AHIP 2025 module 5 exam study guide c
ldf ldf ldf ldf ldf ldf ldf
omplete
Mr.ldfLiuldfturnsldf65ldfonldfJuneldf19.ldfHeldfhasldfneverldfpreviouslyldfqualifiedldfforldfMedicareldfsoldfhisldffirstldfMedica
reldfeligibilityldfdateldfwillldfbeldfJuneldf1.ldfMr.ldfLiu'sldfICEPldfandldfPartldfDldfIEPldfbeginldfonldfMarchldf1ldfandldfendldfonldfS
eptemberldf30.ldfHeldfwantsldfprescriptionldfdrugldfcoverageldfwithldfhisldfPartldfAldfandldfPartldfBldfbenefits.ldfWhatldfa
dviceldfcanldfyouldfprovideldfhim?ldf-ldfcorrectldfanswers-HeldfcanldfenrollldfinldfaldfMA-
PDldfasldflongldfasldfheldfenrollsldfinldfPartldfBldfandldfisldfentitledldftoldfPartldfA.
Mrs.ldfYoungldfisldfcurrentlyldfenrolledldfinldfOriginalldfMedicareldf(PartsldfAldfandldfB),ldfbutldfsheldfhasldfbeenldfworking
ldfwithldfAgentldfNeilldfAdamsldfinldftheldfselectionldfofldfaldfMedicareldfAdvantageldf(MA)ldfplan.ldfItldfisldfmid-
September,ldfandldfMrs.ldfYoungldfisldfgoingldfonldfvacation.ldfAgentldfAdamsldfisldfconsideringldfsuggestingldfthatldfheld
fandldfMrs.ldfYoungldfcompleteldftheldfapplicationldftogetherldfbeforeldfsheldfleaves.ldfHeldfwillldfthenldfsubmitldftheldfp
aperldfapplicationldfbeforeldftheldfstartldfofldftheldfannualldfenrollmentldfperiodldf(AEP).ldfWhatldfwouldldfyouldfsayldfIfld
fyouldfwereldfadvisingldfAgentldfAdams?ldf-ldfcorrectldfanswers-
Thisldfisldfaldfbadldfidea.ldfAgentsldfareldfgenerallyldfprohibitedldffromldfsolicitingldforldfacceptingldfanldfenrollmentldffor
mldfbeforeldftheldfstartldfofldftheldfAEP.
Mr.ldfBlockldfisldfcurrentlyldfenrolledldfinldfaldfMedicareldfAdvantageldfplanldfthatldfincludesldfdrugldfcoverage.ldfHeldffo
undldfaldfstand-
aloneldfMedicareldfprescriptionldfdrugldfplanldfinldfhisldfarealdfthatldfoffersldfbetterldfcoverageldfthanldfthatldfavailablel
dfthroughldfhisldfMA-
PDldfplanldfandldfinldfaddition,ldfhasldfaldflowldfpremium.ldfItldfwon'tldfcostldfhimldfmuchldfmoreldfand,ldfbecauseldfheldfha
sldftheldfmeansldftoldfdoldfso,ldfheldfwishesldftoldfenrollldfinldftheldfstand-
aloneldfprescriptionldfdrugldfplanldfinldfadditionldftoldfhisldfMA-PDldfplan.ldfWhatldfshouldldfyouldftellldfhim?ldf-
ldfcorrectldfanswers-IfldfMr.ldfBlockldfenrollsldfinldftheldfstand-
aloneldfMedicareldfprescriptionldfdrugldfplan,ldfheldfwillldfbeldfdisenrolledldffromldftheldfMedicareldfAdvantageldfplan.
Mr.ldfGarcialdfwasldftoldldfheldfqualifiesldfforldfaldfspecialldfelectionldfperiodldf(SEP),ldfbutldfheldflostldftheldfpaperldfthatldf
explainsldfwhatldfheldfcouldldfdoldfduringldftheldfSEP.ldfWhatldfcanldfyouldftellldfhim?ldf-ldfcorrectldfanswers-
IfldftheldfSEPldfisldfforldfMAldfcoverage,ldfheldfwillldfgenerallyldfhaveldfoneldfopportunityldftoldfchangeldfhisldfMAldfcovera
ge.
Whichldfofldftheldffollowingldfindividualsldfhasldfenrolledldfinldfaldfplanldfbasedldfonldfaldffixedldfenrollmentldfperiod?ldf-
ldfcorrectldfanswers-
BenldfenrollsldfinldfaldfMedicareldfAdvantageldfplanldfduringldftheldfMedicareldfAdvantageldfOpenldfEnrollmentldfPeri
odldf(MAldfOEP).
Mr.ldfChenldfisldfenrolledldfinldfhisldfemployer'sldfgroupldfhealthldfplanldfandldfwillldfbeldfretiringldfsoon.ldfHeldfwouldldflik
eldftoldfknowldfhisldfoptionsldfsinceldfheldfhasldfdecidedldftoldfdropldfhisldfretireeldfcoverageldfandldfisldfeligibleldfforldfMed
icare.ldfWhatldfshouldldfyouldftellldfhim?ldf-ldfcorrectldfanswers-Mr.ldfChenldfcanldfdisenrollldffromldfhisldfemployer-
sponsoredldfcoverageldftoldfelectldfaldfMedicareldfAdvantageldforldfPartldfDldfplanldfwithinldf2ldfmonthsldfofldfhisldfdisen
rollment.
ldf ldf ldf ldf ldf ldf ldf
omplete
Mr.ldfLiuldfturnsldf65ldfonldfJuneldf19.ldfHeldfhasldfneverldfpreviouslyldfqualifiedldfforldfMedicareldfsoldfhisldffirstldfMedica
reldfeligibilityldfdateldfwillldfbeldfJuneldf1.ldfMr.ldfLiu'sldfICEPldfandldfPartldfDldfIEPldfbeginldfonldfMarchldf1ldfandldfendldfonldfS
eptemberldf30.ldfHeldfwantsldfprescriptionldfdrugldfcoverageldfwithldfhisldfPartldfAldfandldfPartldfBldfbenefits.ldfWhatldfa
dviceldfcanldfyouldfprovideldfhim?ldf-ldfcorrectldfanswers-HeldfcanldfenrollldfinldfaldfMA-
PDldfasldflongldfasldfheldfenrollsldfinldfPartldfBldfandldfisldfentitledldftoldfPartldfA.
Mrs.ldfYoungldfisldfcurrentlyldfenrolledldfinldfOriginalldfMedicareldf(PartsldfAldfandldfB),ldfbutldfsheldfhasldfbeenldfworking
ldfwithldfAgentldfNeilldfAdamsldfinldftheldfselectionldfofldfaldfMedicareldfAdvantageldf(MA)ldfplan.ldfItldfisldfmid-
September,ldfandldfMrs.ldfYoungldfisldfgoingldfonldfvacation.ldfAgentldfAdamsldfisldfconsideringldfsuggestingldfthatldfheld
fandldfMrs.ldfYoungldfcompleteldftheldfapplicationldftogetherldfbeforeldfsheldfleaves.ldfHeldfwillldfthenldfsubmitldftheldfp
aperldfapplicationldfbeforeldftheldfstartldfofldftheldfannualldfenrollmentldfperiodldf(AEP).ldfWhatldfwouldldfyouldfsayldfIfld
fyouldfwereldfadvisingldfAgentldfAdams?ldf-ldfcorrectldfanswers-
Thisldfisldfaldfbadldfidea.ldfAgentsldfareldfgenerallyldfprohibitedldffromldfsolicitingldforldfacceptingldfanldfenrollmentldffor
mldfbeforeldftheldfstartldfofldftheldfAEP.
Mr.ldfBlockldfisldfcurrentlyldfenrolledldfinldfaldfMedicareldfAdvantageldfplanldfthatldfincludesldfdrugldfcoverage.ldfHeldffo
undldfaldfstand-
aloneldfMedicareldfprescriptionldfdrugldfplanldfinldfhisldfarealdfthatldfoffersldfbetterldfcoverageldfthanldfthatldfavailablel
dfthroughldfhisldfMA-
PDldfplanldfandldfinldfaddition,ldfhasldfaldflowldfpremium.ldfItldfwon'tldfcostldfhimldfmuchldfmoreldfand,ldfbecauseldfheldfha
sldftheldfmeansldftoldfdoldfso,ldfheldfwishesldftoldfenrollldfinldftheldfstand-
aloneldfprescriptionldfdrugldfplanldfinldfadditionldftoldfhisldfMA-PDldfplan.ldfWhatldfshouldldfyouldftellldfhim?ldf-
ldfcorrectldfanswers-IfldfMr.ldfBlockldfenrollsldfinldftheldfstand-
aloneldfMedicareldfprescriptionldfdrugldfplan,ldfheldfwillldfbeldfdisenrolledldffromldftheldfMedicareldfAdvantageldfplan.
Mr.ldfGarcialdfwasldftoldldfheldfqualifiesldfforldfaldfspecialldfelectionldfperiodldf(SEP),ldfbutldfheldflostldftheldfpaperldfthatldf
explainsldfwhatldfheldfcouldldfdoldfduringldftheldfSEP.ldfWhatldfcanldfyouldftellldfhim?ldf-ldfcorrectldfanswers-
IfldftheldfSEPldfisldfforldfMAldfcoverage,ldfheldfwillldfgenerallyldfhaveldfoneldfopportunityldftoldfchangeldfhisldfMAldfcovera
ge.
Whichldfofldftheldffollowingldfindividualsldfhasldfenrolledldfinldfaldfplanldfbasedldfonldfaldffixedldfenrollmentldfperiod?ldf-
ldfcorrectldfanswers-
BenldfenrollsldfinldfaldfMedicareldfAdvantageldfplanldfduringldftheldfMedicareldfAdvantageldfOpenldfEnrollmentldfPeri
odldf(MAldfOEP).
Mr.ldfChenldfisldfenrolledldfinldfhisldfemployer'sldfgroupldfhealthldfplanldfandldfwillldfbeldfretiringldfsoon.ldfHeldfwouldldflik
eldftoldfknowldfhisldfoptionsldfsinceldfheldfhasldfdecidedldftoldfdropldfhisldfretireeldfcoverageldfandldfisldfeligibleldfforldfMed
icare.ldfWhatldfshouldldfyouldftellldfhim?ldf-ldfcorrectldfanswers-Mr.ldfChenldfcanldfdisenrollldffromldfhisldfemployer-
sponsoredldfcoverageldftoldfelectldfaldfMedicareldfAdvantageldforldfPartldfDldfplanldfwithinldf2ldfmonthsldfofldfhisldfdisen
rollment.
