AHIP Final Exam Questions and Answers(2022 Frequently tested questions)
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AHIP
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AHIP
AHIP Final Exam Questions and Answers(2022 Frequently tested questions)
Types of Medicare Advantage Plans
PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans
Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles
Medi...
ahip final exam questions and answers2022 frequently tested questions types of medicare advantage plans ppo
pffs medicare medicaid plans serve both medicare and medicaid indi
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AHIP Final Exam Questions and Answers(2022 Frequently
tested questions)
Types of Medicare Advantage Plans
PPO, HMO, MSA, Cost Plan, PFFS
Medicare-Medicaid plans
Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals
sometimes referred to as dual eligibles
Medicare Cost Plan
Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting
new members. A non network provider will can charge higher coinsurances and
deuctibles. Different enrollment/disenrollment periods apply. Can get Part D Rx
coverage if available, or apply for a separate PDP.
Medicare Entitlement/Enrollment - Part A & Part B
Individuals with ESRD may sign up at anytime. Date on which coverage begins is the
fourth month after dialysis begins.
Medicare Enrollment Period
Individuals who do not enroll in Part B when first eligible can enroll during a General
Enrollment Period, Jan 1st to Mar 31st each year. Coverage begins July 1st of that
year.
Medicare Enrollment Period - Group Health Coverage
Individuals who have group health coveage through employer may enroll in Part A
and/or Part B anytime while on group coverage during a Special Enrollment Period.
Occurs during the 8 month period following last month of group coverage.
Medicare Part A Premium
Free if worked 40 quarters of your life and paid Medicare taxes. Premium is $240.00 for
individuals or spouses who paid Medicare taxes for 30 - 39 quarters. Premium is
$437.00 for less than 30 quarters.
Medicare Part A Penalty
Don't enroll in Part A when fist eligible, will pay a late penalty of up to 10% unless enroll
during a Special Enrollment Period.
Medicare Part B Premium
In 2019, the standard monthly premium is $135.50 or higher depending on income.
Deducted from S.S. check or Railroad Retirement check. Do not enroll when first
eligible, premium is increased 10% for each 12 month period not enrolled. Deductible
for 2019 is $185.00
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