AHIP MODULE 5 EXAM GRADED A+ 2025/2026

Mr. Garcia was told he qualifies for a Special Enrolment 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. 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 enrol 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. 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 enrol in a stand-alone prescription drug plan. What should you tell her? During the MA Open Enrolment Period, from January 1 - March 31, she may disenroll from the MA-PD plan into