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AHIP 2025 module 5 questions and answers 2015/2016
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AHIP 2025 module 51. 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>As long as she can 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.
2. Mr. Anderson is a very organized individual and has filled out and brought to you an
enrollment form on October 10 for a new plan available on January 1 next year. He is
currently enrolled in Original Medicare. What should you do? >ANS>Tell Mr. Anderson
that you cannot accept any enrollment forms until the annual election period begins.
3. Mr. Block is currently enrolled in a Medicare Advantage plan that includes drug
coverage. He found a stand-alone Medicare prescription drug plan in his area that offers
better coverage than that available through his MA-PD plan and in addition, has a low
premium. It won't cost him much more and, because he has the means to do so, he
wishes to enroll in the stand-alone prescription drug plan in addition to his MA-PD plan.
What should you tell him? >ANS>If Mr. Block enrolls in the stand-alone Medicare
prescription drug plan, he will be disenrolled from the Medicare Advantage plan.
4. Mr. Chen is enrolled in his employer's group health plan and will be retiring soon. He
would like to know his options since he has decided to drop his retiree coverage and is
eligible for Medicare. What should you tell him? >ANS>Mr. Chen can disenroll from his
employer-sponsored coverage to elect a Medicare Advantage or Part D plan within 2
months of his disenrollment.
5. Mr. Ford enrolled in an MA-only plan in mid-November during the Annual Election Period
(AEP). On December 1, he calls you up and says that he has changed his mind and
would like to enroll in a MA-PD plan. What enrollment rules would apply in this case?
>ANS>He can make as many enrollment changes as he likes during the Annual Election
Period and the last choice made before the end of the period will be the effective one as
of January 1.He can make as many enrollment changes as he likes during the Annual
Election Period and the last choice made before the end of the period will be the
effective one as of January 1.
6. Mr. Garcia was told he qualifies for a special election period (SEP), but he lost the paper
that explains what he could do during the SEP. What can you tell him? >ANS>If the SEP
is for MA coverage, he will generally have one opportunity to change his MA coverage.
7. Mr. Liu turns 65 on June 19. He has never previously qualified for Medicare so his first
Medicare eligibility date will be June 1. Mr. Liu's ICEP and Part D IEP begin on March 1
and end on September 30. He wants prescription drug coverage with his Part A and Part
B benefits. What advice can you provide him? >ANS>He can enroll in a MA-PD as long
as he enrolls in Part B and is entitled to Part A.
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