AHIP Final Exam Questions Answers

AHIP Final Exam Questions & Answers 1.PPO, HMO, MSA, Cost Plan, PFFS ANS Types of Medicare Advantage Plans 2.Serve both Medicare and Medicaid individuals. Include Part D coverage.Individuals sometimes referred to as dual eligibles ANS Medicare-Medicaid plans 3.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 coin- surances and deuctibles. Different enrollment/disenrollment periods apply. Can get Part D Rx coverage if available, or apply for a separate PDP.ANS Medicare Cost Plan 4.Individuals with ESRD may sign up at anytime. Date on which coverage be- gins is the fourth month after dialysis begins.ANS Medicare Entitlement/Enrollment -Part A & Part B 5.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. 1 / 2

Coverage begins July 1st of that year.ANS Medicare Enrollment Period 6.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.ANS Medicare Enrollment Period - Group Health Coverage 7.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 quar- ters. Premium is $437.00 for less than 30 quarters.ANS Medicare Part A Premium 8.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.ANS Medicare Part A Penalty 9.In 2019, the standard monthly premium is $135.50 or higher depending on income. Deducted from S.S. check or Railroad Retirement check. Do not enroll when first eligible, premium is increased 10% for each 12 month period not enrolled. Deductible for 2019 is $185.00