AHIP 2025 module 5 Exam with Questions
and Correct Answers 2025
Mr. ,Liu ,turns ,65 ,on ,June ,19. ,He ,has ,never ,previously ,qualified ,for ,Medicare ,so ,his
,first ,Medicare ,eligibility ,date ,will ,be ,June ,1. ,Mr. ,Liu's ,ICEP ,and ,Part ,D ,IEP ,begin ,on
,March ,1 ,and ,end ,on ,September ,30. ,He ,wants ,prescription ,drug ,coverage ,with ,his
,Part ,A ,and ,Part ,B ,benefits. ,What ,advice ,can ,you ,provide ,him? ,- ,CORRECT
,ANSWER-He ,can ,enroll ,in ,a ,MA-PD ,as ,long ,as ,he ,enrolls ,in ,Part ,B ,and ,is ,entitled ,to
,Part ,A.
Mrs. ,Young ,is ,currently ,enrolled ,in ,Original ,Medicare ,(Parts ,A ,and ,B), ,but ,she ,has
,been ,working ,with ,Agent ,Neil ,Adams ,in ,the ,selection ,of ,a ,Medicare ,Advantage ,(MA)
,plan. ,It ,is ,mid-September, ,and ,Mrs. ,Young ,is ,going ,on ,vacation. ,Agent ,Adams ,is
,considering ,suggesting ,that ,he ,and ,Mrs. ,Young ,complete ,the ,application ,together
,before ,she ,leaves. ,He ,will ,then ,submit ,the ,paper ,application ,before ,the ,start ,of ,the
,annual ,enrollment ,period ,(AEP). ,What ,would ,you ,say ,If ,you ,were ,advising ,Agent
,Adams? ,- ,CORRECT ,ANSWER-This ,is ,a ,bad ,idea. ,Agents ,are ,generally ,prohibited
,from ,soliciting ,or ,accepting ,an ,enrollment ,form ,before ,the ,start ,of ,the ,AEP.
Mr. ,Block ,is ,currently ,enrolled ,in ,a ,Medicare ,Advantage ,plan ,that ,includes ,drug
,coverage. ,He ,found ,a ,stand-alone ,Medicare ,prescription ,drug ,plan ,in ,his ,area ,that
,offers ,better ,coverage ,than ,that ,available ,through ,his ,MA-PD ,plan ,and ,in ,addition,
,has ,a ,low ,premium. ,It ,won't ,cost ,him ,much ,more ,and, ,because ,he ,has ,the ,means ,to
,do ,so, ,he ,wishes ,to ,enroll ,in ,the ,stand-alone ,prescription ,drug ,plan ,in ,addition ,to ,his
,MA-PD ,plan. ,What ,should ,you ,tell ,him? ,- ,CORRECT ,ANSWER-If ,Mr. ,Block ,enrolls ,in
,the ,stand-alone ,Medicare ,prescription ,drug ,plan, ,he ,will ,be ,disenrolled ,from ,the
,Medicare ,Advantage ,plan.
Mr. ,Garcia ,was ,told ,he ,qualifies ,for ,a ,special ,election ,period ,(SEP), ,but ,he ,lost ,the
,paper ,that ,explains ,what ,he ,could ,do ,during ,the ,SEP. ,What ,can ,you ,tell ,him? ,-
,CORRECT ,ANSWER-If ,the ,SEP ,is ,for ,MA ,coverage, ,he ,will ,generally ,have ,one
,opportunity ,to ,change ,his ,MA ,coverage.
and Correct Answers 2025
Mr. ,Liu ,turns ,65 ,on ,June ,19. ,He ,has ,never ,previously ,qualified ,for ,Medicare ,so ,his
,first ,Medicare ,eligibility ,date ,will ,be ,June ,1. ,Mr. ,Liu's ,ICEP ,and ,Part ,D ,IEP ,begin ,on
,March ,1 ,and ,end ,on ,September ,30. ,He ,wants ,prescription ,drug ,coverage ,with ,his
,Part ,A ,and ,Part ,B ,benefits. ,What ,advice ,can ,you ,provide ,him? ,- ,CORRECT
,ANSWER-He ,can ,enroll ,in ,a ,MA-PD ,as ,long ,as ,he ,enrolls ,in ,Part ,B ,and ,is ,entitled ,to
,Part ,A.
Mrs. ,Young ,is ,currently ,enrolled ,in ,Original ,Medicare ,(Parts ,A ,and ,B), ,but ,she ,has
,been ,working ,with ,Agent ,Neil ,Adams ,in ,the ,selection ,of ,a ,Medicare ,Advantage ,(MA)
,plan. ,It ,is ,mid-September, ,and ,Mrs. ,Young ,is ,going ,on ,vacation. ,Agent ,Adams ,is
,considering ,suggesting ,that ,he ,and ,Mrs. ,Young ,complete ,the ,application ,together
,before ,she ,leaves. ,He ,will ,then ,submit ,the ,paper ,application ,before ,the ,start ,of ,the
,annual ,enrollment ,period ,(AEP). ,What ,would ,you ,say ,If ,you ,were ,advising ,Agent
,Adams? ,- ,CORRECT ,ANSWER-This ,is ,a ,bad ,idea. ,Agents ,are ,generally ,prohibited
,from ,soliciting ,or ,accepting ,an ,enrollment ,form ,before ,the ,start ,of ,the ,AEP.
Mr. ,Block ,is ,currently ,enrolled ,in ,a ,Medicare ,Advantage ,plan ,that ,includes ,drug
,coverage. ,He ,found ,a ,stand-alone ,Medicare ,prescription ,drug ,plan ,in ,his ,area ,that
,offers ,better ,coverage ,than ,that ,available ,through ,his ,MA-PD ,plan ,and ,in ,addition,
,has ,a ,low ,premium. ,It ,won't ,cost ,him ,much ,more ,and, ,because ,he ,has ,the ,means ,to
,do ,so, ,he ,wishes ,to ,enroll ,in ,the ,stand-alone ,prescription ,drug ,plan ,in ,addition ,to ,his
,MA-PD ,plan. ,What ,should ,you ,tell ,him? ,- ,CORRECT ,ANSWER-If ,Mr. ,Block ,enrolls ,in
,the ,stand-alone ,Medicare ,prescription ,drug ,plan, ,he ,will ,be ,disenrolled ,from ,the
,Medicare ,Advantage ,plan.
Mr. ,Garcia ,was ,told ,he ,qualifies ,for ,a ,special ,election ,period ,(SEP), ,but ,he ,lost ,the
,paper ,that ,explains ,what ,he ,could ,do ,during ,the ,SEP. ,What ,can ,you ,tell ,him? ,-
,CORRECT ,ANSWER-If ,the ,SEP ,is ,for ,MA ,coverage, ,he ,will ,generally ,have ,one
,opportunity ,to ,change ,his ,MA ,coverage.
