AHIP Test 2 100% Correct Test & Test 3 86% Correct Test
Question 1.
Ms. Gibson recently lost her employer group health and drug coverage and now she
... [Show More] wants to enroll
in a PPO that does not include drug coverage. What should you tell her about obtaining drug
coverage?
a. She can enroll in the PPO, but she will not be able to purchase a stand-alone Medicare Part D
prescription drug plan - Correct.
b. b. She can enroll in the PPO and purchase drug coverage through a stand-alone Medicare Part
D prescription drug plan.
c. c. She can enroll in the PPO and purchase drug coverage through a Medigap plan.
d. d. She can enroll in the PPO and if she decides that she wants drug coverage, she will be able
to drop her PPO at any time in favor of a Medicare Advantage plan that includes such drug
coverage
Question 2.
Mr. Cole has been a Medicaid beneficiary for some time, and recently qualified for Medicare as
well. He is concerned about changes in his cost-sharing. What should you tell him?
a. Medicaid will cover his cost-sharing, regardless of from which physician or hospital he receives
his Medicare-covered services.
b. He should know that Medicaid will pay cost sharing only for services provided by Medicaid
participating providers-Correct.
c. For Medicaid beneficiaries, Medicare reduces its cost-sharing amounts to match those charged by
the state Medicaid program so there will be no change in his cost-sharing amounts.d. Medicaid will
no longer pay any cost sharing once he is eligible for Medicare, so he will need to rely only on
Medicare providers
Question 1.
Richard is a licensed agent who represents Spartan Health Plan and its Medicare Advantage (MA)
plans. Richard has several clients who have recently come to him for help who are in their initial
coverage election period (ICEP) and are interested in enrolling in one of Spartan Health Plan's MA
plans. Alice will soon turn 65 and retire. Alice has coverage through Spartan Health Plan offered by
her employer. Bob had health coverage through Spartan but dropped the coverage when he retired
early to travel overseas. Bob, who has just turned age 65, is now back in the United States. Charlotte, [Show Less]