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AHIP - 5 Questions and Answers (Verified by Expert)2025/2026
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AHIP - 5 Questions and Answers (Verified by Expert)2025/2026
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AHIP - 5Mr. Garcia become informed he qualifies for a Special Enrollment Period (SEP), however he
misplaced the paper that explains what he should do for the duration of the SEP. What can you
inform him?
If the SEP is for MA insurance, he will commonly have one possibility to trade his MA insurance.
Three a couple of choice options
Mrs. Walters is entitled to Part A and has medical coverage with out drug coverage thru an
company retiree plan. She isn't always enrolled in Part B. Since the organisation plan does no
longer cover prescription drugs, she desires to enroll in a Medicare prescription drug plan. Will
she be capable of?
Yes. Mrs. Walters should be entitled to Part A or enrolled in Part B to be eligible for insurance
underneath the Medicare prescription drug program.
Three more than one preference alternatives
We have an professional-written technique to this trouble!
Mrs. Goodman enrolled in an MA-PD plan in the course of the Annual Election Period. In
mid-January of the following year, she desires to transfer again to Original Medicare and enroll
in a stand-alone prescription drug plan. What ought to you tell her?
During the MA Open Enrollment Period, from January 1 - March 31, she may also disenroll from
the MA-PD plan into Original Medicare and also might also add a stand-alone prescription drug
plan.
3 multiple choice options
We have an expert-written technique to this hassle!
Mrs. Berkowitz desires to join in a Medicare Advantage plan that doesn't encompass drug
coverage and also enroll in a stand-on my own Medicare prescription drug plan. Under what
occasions can she try this?
If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug
insurance or a Medical Savings Account plan, Mrs. Berkowitz can try this.
Three a couple of preference options
Ms. Lee is enrolled in an MA-PD plan however could be moving out of the plan's service vicinity
subsequent month. She is involved that she will be able to no longer be capable of sign up in
, another plan available in her new house until the Annual Election Period. What should you
inform her?
She is eligible for a Special Election Period that starts either the month before her permanent
circulate, if the plan is notified in advance, or the month she affords notice of the circulate, and
this era generally lasts an additional two months.
Three a couple of desire alternatives
You are doing a sales presentation for Mrs. Pearson. You realize that Medicare advertising and
marketing guidelines prohibit certain sorts of statements. Apply those guidelines to the
subsequent statements and pick out which might be prohibited.
"If you are now not in very good health, you'll possibly do higher with a one of a kind product."
three multiple desire options
Mr. Anderson is a completely organized man or woman and has crammed out and brought to
you an enrollment shape on October 10 for a new plan available January 1 subsequent yr. He is
currently enrolled in Original Medicare. What need to you do?
Tell Mr. Anderson which you can't receive any enrollment paperwork until the annual election
length starts offevolved.
Three multiple preference options
You are traveling with Mr. Tully and his daughter at her request. He has superior Alzheimer's
and is incapable of knowledge the consequences of selecting a Medicare Advantage or
prescription drug plan. Can his daughter fill out the enrollment shape and sign it for him?
Mr. Tully's daughter can achieve this only, if she is permitted below kingdom law as a
courtroom-appointed criminal mother or father, has a long lasting power of attorney for health
care choices, or is allowed underneath nation surrogate consent laws to make health decisions.
3 a couple of choice options
Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part D for the
duration of the Annual Enrollment Period (AEP). At the start of January, her neighbor told her
about the Medicare Advantage (MA) plan he decided on. He also informed her there has been
an open enrollment duration that she is probably capable of use to enroll in a MA plan. Ms.
Gonzales comes to you for advice quickly after speaking to her neighbor. What ought to you tell
her?
There is a MA Open Enrollment Period (OEP) that takes location among January 1 and March
31, but Ms. Gonzales can't use it because eligibility to use the OEP is to be had best to MA
enrollees.
3 a couple of desire options
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