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. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? - Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan's website, fill it out, and submit it to his plan. Mr. Polanski likes the cost of an HMO p...

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? - 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 h...

AHIP - Final examination Test Questions with Verified Solutions Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? -️️ -Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan's website, fill it...

AHIP MEDICARE TRAINING 2024 PRACTICE QUESTIONS AND ANSWERS 100% PASS Ms. Jensen has heard about "Original Fee-for-Service Medicare" and "Private Fee-for- Service" plans. She wants to know what the difference is if any. What should you tell her? - Correct Answer ️️ -PFFS plans are a type of Medicare Advantage plan offered by private companies. This year you decide to focus your efforts on marketing to employer and union groups. Which of the following statements best describes what...

AHIP 2024 Questions and Answers 100% Pass Mrs. Quinn recently turned 66 and decided after many years of work to begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her that she has been automatically enrolled in Medicare Part B. She wants to understand what this means. What should you tell Mrs. Quinn? - Correct Answer ️️ -Part B primarily covers physician services. She will be paying a monthly premium and, with the exception of many preve...

AHIP TRAINING Medicare Fraud, Waste, and Abuse Training Practice Questions and Answers 100% Pass Medicare plan means - Correct Answer ️️ -A MA plan, MA-PD plan or PDP Subcontractor means - Correct Answer ️️ -**An individual or entity that provides services on behalf of a Medicare plan sponsor. This includes individuals and organizations with DIRECT relationship with the plan sponsor or individuals or organizations with INDIRECT relationship, such as an agent who has a contract wit...

AHIP 2024 module 4 Practice Questions and Answers 100% Pass This year you have decided to focus your efforts on marketing to employer group plans. One employer provides you with a list of their retirees and asks you to contact them to explain the characteristics of the plan they have selected. What should you do? - Correct Answer ️️ -You may go ahead and call them. Winthrop Brokerage wishes to place an advertisement in the local newspaper that says: "We offer Medicare Advantage plans...

AHIP 2024 Module 3 Practice Questions and Answers 100% Pass Mrs. Roswell is a new Medicare beneficiary who has just retired from retail work. She is interested in selecting a Medicare Part D prescription drug plan. She takes a number of medications and is concerned that she has not been able to identify a plan that covers all of her medications. She does not want to make an abrupt change to new drugs that would be covered and asks what she should do. What should you tell her? - Correct An...