AHIP FINAL EXAM 2025 QUESTIONS AND
ANSWERS (VERIFIED ANSWERS)
Richard is a licensed agent who represents Spartan Health Plan and its Medicare
Advantage (MA) plans. Richard has several clients who have recently come to him
for help who are in their initial coverage election period (ICEP) and are interested
in enrolling in one of Spartan Health Plan's MA plans. Alice will soon turn 65 and
retire. Alice has coverage through Spartan Health Plan offered by her employer.
Bob had health coverage through Spartan but dropped the coverage when he
retired early to travel overseas. Bob, who has just turned age 65, is now back in
the United States. Charlotte, who will turn 65 next month, has coverage through
Athena Health plan - a company Richard also represents. Who qualifies for the
opt-in simplified enrollment mechanism? - Answer - Alice and Charlotte because
each of them currently have health coverage and is in their initial coverage
election period (ICEP).
Alice is enrolled in a MA-PD plan. She makes a permanent move across the
country and wonders what her options are for continuing MA-PD coverage. What
would you say to her in regard to a special enrollment period (SEP)? - Answer -
She is likely to qualify for a SEP. She can choose an effective date of up to three
months after the month in which the enrollment form is received by the new
plan, but the effective date may not be earlier than the date of her permanent
move.
Ms. Morris will turn 65 on June 10th. She has never previously qualified for
Medicare. She is entitled to Medicare Part A and intends to enroll in Part B. She
ANSWERS (VERIFIED ANSWERS)
Richard is a licensed agent who represents Spartan Health Plan and its Medicare
Advantage (MA) plans. Richard has several clients who have recently come to him
for help who are in their initial coverage election period (ICEP) and are interested
in enrolling in one of Spartan Health Plan's MA plans. Alice will soon turn 65 and
retire. Alice has coverage through Spartan Health Plan offered by her employer.
Bob had health coverage through Spartan but dropped the coverage when he
retired early to travel overseas. Bob, who has just turned age 65, is now back in
the United States. Charlotte, who will turn 65 next month, has coverage through
Athena Health plan - a company Richard also represents. Who qualifies for the
opt-in simplified enrollment mechanism? - Answer - Alice and Charlotte because
each of them currently have health coverage and is in their initial coverage
election period (ICEP).
Alice is enrolled in a MA-PD plan. She makes a permanent move across the
country and wonders what her options are for continuing MA-PD coverage. What
would you say to her in regard to a special enrollment period (SEP)? - Answer -
She is likely to qualify for a SEP. She can choose an effective date of up to three
months after the month in which the enrollment form is received by the new
plan, but the effective date may not be earlier than the date of her permanent
move.
Ms. Morris will turn 65 on June 10th. She has never previously qualified for
Medicare. She is entitled to Medicare Part A and intends to enroll in Part B. She
