2027 AHIP Final Exam
2026/2027 Exam All Answers
and Illustrations Given
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? -
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? -
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 - ANSWER ✔✔II, III, and IV only
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? - 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? - 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
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, approaches you about her options. What advice would you give her? -
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? - 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? - 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.
2026/2027 Exam All Answers
and Illustrations Given
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? -
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? -
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 - ANSWER ✔✔II, III, and IV only
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? - 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? - 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
3
COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
, approaches you about her options. What advice would you give her? -
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? - 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? - 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.
