AHIP Module 5 2024
Willard works as a representative focused on the senior marketplace. What would be considered
prohibited activity by Willard?
Implying that only seniors can enroll in a Medicare Advantage plan when meeting with Mr.
Hernandez, who is 58 but qualifies for Medicare because ...
AHIP Module 5 2024
Willard works as a representative focused on the senior marketplace. What would be considered
prohibited activity by Willard?
✅Implying that only seniors can enroll in a Medicare Advantage plan when meeting with Mr.
Hernandez, who is 58 but qualifies for Medicare because he is disabled.
Medicare Advantage Enrollment
What should you advise a client who is planning to turn 65 and wants to discuss Medicare Advantage
plans with you?
Answer: It's best to wait until October to discuss plan choices, as you can share plan benefits for the
current year and any changes for the following year that may impact their choice.
Special Election Period
Can a client with a Part D low-income subsidy enroll or disenroll from a Part D plan?
Answer: Yes, they qualify for a special election period and can enroll or disenroll from a Part D plan once
during that period.
Medicare Advantage Disenrollment
What options are available to a client who has been admitted to a rehabilitation hospital outside their
MA plan's service area?
Answer: They may make an unlimited number of MA enrollment requests and disenroll from their
current MA plan.
Initial Coverage Election Period
, During the Initial Coverage Election Period (ICEP), what action can a client take?
Answer: They will have one opportunity to enroll in a Medicare Advantage plan.
Medical Records
What should you do if a client offers to share their medical records with you during a sales
presentation?
Answer: You can only ask questions about conditions that affect eligibility, such as conditions that would
qualify them for a special needs plan.
Medigap Enrollment
During the ICEP, what cannot a client do?
Answer: They cannot enroll in a Medigap plan to supplement the benefits of the MA plan they're also
enrolling in.
Dual Eligible SEP
Is a dual-eligible individual who is identified as "potential at-risk" eligible for a SEP to change Part D
plans?
Answer: No, once identified as "potential at-risk," they cannot use the dual eligible SEP to change plans
while this designation is in place.
Annual Enrollment Period
If a client decides not to enroll in Original Medicare (Parts A and B) and Part D during the Annual
Enrollment Period (AEP), can they still enroll in an MA plan?
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