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Ahip Training Module 5

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AHIP TRAINING MODULE 5 Correcting Enrollment Form What should you do if Mrs. BERLIN's handwriting is illegible and you notice an incorrect street name on her enrollment form? Answer: You can correct the information as long as you add your initials and date next to the correction. Dual Enrollment What happens if Mr. Block enrolls in a stand-alone Medicare Rx plan in addition to his MA-PD plan? Answer: He will be dis-enrolled from the MA plan. Medicare Marketing Guidelines Is the statement "If you're not in very good health, you will probably do better with a different product" prohibited? Answer: Yes, this statement is prohibited. Medical Records Can you ask Mrs. Brown questions about her medical history during a sales presentation? Answer: No, you can only ask questions about conditions that affect eligibility, such as end-stage renal disease or conditions that qualify her for a special needs plan. Initial Coverage Election Period (ICEP) What can you help Grant do during his ICEP? Answer: He will have one opportunity to enroll in a MA plan. Medicare Enrollment What can Kenny do to enroll in a MA plan as soon as possible? Answer: She can enroll in a MA plan beginning three months immediately before her first entitlement to both Medicare Part A and B. Part D Initial Enrollment Period (IEP) What can Ziegler do during his Part D IEP? Answer: He may make one Part D enrollment choice, including enrollment in a stand-alone Part D plan or a MA-PD plan. Part D Initial Enrollment Period (IEP) What should you tell Claggett about her situation? Answer: The Part D IEP occurs three months before and three months after the month when a beneficiary meets the eligibility requirements for Part B, so she will not be able to use it as a justification for enrolling in a Part D plan now. Enrollment Changes What enrollment rules apply if Ford changes his mind and wants to enroll in a MA-PD plan after enrolling in a MA only plan in mid-November?

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AHIP TRAINING MODULE 5
Correcting Enrollment Form



What should you do if Mrs. BERLIN's handwriting is illegible and you notice an incorrect street name on
her enrollment form?



Answer: You can correct the information as long as you add your initials and date next to the correction.



Dual Enrollment



What happens if Mr. Block enrolls in a stand-alone Medicare Rx plan in addition to his MA-PD plan?



Answer: He will be dis-enrolled from the MA plan.



Medicare Marketing Guidelines



Is the statement "If you're not in very good health, you will probably do better with a different product"
prohibited?



Answer: Yes, this statement is prohibited.



Medical Records



Can you ask Mrs. Brown questions about her medical history during a sales presentation?



Answer: No, you can only ask questions about conditions that affect eligibility, such as end-stage renal
disease or conditions that qualify her for a special needs plan.



Initial Coverage Election Period (ICEP)

, What can you help Grant do during his ICEP?



Answer: He will have one opportunity to enroll in a MA plan.



Medicare Enrollment



What can Kenny do to enroll in a MA plan as soon as possible?



Answer: She can enroll in a MA plan beginning three months immediately before her first entitlement to
both Medicare Part A and B.



Part D Initial Enrollment Period (IEP)



What can Ziegler do during his Part D IEP?



Answer: He may make one Part D enrollment choice, including enrollment in a stand-alone Part D plan
or a MA-PD plan.



Part D Initial Enrollment Period (IEP)



What should you tell Claggett about her situation?



Answer: The Part D IEP occurs three months before and three months after the month when a
beneficiary meets the eligibility requirements for Part B, so she will not be able to use it as a justification
for enrolling in a Part D plan now.



Enrollment Changes

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