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AHIP MODULE #5 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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AHIP MODULE #5 EXAM QUESTIONS WITH COMPLETE SOLUTIONS
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AHIP MODULE #5 EXAM QUESTIONS WITHCOMPLETE SOLUTIONS
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? - Answer-He can enroll in a MA-PD
as long as he enrolls in Part B and is entitled to Part A.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she has been
working with Agent Neil Adams in the selection of a Medicare Advantage (MA) plan. It is
mid-September, and Mrs. Young is going on vacation. Agent Adams is considering
suggesting that he and Mrs. Young complete the application together before she leaves.
He will then submit the paper application before the start of the annual enrollment
period (AEP). What would you say If you were advising Agent Adams? - Answer-This is
a bad idea. Agents are generally prohibited from soliciting or accepting an enrollment
form before the start of the AEP.
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? - Answer-If Mr. Block enrolls in the stand-alone Medicare
prescription drug plan, he will be disenrolled from the Medicare Advantage plan.
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? - Answer-
If the SEP is for MA coverage, he will generally have one opportunity to change his MA
coverage.
Which of the following individuals has enrolled in a plan based on a fixed enrollment
period? - Answer-Ben enrolls in a Medicare Advantage plan during the Medicare
Advantage Open Enrollment Period (MA OEP).
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? - Answer-Mr. Chen can disenroll from
his employer-sponsored coverage to elect a Medicare Advantage or Part D plan within 2
months of his disenrollment.
Mrs. Pierce would like to enroll in a Medicare Cost plan that offers Part D prescription
drug coverage. She comes to you for advice about when she can enroll in a plan you
have previously discussed. What should you tell her? - Answer-Enrollment in Cost plans
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