AHIP MODULE 5 ACTUAL EXAM 2024-2025
COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
Terms in this set (53)
Mrs. Walters is entitled to d. Yes. Mrs. Walters must be entitled to Part A or enrolled
Part A and has medical in Part B to be eligible for coverage under the Medicare
coverage without drug prescription drug program. Correct
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?
Mr. Sanchez is entitled to b. He will have to enroll in Part B. Correct
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?
,Mr. Kelly wants to know c. You would need to ask Mr. Kelly if he is enrolled in
whether he is eligible to Part A and Part B and if he lives in the PFFS plan's service
sign up for a Private fee-for- area. Correct
service (PFFS) plan. What
questions would you need
to ask to determine his
eligibility?
Mr. Gonzalez is entitled to c. He will have to enroll in Part B prior to enrolling in the
Part A, but has not yet PFFS plan. Correct
enrolled in Part B. If he
wants to enroll in a Private
Fee-for-Service (PFFS) plan,
what will he have to do?
Mrs. Berkowitz wants to b. If the Medicare Advantage plan is a Private Fee-for-
enroll in a Medicare Service (PFFS) plan that does not offer drug coverage or
Advantage plan that does a Medical Savings Account, Mrs. Berkowitz can do this.
not include drug coverage Correct
and also enroll in a stand-
alone Medicare
prescription drug plan.
Under what circumstances
can she do this?
Mrs. Roberts has Original c. A Medicare Advantage Prescription Drug (MA-PD)
Medicare and would like to PFFS plan that combines medical benefits and Part D
enroll in a Private Fee-for- prescription drug coverage, a PFFS plan offering only
Service (PFFS) plan. All medical benefits, or a PFFS plan in combination with a
types of PFFS plans are stand-alone prescription drug plan. Correct
available in her area. Which
options could Mrs. Roberts
consider before selecting a
PFFS plan?
, Which of the following d. Jose, a grandfather who was granted asylum and has
individuals is most likely to worked in the United States for many years. Correct
be eligible to enroll in a
Medicare Advantage or
Part D Plan?
Mr. and Mrs. Nunez a. As long as she is able to do so, only Mrs. Nunez can
attended one of your sales sign her enrollment form. Mrs. Nunez will have to wake
presentations. They've up to sign her form or do so at another time. Correct
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?
You are visiting with Mr. d. Mr. Tully's daughter can do so only, if she is authorized
Tully and his daughter at her under state law as a court-appointed legal guardian, has
request. He has advanced durable power of attorney for health care decisions, or is
Alzheimer's and is authorized under state surrogate consent laws to make
incapable of understanding health decisions. Correct
the implications of choosing
a Medicare Advantage or
prescription drug plan. Can
his daughter fill out the
enrollment form and sign it
for him?
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