2024 AHIP Module 5 Already Rated A+
Timing of Medicare Advantage Enrollment
Mrs. Margolis is planning to turn 65 in November and is interested in discussing Medicare Advantage
plans with you. What should you advise her?
Correct answer: You should advise her to wait until October to discuss ...
Mrs. Margolis is planning to turn 65 in November and is interested in discussing Medicare Advantage
plans with you. What should you advise her?
Correct answer: You should advise her to wait until October to discuss plan choices with you, so you can
share plan benefits for the current year as well as any changes for the following year that may impact
her choice.
Special Election Periods
Mr. Johannsen is eligible for the Part D low-income subsidy. How does this affect his ability to enroll or
disenroll in a Part D plan?
Correct answer: He qualifies for a special election period and can enroll in or disenroll from a Part D plan
once during that period.
Medicare Advantage Disenrollment
Mary Samuels has been admitted to a rehabilitation hospital outside her MA plan's service area. What
options are available to her regarding her health plan coverage?
Correct answer: She may make an unlimited number of MA enrollment requests and may disenroll from
her current MA plan.
Initial Coverage Election Period
Mr. Garrett is entering his MA Initial Coverage Election Period (ICEP). What action could you help him
take during this time?
, Correct answer: He will have one opportunity to enroll in a Medicare Advantage plan.
Medical Records
You have come to Mrs. Midler's home for a sales presentation, and she offers to share her medical
records with you. What should you do?
Correct answer: You can only ask Mrs. Midler questions about conditions that affect eligibility,
specifically, whether she has one of the conditions that would qualify her for a special needs plan.
Medigap Enrollment
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA Initial Coverage
Election Period (ICEP) has just begun. Which of the following can she not do during the ICEP?
Correct answer: She can enroll in a Medigap plan to supplement the benefits of the MA plan that she's
also enrolling in.
Dual Eligible SEP
Mr. White has Medicare Parts A and B with a Part D plan and receives assistance from Medicaid. He
believes he's entitled to a SEP since he is now dual eligible. Is he able to change to a different Part D plan
during a SEP for dual eligible individuals?
Correct answer: No, once he is identified by the plan sponsor as a "potential at-risk" beneficiary, he
cannot use the dual eligible SEP to change plans while this designation is in place.
Annual Enrollment Period
Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part D during the Annual
Enrollment Period (AEP). Her neighbor told her about the Medicare Advantage (MA) plan he selected
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