AHIP PHIAS case studies
AHIP PHIAS · Put your knowledge to work in context.
The Professional, Health Insurance Advanced Studies (PHIAS) designation is one of the professional designations offered by AHIP (America's Health Insurance Plans), a national trade association whose members provide health and supplemental benefits through employer-sponsored coverage, the individual market, and public programs such as Medicare and Medicaid. AHIP's site lists "Professional Designations" as a category under Professional Development, alongside online learning, continuing education credits, and courses. The AHIP PHIAS case studies are 5 cases and about 2,736 words.
1The 62-Year-Old Who Kept Working: Medicare, HSA, and the Six-Month Lookback
Dana turns 65 in March and has already filed for Social Security retirement benefits, so she is automatically enrolled in Medicare Parts A and B effective the first day of her birthday month. She is still working full-time at a mid-size employer and wants to keep contributing to her Health Savings Account.
596 words, about 3 min2The Dual-Eligible Enrollment That Went Sideways
Marcus is 71, full-benefit dual eligible (Medicare and Medicaid), and lives in a state where Medicaid pays his Part B premium. He has been in Original Medicare with a stand-alone Part D plan.
579 words, about 3 min3The Small-Group Owner and the Consumer-Directed Trio
Priya owns a 14-employee landscaping company. She wants to offer benefits but has a tight budget.
520 words, about 3 min4The 58-Year-Old With a Bad Back and a Long-Term Care Decision
Robert is 58, self-employed, and has a history of degenerative disc disease and a recent knee replacement. He is considering long-term care insurance and asks his agent whether he should buy now, wait until 65, or rely on Medicaid later.
515 words, about 3 min5The Worksite Benefit Mix: Disability, Critical Illness, and the Waiting Period
A 200-employee distribution company offers group long-term disability, group short-term disability, and a critical illness policy. An employee, Elena, age 47, is diagnosed with breast cancer and will be out for surgery, chemotherapy, and recovery - likely 5 months, possibly longer.
526 words, about 3 min