AHIP 2021 Module Quizzes Answered 1. Mr. Bauer is 49 years old, but eighteen months ago he was declared d isabled by the Social Security Administration and has been receiving disability payments. He is wondering whether he can obtain coverage under Medicare. What should you tell him? ANSWER - After receiving such disability payments for 24 months, he will be automatically enrolled in Medicare, regardless of age 2. Mrs. Geisler's neighbor told her she should look at her Part D options during the annual Medicare enrollment period because features of Part D might have changed. Mrs. Geisler can't remember what Part D is so she called you to ask what her neighbor was talking about. What could you tell her? ANSWER - Part D covers prescription drugs & she should look at her premiums, formulary, & cost sharing among other factors to see if they have changed 3. Mr. Davis is 52 years old and has recently been diagnosed with end -stage renal diease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him? ANSWER - He may sign up for Medicare at any time however cover age usually begins on the fourth month after dialysis treatments start 4. Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided under Original Medicare. What should you tell Mr. Xi that best describes the health coverag e provided to Medicare beneficiaries? ANSWER - Beneficiaries under Original Medicare have no cost -sharing for most preventive services which inc. immunizations such as annual flu shots 5. Madeline Martinez was widowed several years ago. Her husband worked fo r many years and contributed into the Medicare system. He also left a substantial estate which provides Madeline w/ an annual income of approx. $130,000. Madeline, who has only worked part-time for the last 3 years, will soon turn age 65 and hopes to enrol l in Original Medicare. She comes to you for advice. What should you tell her? ANSWER - You should tell Madeline that she will be able to enroll in Medicare Part A w/out paying monthly premiums due to her husband's long work record & participation in the M edicare system. You should also tell Madeline that she will pay Part B premiums at more than the standard lowest rate but less than the highest rate due to her substantial income 6. Ms. Moore plans to retire when she turns 65 in a few months. She is in excel lent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern? ANSWER - Medicare is a program for people age 65 or ol der & those under age 65 w/ certain disabilities, end -stage renal disease, & Lou Gehrig's disease so she will be eligible for Medicare 7. Mrs. Quinn recently turned 66 and decided after __________ Social Security benefits. Shortly thereafter, Mrs. Quinn rece ived a letter informing her she has been automatically enrolled in Medicare Part B. She wants to understand what this means. What should you tell her? ANSWER - Part B primarily covers physician services. She will be paying a monthly premium &, with the exc eption of many preventive and screening tests, generally will have 20% coinsurance for these services, in addition to an annual deductible 8. Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify for the Part D low income subsidy. Where might he turn for help w/ his prescription drug costs? ANSWER - He may still qualify for help in paying Part D costs through his State Pharmaceutical Assistance Program 9. Mr. Moy's wife has a Medicare Advantage Plan, but he wants to understan d what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife's needs. What could you tell him? ANSWER - Medicare Supplemental Insurance would help cover his Part A & B cost sharing in Original Fee -for-Service (FFS) Medicare as well as possibly some services that Medicare does not cover 10. Anita Magri will turn 65 in August 2020. Anita intends to enroll in Original Medicare Part A & B. She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita's older neighbor Mel had told her about Medigap Part F plan in which he is enrolled. It not only provides foreign travel emergency benefits, but also covers his Medicare Part B deductible. Anita comes to you for advice. What should you tell her? ANSWER - You are sorry to disappoint her but a Medigap Part F plan is no longer available to those who turn 65 after Jan. 1, 2020. Anita might instead consider other Medigap plans that offer foreign travel benefits but do not cover the Part B deductible 11. Mr. Sing h would like drug coverage, but does not want to be enrolled in a Medicare Advantage plan. What should you tell him? ANSWER - Mr. Singh can enroll in a stand alone prescription drug plan & continue to be covered for Part A & B services through Original Fee -for-Service Medicare 12. Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? ANSWER - Original Medicare covers ambulance services
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AHIP 2021 Module Quizzes Answered 1. Mr. Bauer is 49 years old, but eighteen months ago he was declared disabled by the Social Security Administration and has been receiving disability payments. He is wondering whether he can obtain coverage under Medicare. What should you tell him? 2. Mrs. Geisler's neighbor told her she should look at her Part D options during the annual Medicare enrollment period because features of Part D might have changed. Mrs. Geisler can't remember what Part D is so she called you to ask what her neighbor was talking about. What could you tell her? 3. Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal diease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you tell him? 4. Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided under Original Medicare. What should you tell Mr. Xi that best describes the health coverage provided to Medicare beneficiaries? 5. Madeline Martinez was widowed several years ago. Her husband worked for many years and contributed into the Medicare system. He also left a substantial estate which provides Madeline w/ an annual income of approx. $130,000. Madeline, who has only worked part-time for the last 3 years, will soon turn age 65 and hopes to enroll in Original Medicare. She comes to you for advice. What should you tell her? 6. Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible for her to qualify for Medicare. What could you tell her to address her concern? 7. Mrs. Quinn recently turned 66 and decided after __________ Social Security benefits. Shortly thereafter, Mrs. Quinn received a letter informing her she has been automatically enrolled in Medicare Part B. She wants to understand what this means. What should you tell her? 8. Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify for the Part D low income subsidy. Where might he turn for help w/ his prescription drug costs? 9. Mr. Moy's wife has a Medicare Advantage Plan, but he wants to understand what coverage Medicare Supplemental Insurance provides since his health care needs are different from his wife's needs. What could you tell him? 10. Anita Magri will turn 65 in August 2020. Anita intends to enroll in Original Medicare Part A & B. She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita's older neighbor Mel had told her about Medigap Part F plan in which he is enrolled. It not only provides foreign travel emergency benefits, but also covers his Medicare Part B deductible. Anita comes to you for advice. What should you tell her? ANSWER - You are sorry to disappoint her but a Medigap Part F plan is no longer available to those who turn 65 after Jan. 1, 2020. Anita might instead consider other Medigap plans that offer foreign travel benefits but do not cover the Part B deductible 11. Mr. Singh would like drug coverage, but does not want to be enrolled in a Medicare Advantage plan. What should you tell him? 12. Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to know which of the following services Original Medicare will cover if the appropriate criteria are met? What could you tell her? 13. Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being successfully treated for that condition. However, she and her physicians feel that after her lengthy hospital stay she will need a month or two of nursing and rehabilitative care. What should you tell them about Original Medicare's coverage of care in a skilled nursing facility? 14. What impact, if any, will recent regulatory changes have upon Medigap plans? 15. Agent John Miller is meeting with Jerry Smith, a new prospect. Jerry is currently enrolled in Medicare Parts A & B. Jerry has also purchased a Medicare Supplement (Medigap) plan which he has had for several years. However, the plan does not provide drug benefits. How would you advise Agent John Miller to proceed? 16. Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and paid taxes during that entire period. She is concerned that she will not qualify for coverage under part A because she was not born in the United States. What should you tell her? 17. Juan Perez, who is turning 65 next month, intends to work for several more years at Smallcap, Inc. Smallcap has a workforce of 15 employees & offers employer sponsored healthcare coverage. Juan is a naturalized citizen & has contributed to the Medicare system for over 20 years. Juans asks you if he will be entitled to Medicare & if he enrolls how that impact his employer sponsored healthcare coverage. How would you respond? 18. Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original Fee-for-Service (FFS) Medicare? What could you tell him? 19. Mr. Diaz continued working with his company and was insured under his employer's group plan until he reached age 68. He has heard that there is a premium penalty for those who did not sign up for Part B when first eligible and wants to know how much he will have to pay. What should you tell him? 20. Mrs. Paterson is concerned about the deductibles and co-payments associated with Original Medicare. What can you tell her about Medigap as an option to address this concern? 21. Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access providers. What should you tell him? 22. Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but has recently stopped paying his Part B premium. He would like to enroll in a Medicare Advantage (MA) plan and is still covered by Part A. What should you tell him? 23. Mrs. Kelly, age 65, is entitled to part A but has not yet enrolled in part B. She is considering enrollment in a Medicare Advantage plan (part C). What should you advise her to do before she will be able to enroll in a Medicare Advantage plan? 24. Daniel is a middle income Medicare beneficiary. He has chronic bronchitis, putting him at severe risk for pneumonia. Otherwise, he has no problems functioning. Which type of SNP is likely to be most appropriate for him? 25. Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage. What should you tell her? 26. Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he would have certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage has been very good. However, when he received the bill, he was surprised to see large charges in excess of his maximum out-of-pocket limit that included a number of services and items he thought would be fully covered. He called you to ask what he could do? What could you tell him? 27. What statement best describes PACE plans? 28. Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare. What should she be aware of when considering enrollment in a Medicare Advantage (MA) plan? 29. Mrs. Chou likes a private fee-for-service (PFFS) plan available in her area that does not include drug coverage. She wants to enroll in the plan and enroll in a standalone prescription drug plan. What should you tell her? 30. Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received under original Medicare, but he would like to know more about Medicare advantage special-needs plans (SNPs). What could you tell him? 31. Mr. Gomez knows that a private-fee-service plan (PFFS) available in his area has an attractive premium. He wants to know if he must use doctors in a network as his current HMO plan requires him to do. What should you tell him? 32. Mr. Wells is trying to understand the difference between original Medicare and Medicare advantage. What would be the correct description? 33. Mrs. Willard wants to know generally how the benefits under original Medicare might compare to the benefits package of a Medicare advantage plan before she starts looking at specific plans. What could you tell her? 34. Mrs. Davenport enrolled in the ABC Medicare advantage (MA) plan several years ago. In mid February 2021, her doctor confirms a diagnosis of end-stage renal disease (ESRD). What options will Mrs. Davenport have regarding her MA plan during the next open enrollment season? 35. mrs. Lyons is in good health, uses a single prescription, and lives independently in her own home. She is attracted by the idea of maintaining control over a medical savings account (MSA) but is not sure if the plan associated with the account will fit her needs. What specific piece of information about a Medicare MSA plan would it be important for her to know, prior to enrolling in such a plan? 36. Mr. Greco is an excellent health, lives in his own home, it has a sizable income from his investments. He has a friend enrolled in a Medicare advantage special-needs plan (SNP). His friend has mentioned that the SNP charges very low cost sharing amounts and Mr. Greco would like to join that plan. What should you tell him? 37. mr. Lopez has heard that he can sign up for a product called "Medicare advantage" but is not sure about what type of plan designs are available through this program. What should you tell him about the types of health plans that are available through the Medicare advantage program? 38. Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-PD plan and was disappointed with the service she received from her primary care physician because she was told she would have to wait five weeks to get an appointment when she was feeling ill. She called you to ask what she could do so she would not have to put up with such poor access to care. What could you tell her? 39. mrs. Ramos is considering a Medicare advantage PPO and has questions about which provider she can go to for her healthcare. What should you tell her? 40. dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge? 41. mr. and Mrs. vaughn both take a specialized multivitamin prescription each day. Mr. Vaughn takes a prescription for helping to regrow his hair. They are anxious to have their Medicare prescription drug plan cover the drug needs. What should you tell them? 42. mr. Jacob understands that there is a standard Medicare part D prescription drug benefit, but when he looks at information on various plans available in his area, he sees a wide range in what they charge for deductibles, premiums, and cost sharing. how can you explain this to him? 43. All plans must cover at least the standard part D coverage or it's actuarial equivalent. Which of the following statements best describes some of the costs a beneficiary would incur for prescription drugs under the standard coverage? 44. Mrs. Quinn has just turned 65, is in excellent health, and has a relatively high income. She uses no medications and sees no reason to spend money on a Medicare prescription drug plan if she does not need the coverage. She currently does not have credible coverage. What could you tell her about the implications of such a decision? covered 45. what type of tools can Medicare part D prescription drug plans use that affect the way their enrollees can access medications? 46. Ms. Edwards is enrolled in a Medicare Advantage plan that includes prescription drug plan (PDP) coverage. She is traveling and wishes to fill two of her prescriptions hat she has lost. How would you advise her? 47. One of your clients, Lauren Nichols, has heard about a Medicare concept from one of her neighbors called TrOOP. She asks you to explain it. What do you say? 48. Mr. Hutchinson has drug coverage through his former employer's retiree plan. He is concerned about the Part D premium penalty if he does not enroll in a Medicare prescription drug plan, but does not want to purchase extra coverage that he will not need. What should you tell him? 49. Mrs. Lopez is enrolled in a Medicare Advantage cost plan. She has recently lost creditable coverage previously available through her husband's employer. She is interested in enrolling in a Medicare Part D prescription drug plan (PDP). What should you tell her? 50. Mr. Schultz was still working when he first qualified for Medicare. At that time, he had employer group coverage that was credible. During his initial part D eligibility period decided not to enroll because he was satisfied with his drug coverage. It is now a year later and Mr. Schultz has lost his employer group coverage within the last two weeks. How would you advise him? 51. Mr. Shapiro gets by on a very small fixed income. He has heard there may be extra help paying for Part D prescription drugs for Medicare beneficiaries with limited income. He wants to know whether he might qualify. What should you tell him? 52. which of the following statements about Medicare part D are correct? standalone PDP 53. Mrs. Roswell is a new Medicare beneficiary Who has just retired from retail work. She is interested in selecting a Medicare Part D prescription drug plan. She takes a number of medications and is concerned that she has not been able to identify a plan that covers all of her medications. She does not want to make an abrupt change to new drugs that would be covered and asks what she should do. What should you tell her? 54. Mrs. Allen has a rare condition for which two different brand-name drugs are the only available treatment. She is concerned that since no generic prescription drug is available & these drugs are very high cost, she will not be able to find a Medicare part D prescription drug plan that covers either one of them. What should you tell her? 55. Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a program known as Medicare Advantage (MA), not by the government. He likes Original Medicare and does not want to sign up for an MA product, but he also wants prescription drug coverage. What should you tell him? 56. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug program and he is wondering if there is any other option he has for obtaining help with his considerable drug costs. What should you tell him? 57. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Medicare prescription drug plan because, although she is entitled to Part A, she is not enrolled under Medicare Part B. What should you tell her? 58. Mr. Zachow has a condition for which three drugs are available. He has tried two, but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? 59. mr. Wingate is a newly enrolled Medicare part D beneficiary & is one of your clients. In addition to drugs on his plans formulary he takes several other medications. These include a prescription drug not on his plan's formulary, over-the-counter medications for colds and allergies, vitamins, and drugs from an Internet-based Canadian pharmacy to promote hair growth and reduce joint swelling. his neighbor recently told him about a concept called TrOOP and asked you if any of his other medications could count towards TrOOP should he ever reach the part D catastrophic limit. what should you say? 60. Mr. Torres has a small savings account. He would like to pay for his monthly Part D premiums with an automatic monthly withdrawal from his savings account until it is exhausted, and then have his premiums withheld from his Social Security check. What should you tell him? 61. you are working with a number of plans and community organizations to sponsor an educational event. When putting together advertisements for this event, what should you do? 62. Next week you will be participating in your first "educational event" for prospective enrollees. In order to be sure that you do not violate any of the applicable guidelines, in what activities should you plan to engage? 63. you have been providing a pre-Thanksgiving meal during sales presentations in November for many years and your clients look forward to attending this annual event. When marketing Medicare advantage and part D plans, what are you permitted to do with respect to meals? 64. Mrs. Lu is turning 65 in November and called to ask for your help deciding on a Medicare Advantage plan. She agreed to sign a scope of appointment form and meet with you October 15. During the appointment, what are you permitted to do? 65. Mr. Prentice has many clients who are Medicare beneficiaries. He should review the Centers for Medicare & Medicaid Services' Marketing Guidelines to ensure he is compliant for which type of products? 66. agent Martinez wishes to solicit Medicare advantage prospects through email and asks you for advice as to whether this is possible. What should you tell her? 67. ABC is a Medicare Advantage (MA) plan sponsor. It would like to use its enrollees' protected health information to market non-health related products such as life insurance and annuities. To do so it must obtain authorization from the enrollees. Which statement best describes the authorization process? 68. You work for a company that has marketed Medigap products for many years. The company has added Medicare advantage and part D plans and you will begin marketing those plans this fall. You are planning what materials to use to easily show the differences in benefits, premiums and cost sharing for each of the products. What do you need to do with your materials before using them for marketing purposes? 69. You are seeking to represent an individual Medicare Advantage plan and an individual Part D plan in your state. You have completed the required training for each plan, but you did not achieve a passing score on the tests that came after the training. What can you do in this situation? 70. agent Lopez helps Ralph to enroll in top choice Medicare advantage plan during the annual open enrollment period. Ralph's effective enrollment date is January 1. Ralph disenrolls on February 12 because he discovers that the plan does not cover services furnished by several of his longtime providers. Which of the following statements best describes the impact of his action upon agent Lopez's compensation? 71. you would like to market a MA plan At a neighborhood pharmacy. What should you keep in mind to comply with the marketing requirements for MA plans? 72. During a sales presentation, your client asks you whether the Medicare agency recommends that she sign up for your plan or stay in Original Medicare. What should you tell her? 73. agent Jennings makes a presentation On Medicare advertised as an educational event. Agent Jennings distribute materials that are solely educational in nature. However, she gives a brief presentation that mentions plan-specific premiums. Is this a prohibited activity at an event that that has been advertised as educational? 74. Agent Armstrong is employed by XYZ Agency, which is under contract with ABC Health Plan, a Medicare Advantage (MA) plan that offers plans in multiple states. XYZ Agency maintains a website marketing the MA plans with which it has contracts. Agent Armstrong follows up with individuals who request more information about ABC MA plans via the website and tries to persuade them to enroll in ABC plans. What statement best describes the marketing and compliance rules that apply to Agent Armstrong? 75. A Medicare beneficiary has walked into your office and requested that you sit down with her and discuss her options under the Medicare advantage program. Before engaging in such a discussion, what should you do? 76. Melissa Meadows is a marketing representative for best care which has recently introduced a Medicare advantage plan offerInG comprehensive dental benefits for $15 per month. Best Care has not submitted any potential posts to CMS for approval. Melissa would like to use the power of social media to reach potential prospects. What advice would you give her? 77. One of your colleagues argues that it is better to focus your time and energy exclusively in neighborhoods with single family homes. He further argues that their older owners are more likely to have higher incomes and purchase the Medicare advantage products you represent compared to those living in apartment complexes. How should you respond? 78. you will be holding a sales event in the near future, at which you would like to offer door prizes to attendees. Under guidelines from the Medicare agency, what types of gifts or prizes would not be allowed in the situation? 79. Miguel Sanchez is a relatively new agent who has come to you for advice as to what he can do during the Medicare advantage open enrollment period (MA-OEP). What advice would you give Miguel? 80. You have sought permission from a hospital to place brochures for your product in their gift shop and cafeteria. The hospital administration expresses some hesitation about allowing marketing in a health care facility. What should you tell them? 81. Mr. Garcia was told he qualifies for a Special Election Period (SEP), but he lost the paper that explains what he could do during the SEP. What can you tell him? 82. Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-for-service (PFFS) plan. What questions would you need to ask to determine his eligibility? 83. mrs. Pierce like to enroll in a Medicare cost plan that offers part D prescription drug coverage. She comes to you for advice about when she can enroll in a plan you have previously discussed. What should you tell her? 84. Mary Samuels recently suffered a stroke while visiting her daughter and grandchildren. As a result, Mary has been admitted to a rehabilitation hospital where she is expected to reside for several months. The rehabilitation hospital is located outside the geographic area served by her current Medicare Advantage (MA) plan. What options are available to Mary regarding her health plan coverage? 85. Ms. Lee 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? 86. Mrs. Goodman 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? 87. You are doing a sales presentation To Mrs. Pearson. You know that Medicare marketing guidelines prohibit certain types of statements. Apply those guidelines to the following statements and identify which will be prohibited. 88. mr. Anderson is a very organized individual and he has filled out and brought to you and enrollment form on October 10 for a new plan available January 1 next year. He is currently enrolled in original Medicare. What should you do? 89. Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover prescription drugs, she wants to enroll in a Medicare prescription drug plan. Will she be able to? 90. You are visiting with Mr. Tully 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 for him? 91. mrs. Ridgeway enrolled in original Medicare and Medigap coverage following her retirement several years ago. Four months ago Mrs. Ridgeway dropped her medigap policy to enroll in a Medicare advantage plan for the first time. Unfortunately Mrs. Ridgeway has found that many of her providers are not in the MA plans network. She has come to you for advice. What should you tell her? 92. Phiona works in the IT Department of BestCare Health Plan. Phiona is placed in charge of BestCare's efforts to facilitate electronic enrollment in its Medicare Advantage plans. In setting up the enrollment site, which of the following must Phiona consider? I. If a legal representative is completing an electronic enrollment request, he or she must first upload proof of his or her authority. II. All data elements required to complete an enrollment request must be captured. III. The process must include a clear and distinct step that requires the applicant to activate an "Enroll Now" or "I Agree" type of button or tool. IV. The mechanism must capture an accurate time and date stamp at the time the applicant enters the online site. 93. Which of the following individuals are likely to qualify for a special enrollment period for either a MA or parT D due to a change of residence? 94. Mrs. Schneider has Original Medicare Parts A and B and has just qualified for her state's Medicaid program, so the state is now paying her Part B premium. Will gaining eligibility for this program affect her ability to enroll in a Medicare Advantage or Medicare Prescription Drug plan? 95. Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what circumstances can she do this? 96. ms. Gonzales decided to remain an original Medicare parts A&B and part D during the annual enrollment period. At the beginning of January, her neighbor told her about the Medicare advantage plan he selected. He also told her there was an open enrollment period that she might be able to use to enroll in an MA plan. Miss Gonzalez comes to you for advice shortly after speaking to her neighbor. What did you tell her? MA enrollees 97. mrs. Kendrick is in good health, has worked for many years and is six months away from turning 65. She wants to know what she will have to do to enroll in a Medicare advantage plan as soon as possible. What could you tell her? 98. Which of the following individuals is most likely to be eligible to enroll in a Medicare advantage or part D plan? 99. Mrs. Claggett is 66 years old. She has been covered under original Medicare for the last six years due to her disability and 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 there is such thing as a 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? 100. 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?
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but eighteen months ago he was declared disabled by the social security administration and has been receiving disability payments he is
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