Study guides, Class notes & Summaries

AHIP FINAL EXAM TEST QUESTIONS AND ANSWERS 2023-2024 WITH VERIFIED ANSWERS 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?correct answersHe may sign-up for Medicare at any time however coverage usually begins on the fourth month after dialysis treatments start. Juan Perez, who is turning age 65 next month, intends to work for severa...

Mr. Davies is turning 65 next month. He would like to enroll in a Medicare health plan, but does not want to be limited in terms of where he obtains his care. What should you tell him about how a Medicare Cost Plan might fit his needs? - correct answera. Cost plan enrollees can choose to receive Medicare covered services under the plan's benefits by going to plan network providers and paying plan cost sharing, or may receive services from non-network providers and pay cost-sharing due under Ori...

LOPEZ has heard that he can sign up for a product called MA, but is not sure about what type of plan designs are available through this program (MA plan, types) - correct answerThey are Medicare health plans such as HMO, PPO, PFFS, SNP AND MSA WHALEN is trying to understand the difference between Original Medicare and MA. (MA vs Original Medicare) - correct answerMA is a way of covering ALL of the Original Medicare benefits through private health insurance companies. During a sales pres...

Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in November. She would like to meet and discuss plan choices with you. What advice should you give her? - correct answerTell her to wait until October to discuss plan choices with you so that you can share plan benefits for the current year as well as any changes for the following year that may impact her choice. Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low...

Mr. Prentice has many clients who are Medicare beneficiaries. He should review the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he is compliant for which type of products? - correct answerMedicare Advantage (MA) and Prescription Drug (PDP) plans Correct 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 yo...

Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure about what type of plan designs are available through this program. What should you tell him about the types of health plans that are available through the Medicare Advantage program? - correct answera. They are Medicare health plans such as HMOs, PPOs, PFFS, and MSAs. Correct Mr. Wells is trying to understand the difference between Original Medicare and Medicare Advantage. What would be a corr...

Mr. Shapiro gets by on a very small amount of fixed income. He has heard there may be extra help paying for Part D prescription drugs for Medicare beneficiaries with limited income. He wants to know whether he might qualify. What should you tell him? - correct answerc. The extra help is available to beneficiaries whose income and assets do not exceed annual limits specified by the government. During a sales presentation, you client ask you whether the Medicare agency recommends that she sign ...

Medicare - correct answerParts A & B, Original Medicare Supplement - correct answerMedicare Supplement, Medigap Advantage - correct answerMedicare Advantage, MA, MAPD Part D - correct answerPart of MAPD OR Stand-alone PDP Pre-Medicare - correct answerUnder 65, Individual and Family, Affordable Care Act (ACA or PPACA), Obamacare Ancillary - correct answerDental, Vision Veterans Administration (VA) Benefits - correct answerGovernment program for Veterans Healthcare Tricare - c...

CHEN will be 65 soon, has been a citizen for twelve years, has been employed full time, and paid taxes during that entire period. She is concerned that she will not qualify for coverage under Part A because she was not born in the US. (Medicare Entitlement Part A) - correct answerMost individuals who are citizens and over age 65 are covered under Part A by virtue of having paid Medicare taxes while working, though some may be covered as a result of paying monthly premiums. BAUER is 49 years ...

Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure about what type of plan designs are available through this program. What should you tell him about the types of health plans that are available through the Medicare Advantage program? - correct answerThey are Medicare health plans such as HMOs, PPOs, PFFS, SNPs, and MSAs (W) Mr. Wells is trying to understand the difference between Original Medicare and Medicare Advantage. What would be a correc...

d - correct answerMs. 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? a. Eligibility for Medicare is based on whether or not a person has ever been employed by the federal government. If she or her husband were ever employed by the federal government, she can enroll in...