2025 AHIP Module 5 Exam Questions and Verified Answers, 100%
Guarantee
1.Which of the following individuals are likely to qualify for a
special election period (SEP) for either a MA and/or Part D due
to a change of residence?
I. Edward (enrolled in MA and Part D) moves to a new home
within the same neighborhood in his existing plan's service
area.
II. Fiona (enrolled in MA and Part D) moves cross-country to an
area outside her existing plan's service area.
III. Gilbert moves into a plan service area where there is now
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,a Part D plan available to him from a service area where no
Part D plan was available.
IV.Henry makes a permanent move to a new state providing him
with new MA and Part D options.
a. II, III, and IV only.
b. II and III only.
c. I, II, III and IV.
d. I and II only.: a
2.Mrs. Ridgeway enrolled in Original Medicare and Medigap
coverage fol- lowing her retirement several years ago. Four
months ago, Mrs. Ridgeway dropped her Medigap policy to
enroll in a Medicare Advantage (MA) plan for the first time.
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,Unfortunately, Mrs. Ridgeway has found that many of her
providers are not in the MA plan's network. She has come to
you for advice. What should you tell her?
a. She qualifies for a special election period (SEP) that will allow
her to make a one-time election to return to Original Medicare,
but she may or may not qualify to rejoin her Medigap plan
based on medical underwriting.
b. She must wait until the next MA Open Enrollment Period (OEP)
during which she can elect to return to Original Medicare.
c. She must wait until the next Annual Election Period (AEP)
during which she may select another MA plan.
d. She qualifies for a special election period (SEP) that will allow
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, her to make a one: d
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Guarantee
1.Which of the following individuals are likely to qualify for a
special election period (SEP) for either a MA and/or Part D due
to a change of residence?
I. Edward (enrolled in MA and Part D) moves to a new home
within the same neighborhood in his existing plan's service
area.
II. Fiona (enrolled in MA and Part D) moves cross-country to an
area outside her existing plan's service area.
III. Gilbert moves into a plan service area where there is now
1/
32
,a Part D plan available to him from a service area where no
Part D plan was available.
IV.Henry makes a permanent move to a new state providing him
with new MA and Part D options.
a. II, III, and IV only.
b. II and III only.
c. I, II, III and IV.
d. I and II only.: a
2.Mrs. Ridgeway enrolled in Original Medicare and Medigap
coverage fol- lowing her retirement several years ago. Four
months ago, Mrs. Ridgeway dropped her Medigap policy to
enroll in a Medicare Advantage (MA) plan for the first time.
2/
32
,Unfortunately, Mrs. Ridgeway has found that many of her
providers are not in the MA plan's network. She has come to
you for advice. What should you tell her?
a. She qualifies for a special election period (SEP) that will allow
her to make a one-time election to return to Original Medicare,
but she may or may not qualify to rejoin her Medigap plan
based on medical underwriting.
b. She must wait until the next MA Open Enrollment Period (OEP)
during which she can elect to return to Original Medicare.
c. She must wait until the next Annual Election Period (AEP)
during which she may select another MA plan.
d. She qualifies for a special election period (SEP) that will allow
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32
, her to make a one: d
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32
