AHIP Module 5 2023 Questions and
Answers
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an
employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover
prescription drugs, she wants to enroll in a Medicare prescriptio...
AHIP Module 5 2023 Questions and
Answers
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an
employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover
prescription drugs, she wants to enroll in a Medicare prescription drug plan. Will she be able to?
Ans- c. Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be eligible for
coverage under the Medicare prescription drug program. Correct
Mr. Sanchez is entitled to Part A, but has not enrolled in Part B because he has coverage through
an employer plan. If he wants to enroll in a Medicare Advantage plan, what will he have to do?
Ans- c. He will have to enroll in Part B. Correct
Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-for-service (PFFS)
plan. What questions would you need to ask to determine his eligibility? Ans- a. You would need
to ask Mr. Kelly if he is enrolled in Part A and Part B and if he lives in the PFFS plan's service
area. Correct
Mr. Gonzalez is entitled to Part A, but has not yet enrolled in Part B. If he wants to enroll in a
Private Fee-for-Service (PFFS) plan, what will he have to do? Ans- d. He will have to enroll in
Part B prior to enrolling in the PFFS plan. Correct
,Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug
coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what
circumstances can she do this? Ans- c. If the Medicare Advantage plan is a Private Fee-for-
Service (PFFS) plan that does not offer drug coverage or a Medical Savings Account, Mrs.
Berkowitz can do this. Correct
Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-for-Service (PFFS)
plan. All types of PFFS plans are available in her area. Which options could Mrs. Roberts
consider before selecting a PFFS plan? Ans- d. A Medicare Advantage Prescription Drug (MA-
PD) PFFS plan that combines medical benefits and Part D prescription drug coverage, a PFFS
plan offering only medical benefits, or a PFFS plan in combination with a stand-alone
prescription drug plan. Correct
Which of the following individuals is most likely to be eligible to enroll in a Medicare
Advantage or Part D Plan? Ans- d. Jose, a grandfather who was granted asylum and has worked
in the United States for many years. Correct
Mr. and Mrs. Nunez attended one of your sales presentations. They've asked you to come to their
home to clear up a few questions. During the presentation, Mrs. Nunez feels tired and tells you
that her husband can finish things up. She goes to bed. At the end of your discussion, Mr. Nunez
says that he wants to enroll both himself and his wife. What should you do? Ans- d. As long as
, she is able to do so, only Mrs. Nunez can sign her enrollment form. Mrs. Nunez will have to
wake up to sign her form or do so at another time. Correct
You are visiting with Mr. Tully and his daughter at her request. He has advanced Alzheimer's
and is incapable of understanding the implications of choosing a Medicare Advantage or
prescription drug plan. Can his daughter fill out the enrollment form and sign it for him? Ans- c.
Mr. Tully's daughter can do so only, if she is authorized under state law as a court-appointed
legal guardian, has durable power of attorney for health care decisions, or is authorized under
state surrogate consent laws to make health decisions. Correct
You are meeting with Ms. Berlin and she has completed an enrollment form for a MA-PD plan
you represent. You notice that her handwriting is illegible and as a result, the spelling of her
street looks incorrect. She asks you to fill in the corrected street name. What should you do?
Ans- c. You may correct this information as long as you add your initials and date next to the
correction Correct
Phiona works in the IT Department of BestCare Health Plan. Phiona is placed in charge of
BestCare's efforts to facilitate electronic enrollment in its Medicare Advantage plans. In setting
up the enrollment site, which of the following must Phiona consider?
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