AHIP - Final examination Latest 2025 Questions with
all the correct answers(Actual test 100% verified)
Mr. Garcia was told he qualifies for a Special Enrollment Period (SEP), but he lost the paper that
explains what he could do during the SEP. What can you tell him?
If the SEP is for MA coverage, he will generally have one opportunity to change his MA coverage.
3 multiple choice options
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an
employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover
prescription drugs, she wants to enroll in a Medicare prescription drug plan. Will she be able to?
Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be eligible for coverage under the
Medicare prescription drug program.
3 multiple choice options
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Mrs. Goodman enrolled in an MA-PD plan during the Annual Election Period. In mid-January of the
following year, she wants to switch back to Original Medicare and enroll in a stand-alone prescription
drug plan. What should you tell her?
During the MA Open Enrollment Period, from January 1 - March 31, she may disenroll from the MA-
PD plan into Original Medicare and also may add a stand-alone prescription drug plan.
3 multiple choice options
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Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and
also enroll in a stand-alone Medicare prescription drug plan. Under what circumstances can she do
this?
If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug
coverage or a Medical Savings Account plan, Mrs. Berkowitz can do this.
3 multiple choice options
Ms. Lee is enrolled in an MA-PD plan but will be moving out of the plan's service area next month. She
is worried that she will not be able to enroll in another plan available in her new residence until the
Annual Election Period. What should you tell her?
She is eligible for a Special Election Period that begins either the month before her permanent move,
if the plan is notified in advance, or the month she provides notice of the move, and this period
typically lasts an additional two months.
3 multiple choice options
You are doing a sales presentation for Mrs. Pearson. You know that Medicare marketing guidelines
prohibit certain types of statements. Apply those guidelines to the following statements and identify
which would be prohibited.
"If you're not in very good health, you will probably do better with a different product."
3 multiple choice options
, Mr. Anderson is a very organized individual and has filled out and brought to you an enrollment form
on October 10 for a new plan available January 1 next year. He is currently enrolled in Original
Medicare. What should you do?
Tell Mr. Anderson that you cannot accept any enrollment forms until the annual election period
begins.
3 multiple choice options
You are visiting with Mr. Tully and his daughter at her request. He has advanced Alzheimer's and is
incapable of understanding the implications of choosing a Medicare Advantage or prescription drug
plan. Can his daughter fill out the enrollment form and sign it for him?
Mr. Tully's daughter can do so only, if she is authorized under state law as a court-appointed legal
guardian, has a durable power of attorney for health care decisions, or is authorized under state
surrogate consent laws to make health decisions.
3 multiple choice options
Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part D during the Annual
Enrollment Period (AEP). At the beginning of January, her neighbor told her about the Medicare
Advantage (MA) plan he selected. He also told her there was an open enrollment period that she
might be able to use to enroll in a MA plan. Ms. Gonzales comes to you for advice shortly after
speaking to her neighbor. What should you tell her?
There is a MA Open Enrollment Period (OEP) that takes place between January 1 and March 31, but
Ms. Gonzales cannot use it because eligibility to use the OEP is available only to MA enrollees.
3 multiple choice options
We have an expert-written solution to this problem!
Ms. Claggett is sixty-six (66) years old. She has been covered under Original Medicare for the last six
years due to her disability and has never been enrolled in a Medicare Advantage or a Part D plan
before. She wants to enroll in a Part D plan. She knows that there is such a thing as the "Part D Initial
Enrollment Period" (IEP) and has concluded that, since she has never enrolled in such a plan before,
she should be eligible to enroll under this period. What should you tell her about how the Part D
Initial Enrollment Period applies to her situation?
Ms. Claggett has had two IEPs and missed them both. The first occurred three months before and
three months after the month when she was first entitled to Part A OR enrolled in Part B. Because she
was eligible for Medicare before age 65, Ms. Claggett had a second IEP based on turning age 65,
which has also expired.
3 multiple choice options
Mary Samuels recently suffered a stroke while visiting her daughter and grandchildren. As a result,
Mary has been admitted to a rehabilitation hospital where she is expected to reside for several
months. The rehabilitation hospital is located outside the geographic area served by her current
Medicare Advantage (MA) plan. What options are available to Mary regarding her health plan
coverage?
Mary may make an unlimited number of MA enrollment requests and may disenroll from her current
MA plan.
3 multiple choice options
Mrs. Pierce would like to enroll in a Medicare Cost plan that offers Part D prescription drug coverage.
She comes to you for advice about when she can enroll in a plan you have previously discussed. What
should you tell her?
Enrollment in Cost plans offering Part D coverage is available only during enrollment periods under
the Part D program, and Cost plans must accept enrollments during these periods.
3 multiple choice options
all the correct answers(Actual test 100% verified)
Mr. Garcia was told he qualifies for a Special Enrollment Period (SEP), but he lost the paper that
explains what he could do during the SEP. What can you tell him?
If the SEP is for MA coverage, he will generally have one opportunity to change his MA coverage.
3 multiple choice options
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an
employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover
prescription drugs, she wants to enroll in a Medicare prescription drug plan. Will she be able to?
Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be eligible for coverage under the
Medicare prescription drug program.
3 multiple choice options
We have an expert-written solution to this problem!
Mrs. Goodman enrolled in an MA-PD plan during the Annual Election Period. In mid-January of the
following year, she wants to switch back to Original Medicare and enroll in a stand-alone prescription
drug plan. What should you tell her?
During the MA Open Enrollment Period, from January 1 - March 31, she may disenroll from the MA-
PD plan into Original Medicare and also may add a stand-alone prescription drug plan.
3 multiple choice options
We have an expert-written solution to this problem!
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and
also enroll in a stand-alone Medicare prescription drug plan. Under what circumstances can she do
this?
If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug
coverage or a Medical Savings Account plan, Mrs. Berkowitz can do this.
3 multiple choice options
Ms. Lee is enrolled in an MA-PD plan but will be moving out of the plan's service area next month. She
is worried that she will not be able to enroll in another plan available in her new residence until the
Annual Election Period. What should you tell her?
She is eligible for a Special Election Period that begins either the month before her permanent move,
if the plan is notified in advance, or the month she provides notice of the move, and this period
typically lasts an additional two months.
3 multiple choice options
You are doing a sales presentation for Mrs. Pearson. You know that Medicare marketing guidelines
prohibit certain types of statements. Apply those guidelines to the following statements and identify
which would be prohibited.
"If you're not in very good health, you will probably do better with a different product."
3 multiple choice options
, Mr. Anderson is a very organized individual and has filled out and brought to you an enrollment form
on October 10 for a new plan available January 1 next year. He is currently enrolled in Original
Medicare. What should you do?
Tell Mr. Anderson that you cannot accept any enrollment forms until the annual election period
begins.
3 multiple choice options
You are visiting with Mr. Tully and his daughter at her request. He has advanced Alzheimer's and is
incapable of understanding the implications of choosing a Medicare Advantage or prescription drug
plan. Can his daughter fill out the enrollment form and sign it for him?
Mr. Tully's daughter can do so only, if she is authorized under state law as a court-appointed legal
guardian, has a durable power of attorney for health care decisions, or is authorized under state
surrogate consent laws to make health decisions.
3 multiple choice options
Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part D during the Annual
Enrollment Period (AEP). At the beginning of January, her neighbor told her about the Medicare
Advantage (MA) plan he selected. He also told her there was an open enrollment period that she
might be able to use to enroll in a MA plan. Ms. Gonzales comes to you for advice shortly after
speaking to her neighbor. What should you tell her?
There is a MA Open Enrollment Period (OEP) that takes place between January 1 and March 31, but
Ms. Gonzales cannot use it because eligibility to use the OEP is available only to MA enrollees.
3 multiple choice options
We have an expert-written solution to this problem!
Ms. Claggett is sixty-six (66) years old. She has been covered under Original Medicare for the last six
years due to her disability and has never been enrolled in a Medicare Advantage or a Part D plan
before. She wants to enroll in a Part D plan. She knows that there is such a thing as the "Part D Initial
Enrollment Period" (IEP) and has concluded that, since she has never enrolled in such a plan before,
she should be eligible to enroll under this period. What should you tell her about how the Part D
Initial Enrollment Period applies to her situation?
Ms. Claggett has had two IEPs and missed them both. The first occurred three months before and
three months after the month when she was first entitled to Part A OR enrolled in Part B. Because she
was eligible for Medicare before age 65, Ms. Claggett had a second IEP based on turning age 65,
which has also expired.
3 multiple choice options
Mary Samuels recently suffered a stroke while visiting her daughter and grandchildren. As a result,
Mary has been admitted to a rehabilitation hospital where she is expected to reside for several
months. The rehabilitation hospital is located outside the geographic area served by her current
Medicare Advantage (MA) plan. What options are available to Mary regarding her health plan
coverage?
Mary may make an unlimited number of MA enrollment requests and may disenroll from her current
MA plan.
3 multiple choice options
Mrs. Pierce would like to enroll in a Medicare Cost plan that offers Part D prescription drug coverage.
She comes to you for advice about when she can enroll in a plan you have previously discussed. What
should you tell her?
Enrollment in Cost plans offering Part D coverage is available only during enrollment periods under
the Part D program, and Cost plans must accept enrollments during these periods.
3 multiple choice options
