AHIP 2024 (Module 5)
Part D Low-Income Subsidy
When Mr. Johannsen gains the Part D low-income subsidy, what benefit does he gain? He qualifies for a
special election period and can enroll in or disenroll from a Part D plan once during that period.
Special Election Period
When Mr. Yoo's em...
When Mr. Johannsen gains the Part D low-income subsidy, what benefit does he gain? He qualifies for a
special election period and can enroll in or disenroll from a Part D plan once during that period.
Special Election Period
When Mr. Yoo's employer drops comprehensive creditable prescription drug coverage, what benefit
does he gain? He qualifies for a one-time opportunity to enroll in an MA-PD or Part D prescription drug
plan.
Medicare Advantage Enrollment
When Myra wants to enroll in a Medicare Advantage plan, what advice would you give her? She should
remain in Original Medicare until the annual election period running from October 15 to December 7,
during which she can select an MA plan.
Initial Coverage Election Period (ICEP)
During Mr. Garrett's ICEP, what action could you help him take? He will have one opportunity to enroll
in a Medicare Advantage plan.
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?
a.Legal spouses can sign enrollment forms for one another under federal law. You may enroll both Mr.
and Mrs. Nunez, as long as her husband signs on her behalf.
, b.You should sign the form for Mrs. Nunez yourself, since she informed you, as the plan's
representative, that she wanted to enroll.
c.You can countersign Mrs. Nunez' application, along with her husband, indicating that she approved
this choice verbally. This witness signature is sufficient to make the enrollment valid.
d.As long as she can do so, only Mrs. Nunez can sign her enrollment form. Mrs. ✔️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. AHIP 2021 (Module 5)
Mrs. Schmidt is moving and a friend told her she might qualify for a "Special election period" to enroll in
a new Medicare Advantage plan. She contacted you to ask what a special election period is. What could
you tell her?
a.It is a period when only Medicare beneficiaries who have moved out of the area and are dually eligible
for Medicaid may add, drop, or change their prescription drug coverage.
b.It is a single period from January 1 - March 31, created by statute, when any Medicare beneficiary who
has moved out of the area of their Medicare Advantage or Part D plan can add, drop or change their
Medicare prescription drug coverage.
c.It is a period when beneficiaries who are newly eligible for Medicare may make their first choice of a
Medicare prescription drug plan.
d.It is a period, outside of the Annual Election Period, when a Medicare beneficiary can select a new or
different Medicare Advantage and/or Part ✔️It is a period, outside of the Annual Election Period, when
a Medicare beneficiary can select a new or different Medicare Advantage and/or Part D prescription
drug plan. Typically the Special election period is beneficiary specific and results from events, such as
when the beneficiary moves outside of the service area. AHIP 2021 (Module 5)
Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in
November. She would like to meet and discuss plan choices with you. What advice should you give her?
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