AHIP Module 5 Verified Solutions

AHIP Module 5 Verified Solutions Medicare Enrollment Can a client with employer coverage enroll in Part D if they're not yet 65? Answer: Yes, as long as they're entitled to Part A or enrolled in Part B. Medicare Advantage Enrollment Can an individual enroll in Medicare Advantage without Part B? Answer: No, they must be enrolled in Part B before enrolling in Medicare Advantage. Private Fee-for-Service (PFFS) Plans Can an individual enroll in a PFFS plan without Part B? Answer: No, they must enroll in Part B before enrolling in a PFFS plan. Medicare Advantage Options Can an individual enroll in a Medicare Advantage plan that doesn't include drug coverage and a stand alone prescription drug plan? Answer: Only if the Medicare Advantage plan is a PFFS plan that doesn't offer drug coverage or a Medical Savings Account. PFFS Plan Options What types of PFFS plans are available to an individual who has Original Medicare? Answer: A Medicare Advantage Prescription Drug (MA-PD) PFFS plan that combines medical benefits and Part D prescription drug coverage, a PFFS plan offering only medical benefits, or a PFFS plan in combination with a stand-alone prescription drug plan. Eligibility for Medicare Advantage or Part D Who is most likely to be eligible to enroll in a Medicare Advantage or Part D plan? Answer: An individual who is a grandfather granted asylum and has worked in the United States for many years. Enrollment Procedures What should you do if a client asks you to come to their home to clarify questions and they fall asleep during the presentation? Answer: As long as the client is able to do so, only they can sign their enrollment form. The enrollment form should be completed at another time. Legal Representation and Enrollment Can a legal representative fill out an enrollment form for an individual with advanced Alzheimer's disease? Answer: Only if the legal representative has been authorized under state law as a court-appointed legal guardian, has durable power of attorney for health care decisions, or is authorized under state surrogate consent laws to make health decisions. Enrollment Form Correction What should you do if you notice an error on an enrollment form due to illegible handwriting? Answer: You can correct the information as long as you add your initials and date next to the correction. Electronic Enrollment When setting up an electronic enrollment site for Medicare Advantage plans, what elements must be considered?