2025 AHIP Module 5 Exam Questions and Verified Answers,
100% Guarantee
1. Which of the following individuals are likely to qualify for a special election
period (SEP) for either a MA and/or Part D due to a change of residence?
I. Edward (enrolled in MA and Part D) moves to a new home within the same
neighborhood in his existing plan's service area.
II. Fiona (enrolled in MA and Part D) moves cross-country to an area outside
her existing plan's service area.
III. Gilbert moves into a plan service area where there is now a Part D plan
available to him from a service area where no Part D plan was available.
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IV.Henry makes a permanent move to a new state providing him with new MA
and Part D options.
a. II, III, and IV only.
b. II and III only.
c. I, II, III and IV.
d. I and II only.: a
2. Mrs. Ridgeway enrolled in Original Medicare and Medigap coverage fol-
lowing her retirement several years ago. Four months ago, Mrs. Ridgeway
dropped her Medigap policy to enroll in a Medicare Advantage (MA) plan
for the first time. Unfortunately, Mrs. Ridgeway has found that many of her
providers are not in the MA plan's network. She has come to you for advice.
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What should you tell her?
a. She qualifies for a special election period (SEP) that will allow her to make
a one-time election to return to Original Medicare, but she may or may not
qualify to rejoin her Medigap plan based on medical underwriting.
b. She must wait until the next MA Open Enrollment Period (OEP) during which
she can elect to return to Original Medicare.
c. She must wait until the next Annual Election Period (AEP) during which she
may select another MA plan.
d. She qualifies for a special election period (SEP) that will allow her to make
a one: d
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