2027 AHIP Final Exam verified with correct answers
updated this month
Mr. Washington 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
answer >>>He 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.
Mrs. Fowler 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 answer >>>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 when the
beneficiary moves outside of the service area.
When Emma first became eligible for Medicare, she enrolled in Original Medicare (Parts
A and B). She is now 67 and will turn 68 on July 1. She would now like to enroll in a
Medicare Advantage (MA) plan and approaches you about her options. What advice
would you give her? - correct answer >>>She should remain in Original Medicare until
the annual election period running from October 15 to December 7, during which she
can select an MA plan.
Mr. and Mrs. Orozco 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. Orozco
feels tired and tells you that her husband can finish things up. She goes to bed. At the
end of your discussion, Mr. Orozco says that he wants to enroll both himself and his
wife. What should you do? - correct answer >>>If she can do so, only Mrs. Orozco can
sign her enrollment form. Mrs. Orozco will have to wake up to sign her form or do so at
another time.
You are visiting Mr. Connor and his daughter at her request. He has advanced
Alzheimer's and is incapable of understanding the implications of choosing a Medicare
Advantage or prescription drug plan. Can his daughter fill out the enrollment form and
sign it for him? - correct answer >>>Mr. Connor's daughter can do so only if she is
authorized under state law as a court-appointed legal guardian, has a durable power of
attorney for health care decisions, or is authorized under state surrogate consent laws
to make health decisions.
Mr. Blake 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. Blake can
disenroll from his employer-sponsored coverage to elect a Medicare Advantage or Part
D plan within 2 months of his disenrollment.
,Mrs. Farmer would like to enroll in a Medicare Cost plan that offers Part D prescription
drug coverage. She is coming 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.
Mrs. Dunn 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 answer >>>Her daughter should come in November.
Mr. Jerome Summers participated in Original Medicare (Parts A and B) for several
years before electing to enroll in a Medicare Savings Account (MSA) Medicare
Advantage Plan for the first time on November 1st during the Annual Election Period.
Almost immediately thereafter, Mr. Summers contacts you to tell you that he regrets his
decision and wants to change his election back to Original Medicare. How would you
advise him? - correct answer >>>Mr. Summers may revoke his election if he does it no
later than December 15th of the same year. He is allowed to do this because he has
never elected an MA MSA plan.
Mrs. Delgado is currently enrolled in Original Medicare (Parts A and B), but she has
been working with Agent Hudson in the selection of a Medicare Advantage (MA) plan. It
is mid-September, and Mrs. Delgado is going on vacation. Agent Hudson is considering
suggesting that he and Mrs. Delgado 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 Hudson? -
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. Khan's employer has recently dropped comprehensive creditable prescription drug
coverage that was offered to company retirees. The company told Mr. Khan that,
because he was affected by this change, he would qualify for a special election period.
Mr. Khan contacted you to find out more about what this means. What can you tell him?
- correct answer >>>It means that he qualifies for a one-time opportunity to enroll in a
Part D prescription drug plan.
Mr. Chambers 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 plan and did not enroll in a Medicare Advantage (MA) plan during the
last annual open enrollment period (AEP) which has just closed. Mr. Chambers has
heard certain MA plans might provide him with more specialized coverage for his
diabetes and wants to know if he must wait until the next annual open enrollment period
(AEP) before enrolling in such a plan. What should you tell him? - correct answer >>>If
there is a special needs plan (SNP) in Mr. Chambers's area that specializes in caring for
, individuals with diabetes, he may enroll in the SNP at any time under a special election
period (SEP).
Which of the following individuals are likely to qualify for a special election period (SEP)
for either an MA 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.
IV. Henry makes a permanent move to a new state providing him with new MA and Part
D options - correct answer >>>II, III, and IV only
Ms. Sutton is enrolled in an MA-PD plan but will be moving out of the plan's service area
next month. She is worried that she will not be able to enroll in another plan available in
her new residence until the Annual Election Period. What should you tell her? - correct
answer >>>She is eligible for a special election period (SEP) that begins either the
month before her permanent move, if the plan is notified in advance, or the month she
provides notice of the move, and this period typically lasts an additional two months.
Which of the following individuals has enrolled in a plan based on a fixed enrollment
period? - correct answer >>>Tran enrolls in a Medicare Advantage plan during the
Medicare Advantage Open Enrollment Period (MA OEP).
Mrs. Knight enrolled in an MA-PD plan during the Annual Election Period. In mid-
January of the following year, she wants to switch back to Original Medicare and enroll
in a stand-alone prescription drug plan. What should you tell her? - correct answer
>>>During the MA Open Enrollment Period, from January 1 - March 31, she may
disenroll from the MA-PD plan into Original Medicare and may add a stand-alone
prescription drug plan.
Mr. Shaffer 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. Shaffer enrolls in the stand-alone
Medicare prescription drug plan, he will be disenrolled from the Medicare Advantage
plan.
Mrs. Curry enrolled in Original Medicare and Medigap coverage following her retirement
several years ago. Four months ago, Mrs. Curry dropped her Medigap policy to enroll in
a Medicare Advantage (MA) plan for the first time. Unfortunately, Mrs. Curry has found
that many of her providers are not in the MA plan's network. She has come to you for
updated this month
Mr. Washington 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
answer >>>He 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.
Mrs. Fowler 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 answer >>>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 when the
beneficiary moves outside of the service area.
When Emma first became eligible for Medicare, she enrolled in Original Medicare (Parts
A and B). She is now 67 and will turn 68 on July 1. She would now like to enroll in a
Medicare Advantage (MA) plan and approaches you about her options. What advice
would you give her? - correct answer >>>She should remain in Original Medicare until
the annual election period running from October 15 to December 7, during which she
can select an MA plan.
Mr. and Mrs. Orozco 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. Orozco
feels tired and tells you that her husband can finish things up. She goes to bed. At the
end of your discussion, Mr. Orozco says that he wants to enroll both himself and his
wife. What should you do? - correct answer >>>If she can do so, only Mrs. Orozco can
sign her enrollment form. Mrs. Orozco will have to wake up to sign her form or do so at
another time.
You are visiting Mr. Connor and his daughter at her request. He has advanced
Alzheimer's and is incapable of understanding the implications of choosing a Medicare
Advantage or prescription drug plan. Can his daughter fill out the enrollment form and
sign it for him? - correct answer >>>Mr. Connor's daughter can do so only if she is
authorized under state law as a court-appointed legal guardian, has a durable power of
attorney for health care decisions, or is authorized under state surrogate consent laws
to make health decisions.
Mr. Blake 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. Blake can
disenroll from his employer-sponsored coverage to elect a Medicare Advantage or Part
D plan within 2 months of his disenrollment.
,Mrs. Farmer would like to enroll in a Medicare Cost plan that offers Part D prescription
drug coverage. She is coming 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.
Mrs. Dunn 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 answer >>>Her daughter should come in November.
Mr. Jerome Summers participated in Original Medicare (Parts A and B) for several
years before electing to enroll in a Medicare Savings Account (MSA) Medicare
Advantage Plan for the first time on November 1st during the Annual Election Period.
Almost immediately thereafter, Mr. Summers contacts you to tell you that he regrets his
decision and wants to change his election back to Original Medicare. How would you
advise him? - correct answer >>>Mr. Summers may revoke his election if he does it no
later than December 15th of the same year. He is allowed to do this because he has
never elected an MA MSA plan.
Mrs. Delgado is currently enrolled in Original Medicare (Parts A and B), but she has
been working with Agent Hudson in the selection of a Medicare Advantage (MA) plan. It
is mid-September, and Mrs. Delgado is going on vacation. Agent Hudson is considering
suggesting that he and Mrs. Delgado 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 Hudson? -
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. Khan's employer has recently dropped comprehensive creditable prescription drug
coverage that was offered to company retirees. The company told Mr. Khan that,
because he was affected by this change, he would qualify for a special election period.
Mr. Khan contacted you to find out more about what this means. What can you tell him?
- correct answer >>>It means that he qualifies for a one-time opportunity to enroll in a
Part D prescription drug plan.
Mr. Chambers 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 plan and did not enroll in a Medicare Advantage (MA) plan during the
last annual open enrollment period (AEP) which has just closed. Mr. Chambers has
heard certain MA plans might provide him with more specialized coverage for his
diabetes and wants to know if he must wait until the next annual open enrollment period
(AEP) before enrolling in such a plan. What should you tell him? - correct answer >>>If
there is a special needs plan (SNP) in Mr. Chambers's area that specializes in caring for
, individuals with diabetes, he may enroll in the SNP at any time under a special election
period (SEP).
Which of the following individuals are likely to qualify for a special election period (SEP)
for either an MA 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.
IV. Henry makes a permanent move to a new state providing him with new MA and Part
D options - correct answer >>>II, III, and IV only
Ms. Sutton is enrolled in an MA-PD plan but will be moving out of the plan's service area
next month. She is worried that she will not be able to enroll in another plan available in
her new residence until the Annual Election Period. What should you tell her? - correct
answer >>>She is eligible for a special election period (SEP) that begins either the
month before her permanent move, if the plan is notified in advance, or the month she
provides notice of the move, and this period typically lasts an additional two months.
Which of the following individuals has enrolled in a plan based on a fixed enrollment
period? - correct answer >>>Tran enrolls in a Medicare Advantage plan during the
Medicare Advantage Open Enrollment Period (MA OEP).
Mrs. Knight enrolled in an MA-PD plan during the Annual Election Period. In mid-
January of the following year, she wants to switch back to Original Medicare and enroll
in a stand-alone prescription drug plan. What should you tell her? - correct answer
>>>During the MA Open Enrollment Period, from January 1 - March 31, she may
disenroll from the MA-PD plan into Original Medicare and may add a stand-alone
prescription drug plan.
Mr. Shaffer 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. Shaffer enrolls in the stand-alone
Medicare prescription drug plan, he will be disenrolled from the Medicare Advantage
plan.
Mrs. Curry enrolled in Original Medicare and Medigap coverage following her retirement
several years ago. Four months ago, Mrs. Curry dropped her Medigap policy to enroll in
a Medicare Advantage (MA) plan for the first time. Unfortunately, Mrs. Curry has found
that many of her providers are not in the MA plan's network. She has come to you for
