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AHIP PREP EXAM Questions and Answers Latest Updates 2024 GRADE A+
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AHIP PREP EXAM Questions and Answers Latest Updates 2024 GRADE A+
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AHIP PREP EXAM Questions andAnswers Latest Updates 2024
GRADE A+
1. 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?: Mr.
Chen can disenroll from his employer-sponsored coverage to elect a Medicare Advantage or Part D plan within 2 month
of his disenrollment.
2. Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access providers.
What should you tell him?: In most Medicare Advantage HMOs, Mr. Kumar must generally obtain his services only from
providers within the plan's network (except in an emergency or where care is unavailable within the network).
3. ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees' information to market non-
health related products such as life insurance and annuities. Which statement best describes ABC's obligation to its
enrollees regarding marketing such products?: XXXIt must obtain a HIPAA complaint authorization from an enrollee that
indicates the plan or plan sponsor may use their information for marketing purposes.
4. Mr. Yoo's employer has recently dropped comprehensive creditable pre- scription drug coverage that was offered
to company retirees. The company told Mr.Yoo that, because he was affected by this change, he would qualify for a
Special election period. Mr. Yoo contacted you to find out more about what this means. What can you tell him?: It means
that he qualifies for a one-time opportunity to enroll in an MA-PD or Part D prescription drug plan.
5. Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and conditions for
payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge?: Dr. Brennan can charge
Mary Rogers no more than the cost sharing specified in the PFFS plan's terms and condition of payment which may
include balance billing up to 15% of the Medicare rate.
6. Mr. Rainey is experiencing paranoid delusions and his physician feels that he should be hospitalized. What
should you tell Mr. Rainey (or his representative) about the length of an inpatient psychiatric hospital stay that Medicare
will cover?: Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's entire lifetime.
7. 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?: A meal cannot be provided, but light snacks would be
permitted.
8. You have approached a hospital administrator about marketing in her facility. The administrator is uncomfortable
with the suggestion. How could you address her concerns?: Tell her that Medicare guidelines allow you to conduct
marketing activities in common areas of a provider's facility.
9. Mr. and Mrs. Vaughn both take a specialized multivitamin prescription each day. Mr. Vaughn takes a prescription
for helping to regrow his hair. They
are anxious to have their Medicare prescription drug plan cover these drug needs. What should you tell them?: Medicare
prescription drug plans are not permitted to cover the prescription medications the Vaughns are interested in under Part
D coverage, however, plans may cover them as supplemental benefits and the Vaughn's could look into that possibility.
10. Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and also enroll
in a stand-alone Medicare prescrip- tion drug plan. Under what circumstances can she do this?: If the Medicare
Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical Savings Accoun
plan, Mrs. Berkowitz can do this.
, 11. Which of the following is/are most likely to be characterized as an invol- untary disenrollment from a Medicare
Advantage (MA) plan?
I. The enrollee dies.
II. An SNP enrollee loses special needs status due to substantially improved health.
III. It is determined that the member is not lawfully present in the United States.
IV. The member enrolls in another plan during the Annual Open Enrollment period.: I, II, and III only
12. Ms. Brooks has an aggressive cancer and would like to k: Medicare covers hospice services and they will be
available for her.
13. You are working several plans and community organizations to sponsor an educational event. When putting
together advertisements for this event, what should you do?: You must ensure that the advertisements indicate it is an
educational event, otherwise it will be considered a marketing event.
14. Which of the following statement is/are correct about a Medicare Savings Account (MSA) Plans?
I. MSAs may have either a partial network, full network, or no network of
providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription drug benefits.
III. An individual who is enrolled in an MSA plan is responsible for a minimal deductible of $500 indexed for inflation.
IV. Non-network providers must accept the same amount that Original Medicare would pay them as payment in full.:
and II, only
15. Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received under Origina
Medicare, but he would like to know more about Medicare Advantage Special Needs Plans (SNPs). What could you tell
him?: SNPs have special programs for enrollees with chronic conditions, like Mr. Sinclair, and they provide prescription
drug coverage that could be very helpful as well.
16. Mr. Xi will soon turn age 65 and has come to you for advice as to what ser- vices are provided under Original
Medicare. What should you tell Mr. Xi that best describes the health coverage provided to Medicare beneficiaries?: .
Beneficiaries under Original Medicare have no cost-sharing for most preventive services which include immunizations
such as annual flu shots.
17. During a sales presentation in Ms. Sullivan's home, she tells you that she has heard about a type of Medicare
health plan known as Private Fee-for-Ser- vice (PFFS). She wants to know if this would be available to her. What should
you tell her about PFFS plans?: A PFFS plan is one of the various types of Medicare Advantage plans offered by private
entities and she may enroll in one if it is available in her area.
18. You have come to Mrs. Midler's home for a sales presentation. At the beginning of the presentation, Mrs. Midler
tells you that she has a copy of her medical records available because she thinks this will help you understand her
needs. She suggests that you will know which questions to ask her about her health status in order to best assist her in
selecting a plan. What should you do?: You can only ask Mrs. Midler questions about conditions that affect eligibility,
specifically, whether she has one of the conditions that would qualify her for a special needs plan.
19. Ms. Edwards is enrolled in a Medicare Advantage plan that includes prescription drug plan (PDP) coverage. She
is traveling and wishes to fill two of the prescriptions that she has lost. How would you advise her?: She may fill
prescriptions for covered drugs at non-network pharmacies, but likely at a higher cost than paid at an in-network
pharmacy.
20. Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-income subsidy. How does tha
affect his ability to enroll or disenroll in a Part D plan?: He qualifies for a special election period and can enroll in or
disenroll from a Part D plan once during that period.
21. Mr. Hutchinson has drug coverage through his former employer's retiree plan. He is concerned about the Part D
premium penalty if he does not enroll in a Medicare prescription drug plan, but does not want to purchase extra coverag
that he will not need. What should you tell him?: If the drug coverage he has is not expected to pay, on average, at least
as much as Medicare's standard Part D coverage expects to pay, then he will need to enroll in Medicare Part D during
his initial eligibility period to avoid the late enrollment penalty.
22. Mr. Moy's wife has a Medicare Advantage plan, but he wants to under- stand what coverage Medicare
Supplemental Insurance provides since his health care needs are different from his wife's needs. What could you tell Mr
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