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2024 AHIP ALL MODULES EXAM WITH CORRECT ANSWERS
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2024 AHIP ALL MODULES EXAM WITH CORRECT ANSWERS
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2024 AHIP ALL MODULES EXAMWITH CORRECT ANSWERS
Ms. Henderson believes that she will qualify for Medicare Coverage when she
turns 65, without paying any premiums, because she has been working for
40 years and paying Medicare taxes. What should you tell her? - CORRECT-
ANSWERSTo obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher incomes.
Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP).
What action could you help him take during this time? - CORRECT-
ANSWERSHe will have one opportunity to enroll in a Medicare Advantage
plan.
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? -
CORRECT-ANSWERSMr. Chen can disenroll from his employer-sponsored
coverage to elect a Medicare Advantage or Part D plan within 2 months of his
disenrollment.
Mrs. Kumar would like her daughter, who lives in another state, to meet with
you during the Annual Election Period to help her complete her enrollment in
a Part D plan. She asked you when she should have her daughter plan to
visit. What could you tell her? - CORRECT-ANSWERSHer daughter should
come in November.
Mr. White has Medicare Parts A and B with a Part D plan. Last year, he
received a notice that his plan sponsor identified him as a "potential at-risk"
beneficiary. This month, he started receiving assistance from Medicaid. He
wants to find a different Part D plan that's more suitable to his current
prescription drug needs. He believes he's entitled to a SEP since he is now a
dual eligible. Is he able to change to a different Part D plan during a SEP for
dual eligible individuals? - CORRECT-ANSWERSNo. Once he is identified by
the plan sponsor as a "potential at-risk" beneficiary, he cannot use the dual
eligible SEP to change plans while this designation is in place.
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? -
CORRECT-ANSWERSIt 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.
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? - CORRECT-
ANSWERSThis is a bad idea. Agents are generally prohibited from soliciting
or accepting an enrollment form before the start of the AEP.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her
MA Initial Coverage Election Period (ICEP) has just begun. Which of the
following can she not do during the ICEP? - CORRECT-ANSWERSShe can
enroll in a Medigap plan to supplement the benefits of the MA plan that she's
also enrolling in.
Mr. Yoo's employer has recently dropped comprehensive creditable
prescription drug coverage that was offered to company retirees. The
company told Mr. Yoo that, because he was affected by this change, he
would qualify for a Special election period. Mr. Yoo contacted you to find out
more about what this means. What can you tell him? - CORRECT-ANSWERSIt
means that he qualifies for a one-time opportunity to enroll in an MA-PD or
Part D prescription drug plan.
Mr. Rockwell, age 67, is enrolled in Medicare Part A, but because he
continues to work and is covered by an employer health plan, he has not
enrolled in Part B or Part D. He receives a notice on June 1 that his employer
is cutting back on prescription drug benefits and that as of July 1 his
coverage will no longer be creditable. He has come to you for advice. What
advice would you give Mr. Rockwell about special election periods (SEPs)? -
CORRECT-ANSWERSMr. Rockwell is eligible for a SEP due to his involuntary
loss of creditable drug coverage; the SEP begins in June and ends on
September 1- two months after the loss of creditable coverage
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 records 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? - CORRECT-ANSWERSYou can only ask Mrs. Midler
, questions about conditions that affect eligibility, specifically, whether she has
one of the conditions that would qualify her for a special needs plan.
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? - CORRECT-ANSWERSYou
may correct this information as long as you add your initials and date next to
the correction.
Mr. Roberts is enrolled in an MA plan. He recently suffered complications
following hip replacement surgery. As a result, he has spent the last three
months in Resthaven, a skilled nursing facility. Mr. Roberts is about to be
discharged. What advice would you give him regarding his health coverage
options? - CORRECT-ANSWERSHis open enrollment period as an
institutionalized individual will continue for two months after the month he
moves out of the facility.
Mr. Ziegler is turning 65 next month and has asked you what he can do, and
when he must do it, with respect to enrolling in Part D. What could you tell
him? - CORRECT-ANSWERSHe is currently in the Part D Initial Enrollment
Period (IEP) and, during this time, he may make one Part D enrollment
choice, including enrollment in a stand-alone Part D plan or an MA-PD plan.
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? - CORRECT-ANSWERSIf Mr. Block enrolls in the stand-alone Medicare
prescription drug plan, he will be disenrolled from the Medicare Advantage
plan
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? - CORRECT-
ANSWERSTell her to wait until October to discuss plan choices with you so
that you can share plan benefits for the current year as well as any changes
for the following year that may impact her choice.
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? -
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