AHIP FINAL EXAM UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question 1.
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.
Question 2.
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).
Question 3.
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 neighbor- 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
Question 4.
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.
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,Question 5.
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.
Question 6.
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 proaches 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.
Question 7.
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.
Question 8.
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.
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, Question 9.
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?
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.
Question 10.
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 should you tell her?
ANSWER
Enrollment in Cost plans offering Part D coverage is available only during enrollment periods under
the Part D program, during these periods.
Question 11.
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?
ANSWER
Her daughter should come in November.
Question 12.
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?
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.
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CORRECT ANSWERS
Question 1.
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.
Question 2.
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).
Question 3.
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 neighbor- 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
Question 4.
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.
1
,Question 5.
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.
Question 6.
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 proaches 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.
Question 7.
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.
Question 8.
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.
2
, Question 9.
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?
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.
Question 10.
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 should you tell her?
ANSWER
Enrollment in Cost plans offering Part D coverage is available only during enrollment periods under
the Part D program, during these periods.
Question 11.
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?
ANSWER
Her daughter should come in November.
Question 12.
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?
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.
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