100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
Previously searched by you
2024 NEW AHIP FINAL EXAM TEST BANK WITH 500+ ACTUAL EXAM QUESTIONS AND CORRECT ANSWERS (EXPERT VERIFIED SOLUTIONS) AHIP FINAL EXAM 2024/2025 (NEW!!)$29.99
Add to cart
2024 NEW AHIP FINAL EXAM TEST
BANK WITH 500+ ACTUAL EXAM
QUESTIONS AND CORRECT ANSWERS
(EXPERT VERIFIED SOLUTIONS) AHIP
FINAL EXAM 2024/2025 (NEW!!)
Mr. Chen is enrolled in his employer's group health plan and will be retiring soon.
He would like to know his options since he has decided to drop his retiree coverage
and is eligible for Medicare. What should you tell him? - ANSWER-Mr. Chen can
disenroll from his employer-sponsored coverage to elect a Medicare Advantage or
Part D plan within 2 months of his disenrollment, but he should revaluate if he
really wants to drop his employer coverage.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand what
coverage Medicare Supplemental Insurance provides since his health care needs
are different from his wife's needs. What could you tell Mr. Moy? - ANSWER-
Medicare Supplemental Insurance would help cover his Part A and Part B cost
sharing in Original Fee-for-Service (FFS) Medicare as well as possibly some
services that Medicare does not cover.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she has
been working with Agent Neil Adams in the selection of a Medicare Advantage
(MA) plan. It is mid-September, and Mrs. Young is going on vacation. Agent
Adams is considering suggesting that he and Mrs. Young complete the application
together before she leaves. He will then submit the paper application prior the start
of the annual enrollment period (AEP). What would you say If you were advising
Agent Adams? - ANSWER-This is a bad idea. Agents are generally prohibited
from soliciting or accepting an enrollment form prior to the start of the AEP.
pg. 1
,Another agent working for your agency claims that because you are not employed
by the Medicare Advantage plans that you represent, you are not subject to the
same requirements as the plans themselves. How should you respond to such a
statement? - ANSWER-Your coworker is not correct. Marketing on behalf of a
plan is considered marketing by the plan and requires that all contracted and
employed agents comply with all Medicare marketing rules.
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? -
ANSWER-Marketing representatives may initiate electronic contact through e-
mail but the subject line must say "marketing" and an opt-out process must be
provided.
Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal
disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain
coverage under Medicare. What should you tell him? - ANSWER-He may sign-up
for Medicare at any time however coverage usually begins on the fourth month
after dialysis treatments start.
Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-
income subsidy. How does that affect his ability to enroll or disenroll in a Part D
plan? - ANSWER-He qualifies for a special election period and can enroll in or
disenroll from a Part D plan once during that period.
Mr. Lopez, who is fairly well-off financially, would like to enroll in a Medicare
prescription drug plan you represent and simply give you a check to cover his
premiums for the entire year. What should you tell him? - ANSWER-Enrollees
should pay using automatic withdrawal from a bank account or credit or debit card,
direct monthly billing from the plan, or deductions from their Social Security
check.
pg. 2
,You have approached a hospital administrator about marketing in her facility. The
administrator is uncomfortable with the suggestion. How could you address her
concerns? - ANSWER-Tell her that Medicare guidelines allow you to conduct
marketing activities in common areas of a provider's facility.
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief
from arthritis through acupuncture. She is concerned about whether or not
Medicare will cover these items and services. What should you tell her? -
ANSWER-Medicare does not cover acupuncture, or, in general, glasses or
dentures.
Mr. Bickford did not quite qualify for the extra help low-income subsidy under the
Medicare Part D Prescription Drug program and he is wondering if there is any
other option he has for obtaining help with his considerable drug costs. What
should you tell him? - ANSWER-He could check with the manufacturers of his
medications to see if they offer an assistance program to help people with limited
means obtain the medications they need. Alternatively, he could check to see
whether his state has a pharmacy assistance program to help him with his
expenses.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you
represent. It is one of three plans operated by the same organization in Mr.
Lombardi's area. The MA PPO plan does not include drug coverage, but the other
two plans do. Mr. Lombardi likes the PPO plan that does not include drug
coverage and intends to obtain his drug coverage through a stand-alone Medicare
prescription drug plan. What should you tell him about this situation? - ANSWER-
He could enroll in one of the MA plans that include prescription drug coverage or a
Medigap plan and a stand-alone prescription drug plan, but he cannot enroll in the
MA-only PPO plan and a stand-alone prescription drug plan.
Mr. Torres has a small savings account. He would like to pay for his monthly Part
D premiums with an automatic monthly withdrawal from his savings account until
it is exhausted, and then have his premiums withheld from his Social Security
pg. 3
, check. What should you tell him? - ANSWER-In general, he must select a single
Part D premium payment mechanism that will be used throughout the year.
Agent Jennings makes a presentation on Medicare advertised as an educational
event. Agent Jennings distributes materials that are solely educational in nature.
However, she gives a brief presentation that mentions plan-specific premiums. Is
this a prohibited activity at an event that has been advertised as educational? -
ANSWER-Yes. When an event has been advertised as "educational," discussing
plan-specific premiums is impermissible.
Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare
prescription drug plan because, although she is entitled to Part A, she is not
enrolled under Medicare Part B. What should you tell her? - ANSWER-Everyone
who is entitled to Part A or enrolled under Part B is eligible to enroll in a Medicare
prescription drug plan. As long as Mrs. Mulcahy is entitled to Part A, she does not
need to enroll under Part B before enrolling in a prescription drug plan.
Mr. Jacob understands that there is a standard Medicare Part D prescription drug
benefit, but when he looks at information on various plans available in his area, he
sees a wide range in what they charge for deductibles, premiums and cost sharing.
How can you explain this to him? - ANSWER-Medicare Part D drug plans may
have different benefit structures, but on average, they must all be at least as good
as the standard model established by the government.
Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent
health and will have considerable income when she retires. She is concerned that
her income will make it impossible for her to qualify for Medicare. What could
you tell her to address her concern? - ANSWER-Medicare is a program for people
age 65 or older and those under age 65 with certain disabilities, end stage renal
disease or Lou Gehrig's disease, so she will be eligible for Medicare.
pg. 4
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller muriithikelvin098. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $29.99. You're not tied to anything after your purchase.
