2022 AHIP Module 5 QUESTIONS AND ANSWERS
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? Correct
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.
Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-
income subsidy. How does that affect his ability to enroll or disenroll in a Part D
plan? Correct Answer: He qualifies for a special election period and can enroll in
or disenroll from a Part D plan once during that period.
Mrs. Schmidt 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? Correct Answer:
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.
Mrs. Margolis contacts you in August because she will become eligible for
Medicare for the first time in November. She would like to meet and discuss plan
choices with you. What advice should you give her? Correct Answer: You cannot
discuss plan options for the following year before October 1. If you meet before
October 1, you can only discuss options for the current plan year. Starting
October 1, you are permitted to simultaneously market plans for the current and
prospective years, provided marketing materials indicate what plan year is being
discussed.
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? Correct Answer: She should enroll during the
Annual Election Period (AEP), which takes place from October 15 to December 7
each year.
, Mr. and Mrs. Nunez 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.
Nunez feels tired and tells you that her husband can finish things up. She goes to
bed. At the end of your discussion, Mr. Nunez says that he wants to enroll both
himself and his wife. What should you do? Correct Answer: As long as she can do
so, only Mrs. Nunez can sign her enrollment form. Mrs. Nunez will have to wake
up to sign her form or do so at another time.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she has
been working with Agent Neil Adams in the selection of a Medicare Advantage
(MA) plan. It is mid-September, and Mrs. Young is going on vacation. Agent
Adams is considering suggesting that he and Mrs. Young complete the application
together before she leaves. He will then submit the paper application before the
start of the annual enrollment period (AEP). What would you say If you were
advising Agent Adams? Correct Answer: This is a bad idea. Agents are generally
prohibited from soliciting or accepting an enrollment form before the start of the
AEP.
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
records available because she thinks this will help you understand her needs. She
suggests 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? Correct Answer:
You can only ask Mrs. Midler questions about conditions that affect eligibility,
specifically, whether she has one of the conditions that would qualify her for a
special needs plan.
Mr. Roberts is enrolled in an MA plan. He recently suffered complications
following hip replacement surgery. As a result, he has spent the last three months
in Resthaven, a skilled nursing facility. Mr. Roberts is about to be discharged.
What advice would you give him regarding his health coverage options? Correct
Answer: His open enrollment period as an institutionalized individual will
continue for two months after the month he moves out of the facility.
A client wants to give you an enrollment application on October 1 before the
beginning of the Annual Election Period because he is leaving on vacation for two
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? Correct
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.
Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-
income subsidy. How does that affect his ability to enroll or disenroll in a Part D
plan? Correct Answer: He qualifies for a special election period and can enroll in
or disenroll from a Part D plan once during that period.
Mrs. Schmidt 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? Correct Answer:
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.
Mrs. Margolis contacts you in August because she will become eligible for
Medicare for the first time in November. She would like to meet and discuss plan
choices with you. What advice should you give her? Correct Answer: You cannot
discuss plan options for the following year before October 1. If you meet before
October 1, you can only discuss options for the current plan year. Starting
October 1, you are permitted to simultaneously market plans for the current and
prospective years, provided marketing materials indicate what plan year is being
discussed.
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? Correct Answer: She should enroll during the
Annual Election Period (AEP), which takes place from October 15 to December 7
each year.
, Mr. and Mrs. Nunez 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.
Nunez feels tired and tells you that her husband can finish things up. She goes to
bed. At the end of your discussion, Mr. Nunez says that he wants to enroll both
himself and his wife. What should you do? Correct Answer: As long as she can do
so, only Mrs. Nunez can sign her enrollment form. Mrs. Nunez will have to wake
up to sign her form or do so at another time.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she has
been working with Agent Neil Adams in the selection of a Medicare Advantage
(MA) plan. It is mid-September, and Mrs. Young is going on vacation. Agent
Adams is considering suggesting that he and Mrs. Young complete the application
together before she leaves. He will then submit the paper application before the
start of the annual enrollment period (AEP). What would you say If you were
advising Agent Adams? Correct Answer: This is a bad idea. Agents are generally
prohibited from soliciting or accepting an enrollment form before the start of the
AEP.
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
records available because she thinks this will help you understand her needs. She
suggests 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? Correct Answer:
You can only ask Mrs. Midler questions about conditions that affect eligibility,
specifically, whether she has one of the conditions that would qualify her for a
special needs plan.
Mr. Roberts is enrolled in an MA plan. He recently suffered complications
following hip replacement surgery. As a result, he has spent the last three months
in Resthaven, a skilled nursing facility. Mr. Roberts is about to be discharged.
What advice would you give him regarding his health coverage options? Correct
Answer: His open enrollment period as an institutionalized individual will
continue for two months after the month he moves out of the facility.
A client wants to give you an enrollment application on October 1 before the
beginning of the Annual Election Period because he is leaving on vacation for two
