2024 AHIP EXAM WITH CORRECT
ANSWERS
Which of the following individuals is most likely to be eligible to enroll in a
Medicare Advantage or Part D Plan? - CORRECT-ANSWERSJose, a grandfather
who was granted asylum and has worked in the United States for many
years.
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? - CORRECT-ANSWERSMr.
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 d
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? - CORRECT-ANSWERSYou
may correct this information as long as you add your initials and date next to
the correction
Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part
D during the Annual Enrollment Period (AEP). At the beginning of January, her
neighbor told her about the Medicare Advantage (MA) plan he selected. He
also told her there was an open enrollment period that she might be able to
use to enroll in a MA plan. Ms. Gonzales comes to you for advice shortly after
speaking to her neighbor. What should you tell her? - CORRECT-
ANSWERSThere is a MA Open Enrollment Period (OEP) that takes place
between January 1 and March 31, but Ms. Gonzales cannot use it because
eligibility to use the OEP is available only to MA enrollees
Mr. Wendt suffers from diabetes which has gotten progressively worse during
the last year. He is currently enrolled in Original Medicare (Parts A and B)
and a Part D prescription drug plan and did not enroll in a Medicare
Advantage (MA) plan during the last annual open enrollment period (AEP)
which has just closed. Mr. Wendt has heard that there are certain MA plans
that might provide him with more specialized coverage for his diabetes and
wants to know if he must wait until the next annual open enrollment period
(AEP) before enrolling in such a plan. What should you tell him? - CORRECT-
, ANSWERSf there is a special needs plan (SNP) in Mr. Wendt's area that
specializes in caring for individuals with diabetes, he may enroll in the SNP at
any time under a special enrollment period (SEP).
Mr. Garcia was told he qualifies for a Special Enrollment Period (SEP), but he
lost the paper that explains what he could do during the SEP. What can you
tell him? - CORRECT-ANSWERSIf the SEP is for MA coverage, he will generally
have one opportunity to change his MA coverage.
Which of the following individuals are likely to qualify for a special enrollment
period (SEP) for both MA and Part D due to a change of residence?
I. Edward (enrolled in MA and Part D) moves to a new home within the same
neighborhood in his existing plan's service area.
II. Fiona (enrolled in MA and Part D) moves cross-country to an area outside
her existing plan's service area.
III. Gilbert moves into a plan service area where there is now a Part D plan
available to him from a service area where no Part D plan was available.
IV. Henry makes a permanent move providing him with new MA and Part D
options. - CORRECT-ANSWERSII, III, and IV only
Mrs. Ridgeway enrolled in Original Medicare and Medigap coverage following
her retirements several years ago. Four months ago, Mrs. Ridgeway dropped
her Medigap policy to enroll in a Medicare Advantage (MA) plan for the first
time. Unfortunately, Mrs. Ridgeway has found that many of her providers are
not in the MA plan's network. She has come to you for advice? What should
you tell her? - CORRECT-ANSWERSShe qualifies for a special enrollment
period (SEP) that will allow her to make a one-time election to return to
Original Medicare and she also has a guaranteed eligibility period to rejoin
her Medigap plan.
If Mr. Johannsen gains the Part D low-income subsidy, how does that affect
his ability to enroll or disenroll in a Part D plan? - CORRECT-ANSWERSHe
qualifies for a special enrollment period and can enroll in or disenroll from a
Part D plan and the subsidy will apply to the plan he chooses.
Mrs. Lenard is enrolled in a Medicare Cost plan. Recently the cost plan
announced its intention to end its cost contract and transition to a Medicare
Advantage (MA) Mrs. Lenard received a letter indicating that unless she
chooses another plan or opts out she will be automatically enrolled in the
new Medicare Advantage plan operated by an organization affiliated with her
cost plan. What does this mean? - CORRECT-ANSWERSIf Mrs. Lenard wants
to enroll in a Medicare Advantage plan affiliated with her cost plan effective
January 1, she should do nothing and she will be automatically enrolled. If
ANSWERS
Which of the following individuals is most likely to be eligible to enroll in a
Medicare Advantage or Part D Plan? - CORRECT-ANSWERSJose, a grandfather
who was granted asylum and has worked in the United States for many
years.
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? - CORRECT-ANSWERSMr.
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 d
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? - CORRECT-ANSWERSYou
may correct this information as long as you add your initials and date next to
the correction
Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part
D during the Annual Enrollment Period (AEP). At the beginning of January, her
neighbor told her about the Medicare Advantage (MA) plan he selected. He
also told her there was an open enrollment period that she might be able to
use to enroll in a MA plan. Ms. Gonzales comes to you for advice shortly after
speaking to her neighbor. What should you tell her? - CORRECT-
ANSWERSThere is a MA Open Enrollment Period (OEP) that takes place
between January 1 and March 31, but Ms. Gonzales cannot use it because
eligibility to use the OEP is available only to MA enrollees
Mr. Wendt suffers from diabetes which has gotten progressively worse during
the last year. He is currently enrolled in Original Medicare (Parts A and B)
and a Part D prescription drug plan and did not enroll in a Medicare
Advantage (MA) plan during the last annual open enrollment period (AEP)
which has just closed. Mr. Wendt has heard that there are certain MA plans
that might provide him with more specialized coverage for his diabetes and
wants to know if he must wait until the next annual open enrollment period
(AEP) before enrolling in such a plan. What should you tell him? - CORRECT-
, ANSWERSf there is a special needs plan (SNP) in Mr. Wendt's area that
specializes in caring for individuals with diabetes, he may enroll in the SNP at
any time under a special enrollment period (SEP).
Mr. Garcia was told he qualifies for a Special Enrollment Period (SEP), but he
lost the paper that explains what he could do during the SEP. What can you
tell him? - CORRECT-ANSWERSIf the SEP is for MA coverage, he will generally
have one opportunity to change his MA coverage.
Which of the following individuals are likely to qualify for a special enrollment
period (SEP) for both MA and Part D due to a change of residence?
I. Edward (enrolled in MA and Part D) moves to a new home within the same
neighborhood in his existing plan's service area.
II. Fiona (enrolled in MA and Part D) moves cross-country to an area outside
her existing plan's service area.
III. Gilbert moves into a plan service area where there is now a Part D plan
available to him from a service area where no Part D plan was available.
IV. Henry makes a permanent move providing him with new MA and Part D
options. - CORRECT-ANSWERSII, III, and IV only
Mrs. Ridgeway enrolled in Original Medicare and Medigap coverage following
her retirements several years ago. Four months ago, Mrs. Ridgeway dropped
her Medigap policy to enroll in a Medicare Advantage (MA) plan for the first
time. Unfortunately, Mrs. Ridgeway has found that many of her providers are
not in the MA plan's network. She has come to you for advice? What should
you tell her? - CORRECT-ANSWERSShe qualifies for a special enrollment
period (SEP) that will allow her to make a one-time election to return to
Original Medicare and she also has a guaranteed eligibility period to rejoin
her Medigap plan.
If Mr. Johannsen gains the Part D low-income subsidy, how does that affect
his ability to enroll or disenroll in a Part D plan? - CORRECT-ANSWERSHe
qualifies for a special enrollment period and can enroll in or disenroll from a
Part D plan and the subsidy will apply to the plan he chooses.
Mrs. Lenard is enrolled in a Medicare Cost plan. Recently the cost plan
announced its intention to end its cost contract and transition to a Medicare
Advantage (MA) Mrs. Lenard received a letter indicating that unless she
chooses another plan or opts out she will be automatically enrolled in the
new Medicare Advantage plan operated by an organization affiliated with her
cost plan. What does this mean? - CORRECT-ANSWERSIf Mrs. Lenard wants
to enroll in a Medicare Advantage plan affiliated with her cost plan effective
January 1, she should do nothing and she will be automatically enrolled. If
