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AHIP EXAM 2026/2027 REVIEW UNIT 1 TO 5 VERIFIED
EXAMS!!!
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? - ANSWER-c. If Mr. Block enrolls in the
stand-alone Medicare prescription drug plan, he will be
disenrolled from the Medicare Advantage plan. Correct
You are doing a sales presentation for Mrs. Pearson. You know
that the Medicare marketing guidelines prohibit certain types of
statements. Apply those guidelines to the following statements
and identify which would be prohibited. - ANSWER-d. "If you're
not in very good health, you will probably do better with a
different product." Correct
You have come to Mrs. Midler's home for a sales presentation.
At the beginning of the presentation, Mrs. Midler tells you that
she has a copy of her medical record available because she
thinks this will help you understand her needs. She suggests
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that you will know which questions to ask her about her health
status in order to best assist her in selecting a plan. What
should you do? - ANSWER-b. You can only ask Mrs. Midler
questions about conditions that affect eligibility, specifically,
whether she has end stage renal disease or one of the
conditions that would qualify her for a special needs plan.
Correct
Willard works as a representative focused on the senior
marketplace. What would be considered prohibited activity by
Willard? - ANSWER-a. Implying that only seniors can enroll in a
Medicare Advantage plan when meeting with Mr. Hernandez,
who is 58 but qualifies for Medicare because she is disabled.
Correct
Mr. Garrett has just entered his MA Initial Coverage Election
Period (ICEP). What action could you help him take during this
time? - ANSWER-c. He will have one opportunity to enroll in a
Medicare Advantage plan Correct
Mrs. Kendrick is six months away from turning 65. She wants to
know what she will have to do to enroll in a Medicare
Advantage (MA) plan as soon as possible. What could you tell
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her? - ANSWER-c. She may enroll in an MA plan beginning three
months immediately before her first entitlement to both
Medicare Part A and Part B. Correct
Mr. Ziegler 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? - ANSWER-a. 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.
Correct
Ms. Claggett is sixty-six (66) years old. She has been covered
under both Parts A and B of Original Medicare for the last six
years due to her disability, has never been enrolled in a
Medicare Advantage or a Part D plan before. She wants to
enroll in a Part D plan. She knows that there is such a thing as
the "Part D Initial Enrollment Period" and has concluded that,
since she has never enrolled in such a plan before, she should
be eligible to enroll under this period. What should you tell her
about how the Part D Initial Enrollment Period applies to her
situation? - ANSWER-c. It occurs three months before and three
months after the month when a beneficiary meets the eligibility
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requirements for Part B, so she will not be able to use it as a
justification for enrolling in a Part D plan now. Correct
When Myra 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? - ANSWER-d. 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. Correct
Mr. Ford enrolled in an MA-only plan in mid-November during
the Annual Election Period. On December 1, he calls you up and
says that he has changed his mind and would like to enroll into
an MA-PD plan. What enrollment rules would apply in this
case? - ANSWER-d. He can make as many enrollment changes
as he likes during the Annual Election Period and the last choice
made prior to the end of the period will be the effective one as
of January 1. Correct
Mrs. Kumar would like her daughter, who lives in another state,
to meet with you during the Annual Election Period to help her
AHIP EXAM 2026/2027 REVIEW UNIT 1 TO 5 VERIFIED
EXAMS!!!
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? - ANSWER-c. If Mr. Block enrolls in the
stand-alone Medicare prescription drug plan, he will be
disenrolled from the Medicare Advantage plan. Correct
You are doing a sales presentation for Mrs. Pearson. You know
that the Medicare marketing guidelines prohibit certain types of
statements. Apply those guidelines to the following statements
and identify which would be prohibited. - ANSWER-d. "If you're
not in very good health, you will probably do better with a
different product." Correct
You have come to Mrs. Midler's home for a sales presentation.
At the beginning of the presentation, Mrs. Midler tells you that
she has a copy of her medical record available because she
thinks this will help you understand her needs. She suggests
,2|Page
that you will know which questions to ask her about her health
status in order to best assist her in selecting a plan. What
should you do? - ANSWER-b. You can only ask Mrs. Midler
questions about conditions that affect eligibility, specifically,
whether she has end stage renal disease or one of the
conditions that would qualify her for a special needs plan.
Correct
Willard works as a representative focused on the senior
marketplace. What would be considered prohibited activity by
Willard? - ANSWER-a. Implying that only seniors can enroll in a
Medicare Advantage plan when meeting with Mr. Hernandez,
who is 58 but qualifies for Medicare because she is disabled.
Correct
Mr. Garrett has just entered his MA Initial Coverage Election
Period (ICEP). What action could you help him take during this
time? - ANSWER-c. He will have one opportunity to enroll in a
Medicare Advantage plan Correct
Mrs. Kendrick is six months away from turning 65. She wants to
know what she will have to do to enroll in a Medicare
Advantage (MA) plan as soon as possible. What could you tell
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her? - ANSWER-c. She may enroll in an MA plan beginning three
months immediately before her first entitlement to both
Medicare Part A and Part B. Correct
Mr. Ziegler 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? - ANSWER-a. 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.
Correct
Ms. Claggett is sixty-six (66) years old. She has been covered
under both Parts A and B of Original Medicare for the last six
years due to her disability, has never been enrolled in a
Medicare Advantage or a Part D plan before. She wants to
enroll in a Part D plan. She knows that there is such a thing as
the "Part D Initial Enrollment Period" and has concluded that,
since she has never enrolled in such a plan before, she should
be eligible to enroll under this period. What should you tell her
about how the Part D Initial Enrollment Period applies to her
situation? - ANSWER-c. It occurs three months before and three
months after the month when a beneficiary meets the eligibility
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requirements for Part B, so she will not be able to use it as a
justification for enrolling in a Part D plan now. Correct
When Myra 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? - ANSWER-d. 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. Correct
Mr. Ford enrolled in an MA-only plan in mid-November during
the Annual Election Period. On December 1, he calls you up and
says that he has changed his mind and would like to enroll into
an MA-PD plan. What enrollment rules would apply in this
case? - ANSWER-d. He can make as many enrollment changes
as he likes during the Annual Election Period and the last choice
made prior to the end of the period will be the effective one as
of January 1. Correct
Mrs. Kumar would like her daughter, who lives in another state,
to meet with you during the Annual Election Period to help her
