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Ahip 2024 Module 5/ 53 Questions with 100% Correct Answers/Graded A+
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Ahip 2024 Module 5/ 53 Questions with 100% Correct Answers/Graded A+
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Ahip 2024 Module 5/ 53 Questionswith 100% Correct
Answers/Graded A+
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage
through an employer retiree plan. She is not enrolled in Part B. Since the employer
plan does not cover prescription drugs, she wants to enroll in a Medicare
prescription drug plan. Will she be able to? - -d. Yes. Mrs. Walters must be entitled
to Part A or enrolled in Part B to be eligible for coverage under the Medicare
prescription drug program. Correct
-Mr. Sanchez is entitled to Part A, but has not enrolled in Part B because he has
coverage through an employer plan. If he wants to enroll in a Medicare Advantage
plan, what will he have to do? - -b. He will have to enroll in Part B. Correct
-Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-for-
service (PFFS) plan. What questions would you need to ask to determine his
eligibility? - -c. You would need to ask Mr. Kelly if he is enrolled in Part A and Part
B and if he lives in the PFFS plan's service area. Correct
-Mr. Gonzalez is entitled to Part A, but has not yet enrolled in Part B. If he wants
to enroll in a Private Fee-for-Service (PFFS) plan, what will he have to do? - -c. He
will have to enroll in Part B prior to enrolling in the PFFS plan. Correct
-Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not
include drug coverage and also enroll in a stand-alone Medicare prescription drug
plan. Under what circumstances can she do this? - -b. If the Medicare Advantage
plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a
Medical Savings Account, Mrs. Berkowitz can do this. Correct
-Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-for-
Service (PFFS) plan. All types of PFFS plans are available in her area. Which
options could Mrs. Roberts consider before selecting a PFFS plan? - -c. A Medicare
Advantage Prescription Drug (MA-PD) PFFS plan that combines medical benefits
and Part D prescription drug coverage, a PFFS plan offering only medical benefits,
or a PFFS plan in combination with a stand-alone prescription drug plan. Correct
-Which of the following individuals is most likely to be eligible to enroll in a
Medicare Advantage or Part D Plan? - -d. Jose, a grandfather who was granted
asylum and has worked in the United States for many years. Correct
-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. As long as she is able to 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. Correct
, -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? - -d. Mr. 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 decisions, or is authorized under state surrogate
consent laws to make health decisions. Correct
-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? - -c. You may correct this information as long as
you add your initials and date next to the correction Correct
-Phiona works in the IT Department of BestCare Health Plan. Phiona is placed in
charge of BestCare's efforts to facilitate electronic enrollment in its Medicare
Advantage plans. In setting up the enrollment site, which of the following must
Phiona consider?
I. If a legal representative is completing an electronic enrollment request, he or she
must first upload proof of his or her authority.
II. All data elements required to complete an enrollment request must be captured.
III. The process must include a clear and distinct step that requires the applicant
to activate an "Enroll Now" or "I Agree" type of button or tool.
IV. The mechanism must capture an accurate time and date stamp at the time the
applicant enters the online site. - -d. II and III only Correct
-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? - -d. If Mr. Block enrolls in the stand-
alone Medicare prescription drug plan, he will be disenrolled from the Medicare
Advantage plan. Correct
-You are doing a sales presentation for Mrs. Pearson. You know that the Medicare
marketing guidelines prohibit certain types of statements. Apply those guidelines
to the following statements and identify which would be prohibited. - -c. "If you're
not in very good health, you will probably do better with a different product."
Correct
-You have come to Mrs. Midler's home for a sales presentation. At the beginning
of the presentation, Mrs. Midler tells you that she has a copy of her medical record
available because she thinks this will help you understand her needs. She suggests
that you will know which questions to ask her about her health status in order to
best assist her in selecting a plan. What should you do? - -b. You can only ask Mrs.
Midler questions about conditions that affect eligibility, specifically, whether she
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