AHIP Final Exam Test Questions and Answers
Question1
Marks: 1
Mrs. Roberts has Original Medicare and would like to enroll in a Private
... [Show More] Fee-for-Service
(PFFS)plan. All types of PFFS plans are available in her area. Which options could Mrs.
Roberts consider before selecting a PFFS plan?
Choose one answer.
Question2
Marks: 1
Mr. Wong is a single individual. He has had a successful business career and is now
able to retire with a comfortable income. Mr. Wong's taxable income is in excess of
$100,000. Mr. Wong
has health coverage through his employer but will sign-up Medicare Part A, Part B and
Part Dwhen he leaves the workforce. How would you advise him as he budgets for
Medicare premiums?
Choose one answer.
b. A stand-alone prescription drug plan in combination with a PFFS plan or a
c. A PFFS plan offering only medical benefits or a PFFS Medigap Suppleme
d. A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that combin
benefits and Part D prescription drug coverage, a PFFS plan offering only m
benefits, or PFFS Medigap Supplemental Insurance plan.
Insurance plan.
Medigap Supplemental Insurance plan.
a. A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that combin
benefits and Part D prescription drug coverage, a PFFS plan offering only m
benefits, or a PFFS plan in combination with a stand-alone prescription drug
b. Due to his participation in the workforce he will not have to pay premiu
c. Due to the provisions of MACRA, his Part B and D coverage will be co
d. Due to his participation in the workforce he will not have to pay premiu
A but he will pay higher premiums for Part B and Part D due to the amou
income.
covered through a low-cost Medigap policy to supplement his Part A cove
A and will pay reduced premiums for Part B and Part D.
a. Due to his participation in the workforce he will not have to pay premiu
A and he will pay the lowest monthly premium rates for Part B and Part D
AHIP Final Exam Test Questions and Answers
Question3
Marks: 1
Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting him
at severerisk for pneumonia. Otherwise, he has no problems functioning. Which type of
SNP is likely to be most appropriate for him?
Choose one answer.
Question4
Marks: 1
You are doing a sales presentation for Ms. Duarte and her son. Ms. Duarte has some
cognitiveimpairment and her son informs you that he has power of attorney to make
financial decisions for her. Can he execute the enrollment for her?
Choose one answer.
c. FIDE-SNP
d. I-SNP
b. C-SNP
a. D-SNP
b. Yes, he can execute the enrollment for her. He can do so because he is a
c. Yes, he can execute the enrollment for her. A financial power of attorney i
immediate family member. No power of attorney is necessary.
a. No, he cannot execute the enrollment for her. Only Ms. Duarte can sign t
regardless of her mental capacities.
AHIP Final Exam Test Questions and Answers
Question5
Marks: 1
Mr. Jacob understands that there is a standard Medicare Part D prescription drug
benefit, butwhen 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?
Choose one answer.
Question6
Marks: 1
Mrs. Geisler's neighbor told her she should look at her Part D options during the annual
Medicare enrollment period because features of Part D might have changed. Mrs.
Geisler can'tremember what Part D is so she called you to ask what her neighbor was
talking about. What could you tell her?
Choose one answer.
Question7
d. No, he cannot execute the enrollment for her. He must have a legal autho
under state law that explicitly allows him to make health care decisions for h
b. The government allows Part D plans to adopt any benefit structure as lon
c. The government bases its payments to Part D plans on the standard ben
d. Medicare Part D drug plans may have different benefit structures, but on
they must all be at least as good as the standard model established by the
For Part D plans to receive the full government payment, they must offer th
model, however, they can take a risk and revise their benefit structure to att
beneficiaries.
of covered drugs meets their approval.
a. The Part D standard model’s importance is that it is the only type of plan
low-income beneficiaries can enroll and still receive any extra help for whic
qualify.
b. Part D covers long-term care services and she shouldn’t worry becau
c. Part D covers hospital and home health services and the cost sharing
d. Part D covers physician and non-physician practitioner services and t
deductible has not changed this year, but the physicia [Show Less]