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8 AHIP Final Exam Questions and Correct Answers (Verified Answers) 1.Types of Medicare Advantage Plans Answer PPO, HMO, MSA, Cost Plan, PFFS 2.Medicare-Medicaid plans Answer Serve both Medicare and Medicaid individuals. In- clude Part D coverage. Individuals sometimes referred to as dual eligibles 3.Medicare Cost Plan Answer Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new members. A non network provider will can charge higher coinsurances and deuctibles. Different enrollment/disenrollment periods ap- ply. Can get Part D Rx coverage if available, or apply for a separate PDP.
4.Medicare Entitlement/Enrollment - Part A & Part B Answer Individuals with ESRD may sign up at anytime. Date on which coverage begins is the fourth month after dialysis begins. 1 / 2
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8 5.Medicare Enrollment Period Answer Individuals who do not enroll in Part B when first eligible can enroll during a General Enrollment Period, Jan 1st to Mar 31st each year. Coverage begins July 1st of that year.
6.Medicare Enrollment Period - Group Health Coverage Answer Individuals who have group health coveage through employer may enroll in Part A and/or Part B anytime while on group coverage during a Special Enrollment Period. Occurs during the 8 month period following last month of group coverage.
7.Medicare Part A Premium Answer Free if worked 40 quarters of your life and paid Medicare taxes. Premium is $240.00 for individuals or spouses who paid Medicare taxes for 30 - 39 quarters. Premium is $437.00 for less than 30 quarters.
8.Medicare Part A Penalty Answer Don't enroll in Part A when fist eligible, will pay a late penalty of up to 10% unless enroll during a Special Enrollment Period.