AHIP 2025 module 5 Exam Questions
And Answers
Mr. Liu turns 65 on June 19. He has never previously qualified for
Medicare so his first Medicare eligibility date will be June 1. Mr. Liu's
ICEP and Part D IEP begin on March 1 and end on September 30. He
wants prescription drug coverage with his Part A and Part B benefits.
What advice can you provide him? - - correct answer ✅He can enroll in
a MA-PD as long as he enrolls in Part B and is entitled to Part A.
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 answer ✅This is a bad idea. Agents are
generally prohibited from soliciting or accepting an enrollment form
before the start of the AEP.
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 answer ✅If Mr. Block
enrolls in the stand-alone Medicare prescription drug plan, he will be
disenrolled from the Medicare Advantage plan.
, AHIP 2025 module 5 Exam Questions
And Answers
Mr. Garcia was told he qualifies for a special election period (SEP), but
he lost the paper that explains what he could do during the SEP. What
can you tell him? - - correct answer ✅If the SEP is for MA coverage, he
will generally have one opportunity to change his MA coverage.
Which of the following individuals has enrolled in a plan based on a
fixed enrollment period? - - correct answer ✅Ben enrolls in a Medicare
Advantage plan during the Medicare Advantage Open Enrollment
Period (MA OEP).
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 answer ✅Mr. Chen can disenroll from his
employer-sponsored coverage to elect a Medicare Advantage or Part D
plan within 2 months of his disenrollment.
Mrs. Pierce would like to enroll in a Medicare Cost plan that offers Part
D prescription drug coverage. She comes to you for advice about when
she can enroll in a plan you have previously discussed. What should you
tell her? - - correct answer ✅Enrollment in Cost plans offering Part D
coverage is available only during enrollment periods under the Part D
program, and Cost plans must accept enrollments during these periods.
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