Ahip module 5 exam - Study guides, Class notes & Summaries

Mr. Garcia was told he qualifies for a Special Enrolment Period (SEP), but he lost the paper that explains what he could do during the SEP. What can you tell him? If the SEP is for MA coverage, he will generally have one opportunity to change his MA coverage. Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover prescription drugs, she wants to enrol in a Medica...

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? - It 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 ...

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Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-forservice (PFFS) plan. What questions would you need to ask to determine his eligibility? - You would need to ask Mr. Kelly if he is enrolled in Part A and Part B and if he lives in the PFFS plan's service area. 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 ...

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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 Answer: Tell 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. Johannsen is entitled to Medicare Part A and Part B. He gains the Par...

Willard works as a representative focused on the senior marketplace. What would be considered prohibited activity by Willard? Correct Answer: 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. Mr. Wendt suffers from diabetes which has gotten progressively worse during the last year. He is currently enrolled in Original Medicare (Parts A and B) and a Part D prescription drug p...

AHIP Module 5 Exam Questions and Answers (100 out of 100) (Latest Update)

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 Answer: She can enroll in a Medigap plan to supplement the benefits of the MA plan that she's also enrolling in. 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 ...