AHIP Module 5 Verified Solutions
Medicare Enrollment
Can a client with employer coverage enroll in Part D if they're not yet 65?
Answer: Yes, as long as they're entitled to Part A or enrolled in Part B.
Medicare Advantage Enrollment
Can an individual enroll in Medicare Advantage without P...
Can a client with employer coverage enroll in Part D if they're not yet 65?
Answer: Yes, as long as they're entitled to Part A or enrolled in Part B.
Medicare Advantage Enrollment
Can an individual enroll in Medicare Advantage without Part B?
Answer: No, they must be enrolled in Part B before enrolling in Medicare Advantage.
Private Fee-for-Service (PFFS) Plans
Can an individual enroll in a PFFS plan without Part B?
Answer: No, they must enroll in Part B before enrolling in a PFFS plan.
Medicare Advantage Options
Can an individual enroll in a Medicare Advantage plan that doesn't include drug coverage and a stand-
alone prescription drug plan?
Answer: Only if the Medicare Advantage plan is a PFFS plan that doesn't offer drug coverage or a
Medical Savings Account.
PFFS Plan Options
, What types of PFFS plans are available to an individual who has Original Medicare?
Answer: 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.
Eligibility for Medicare Advantage or Part D
Who is most likely to be eligible to enroll in a Medicare Advantage or Part D plan?
Answer: An individual who is a grandfather granted asylum and has worked in the United States for
many years.
Enrollment Procedures
What should you do if a client asks you to come to their home to clarify questions and they fall asleep
during the presentation?
Answer: As long as the client is able to do so, only they can sign their enrollment form. The enrollment
form should be completed at another time.
Legal Representation and Enrollment
Can a legal representative fill out an enrollment form for an individual with advanced Alzheimer's
disease?
Answer: Only if the legal representative has been 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.
Enrollment Form Correction
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