Advantage plan. What should you tell him?
Choose one answer. a. Individuals with end-stage renal disease may enroll in a Medicare Advantage plan, but only if they are willing to
pay an extra premium to do so.
b. Individuals with end-stage renal disease can enroll in any Medicare Advantage plan that they choose without
paying an extra premium.
c. He will not be able to enroll in a Medicare Advantage plan because he has end-stage renal disease unless a
special needs plan for beneficiaries with ESRD is available in his service area.
d. Individuals with end-stage renal disease can only enroll in a Medicare Advantage plan after they have been on
PSY325 325 AHIP Final Exam Questions and Answers rated A+ Guaranteed
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, dialysis for 12 months.
6
Marks: 1 You meet with Mrs. Wilson to complete her enrollment in a Medicare Advantage plan. You tell her that there will be an enrollment verification process
to confirm that she is enrolled in the plan that she requested and understands the plan features and rules. What should Mrs. Wilson expect regarding
the verification process?
Choose one answer. a. Mrs. Wilson will be contacted by you within one week for a follow-up appointment to handle the verification
process.
b. Your assistant will contact Mrs. Wilson within seven calendar days to set up a joint call with the plan’s home office
to verify that she has enrolled in a plan of her choice and understands its features and rules.
c. You will contact Mrs. Wilson within 10 calendar days to set up a joint call with the plan’s home office to verify that
she has enrolled in a plan of her choice and understands its features and rules.
d. Mrs. Wilson will be contacted by the plan sponsor within 15 calendar days of receipt of the enrollment request.
7
Marks: 1 Mr. Garcia was told he qualifies for a Special Enrollment Period (SEP), but he lost the paper that explains what he could do during the SEP. What can
you tell him?
Choose one answer. a. If the SEP is for MA coverage, he will generally have one opportunity to change his MA coverage.
b. If the SEP is for Part D coverage, he may only drop, but not add or change, his Part D coverage one time before
the SEP expires.
c. If the SEP is for MA coverage, he may make as many changes to his MSA enrollment as he wants and the last
choice made before the end of the SEP period will be the effective one.
d. He may only use the SEP to disenroll from his MA plan and return to Original Medicare.
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