Mrs. Parker likes to handle most of her business matters through telephone calls. She currently is enrolled in Original Medicare Parts A and B but has heard about a Medicare Advantage plan offered by Senior Health from a neighbor. Mrs. Parker asks you whether she can enroll in Senior Health's MA pl...
AHIP 2024 Module 5 Exam (solved)
Mrs. Parker likes to handle most of her business matters through telephone calls. She
currently is enrolled in Original Medicare Parts A and B but has heard about a Medicare
Advantage plan offered by Senior Health from a neighbor. Mrs. Parker asks you
whether she can enroll in Senior Health's MA plan over the telephone. What can tell
her?
I. Enrollment requests can only be made in face-to-face interviews or by mail.
II. Telephone enrollment request calls must be recorded.
III. Telephonic enrollments must include all required elements necessary to complete an
enrollment.
IV. The signature element must be completed via certified mail. - ANSWER II and III
only
Ms. Claggett is sixty-six (66) years old. She has been covered under Original Medicare
for the last six years due to her disability and has never been enrolled in a Medicare
Advantage or a Part D plan before. She wants to enroll in a Part D plan. She knows that
there is such a thing as the "Part D Initial Enrollment Period" (IEP) and has concluded
that, since she has never enrolled in such a plan before, she should be eligible to enroll
under this period. What should you tell her about how the Part D Initial Enrollment
Period applies to her situation? - ANSWER Ms. Claggett has had two IEPs and missed
them both. The first occurred three months before and three months after the month
when she was first entitled to Part A OR enrolled in Part B. Because she was eligible for
Medicare before age 65, Ms. Claggett had a second IEP based on turning age 65,
which has also expired.
Ms. Thomas has worked for many years and is turning 68 in June. She is eligible for
Medicare Part A and did not enroll for Part B when first eligible because she has
insurance through her employer - Coffee Brew, Inc. She also did not enroll in Part D
because she had creditable coverage. She would like to retire in June and enroll in a
Medicare Advantage plan. She has been informed that her group coverage will end on
her retirement effective date. How would you advise Ms. Thomas? - ANSWER Ms.
Thomas can enroll in Part B without a late penalty at any time she is still covered by her
employer group and 8 months after her last month of employer group coverage without
a penalty. However, because she wants to enroll in a MA plan after retirement, she
should make sure her Part B coverage is effective in time to use the Medicare
Advantage/Part D special election period for individuals changing from employer group
coverage to enroll in a MA plan or MA-PD. The SEP begins while she has employer
group coverage and will last until 2 months after the month after the month her
employer coverage ends. If she wants Part D coverage she should enroll in an MA-PD
or a PDP (depending on how she decides to receive her Part A and B benefits) during
this time.
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