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Exam (elaborations)

AHIP Module 4 TEST WITH SOLUTIONS

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AHIP Module 4 TEST WITH SOLUTIONS

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Module 5 2027 EXAMS.

, 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
ans:Mr. Summers must remain with the MA MSA plan until the next annual
open enrollment period unless he qualifies for a special enrollment period
(SEP).

Mr. Gardner is a very organized individual and has filled out and brought to
you an enrollment form on October 10 for a new plan available on January 1
next year. He is currently enrolled in Original Medicare. What should you do?
- correct ans:Tell Mr. Gardner that you cannot accept any enrollment forms
until the annual election period begins.



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 ans: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.



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 ans: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.



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 ans: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.

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