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AHIP 2022-2023 MODULE 5 WITH
QUESTIONS AND ANSWERS 100%
VERIFIED
Mrs. Reynolds is in her Medicare initial coverage election period (ICEP)
and the date of her entitlement to Part A and B has already occurred.
Mrs. Reynolds has just signed up for a Medicare Advantage plan on the
second of the month. She is leaving for vacation in two weeks and
wants to know if her new coverage will start before she leaves. What
should you tell her? - correct answer_ Typically, her coverage would
begin on the first day of the next month, so she should not expect her
coverage to begin before she leaves.
Willard works as a representative focused on the senior marketplace.
What would be considered prohibited activity by Willard? - correct
answer_ Implying that only seniors can enroll in a Medicare Advantage
plan when meeting with Mr. Hernandez, who is 58 but qualifies for
Medicare because he is disabled.
Mr. Ford enrolled in an MA-only plan in mid-November during the
Annual Election Period (AEP). On December 1, he calls you up and says
that he has changed his mind and would like to enroll into a MA-PD
plan. What enrollment rules would apply in this case? - correct answer_
He can make as many enrollment changes as he likes during the Annual
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Election Period and the last choice made prior to the end of the period
will be the effective one as of January 1.
Miles is a licensed agent who represents Colgate Health and its
Medicare Advantage (MA) plans. Miles has several clients who have
recently come to him for help. They are in their initial coverage periods)
(ICEP) and are interested in enrolling in one of Colgate Health's MA
plans. Adam will soon turn 68 and has decided to retire. Betty is about
to turn 65 and has also decided to retire. Adam and Betty both
currently have coverage through Colgate Health. Charles had health
coverage through Colgate but dropped the coverage when he retired
early to travel to Europe. Charles has just turned age 65 and is now
back in the United States. Diedre, who will turn 65 next month,
currently has coverage through Ditmas Health - a company that Miles
also represents. Who qualifies for the opt-in simplified enrollment
mechanism? - correct answer_ Adam and Betty because each of them
will not have a break between their non-Medicare and Medicare
coverage through Colgate Health Plan.
Ms. O'Donnell learned about a new MA-PD plan that her neighbor
suggested and that you represent. She plans to switch from her old MA
HMO plan to the new MA-PD plan during the Annual Election Period.
However, she wants to make sure she does not end up paying
premiums for two plans. What can you tell her? - correct answer_ She
only needs to enroll in the new MA-PD plan and she will automatically
be disenrolled from her old MA plan.
AHIP 2022-2023 MODULE 5 WITH
QUESTIONS AND ANSWERS 100%
VERIFIED
Mrs. Reynolds is in her Medicare initial coverage election period (ICEP)
and the date of her entitlement to Part A and B has already occurred.
Mrs. Reynolds has just signed up for a Medicare Advantage plan on the
second of the month. She is leaving for vacation in two weeks and
wants to know if her new coverage will start before she leaves. What
should you tell her? - correct answer_ Typically, her coverage would
begin on the first day of the next month, so she should not expect her
coverage to begin before she leaves.
Willard works as a representative focused on the senior marketplace.
What would be considered prohibited activity by Willard? - correct
answer_ Implying that only seniors can enroll in a Medicare Advantage
plan when meeting with Mr. Hernandez, who is 58 but qualifies for
Medicare because he is disabled.
Mr. Ford enrolled in an MA-only plan in mid-November during the
Annual Election Period (AEP). On December 1, he calls you up and says
that he has changed his mind and would like to enroll into a MA-PD
plan. What enrollment rules would apply in this case? - correct answer_
He can make as many enrollment changes as he likes during the Annual
, 2|Page
Election Period and the last choice made prior to the end of the period
will be the effective one as of January 1.
Miles is a licensed agent who represents Colgate Health and its
Medicare Advantage (MA) plans. Miles has several clients who have
recently come to him for help. They are in their initial coverage periods)
(ICEP) and are interested in enrolling in one of Colgate Health's MA
plans. Adam will soon turn 68 and has decided to retire. Betty is about
to turn 65 and has also decided to retire. Adam and Betty both
currently have coverage through Colgate Health. Charles had health
coverage through Colgate but dropped the coverage when he retired
early to travel to Europe. Charles has just turned age 65 and is now
back in the United States. Diedre, who will turn 65 next month,
currently has coverage through Ditmas Health - a company that Miles
also represents. Who qualifies for the opt-in simplified enrollment
mechanism? - correct answer_ Adam and Betty because each of them
will not have a break between their non-Medicare and Medicare
coverage through Colgate Health Plan.
Ms. O'Donnell learned about a new MA-PD plan that her neighbor
suggested and that you represent. She plans to switch from her old MA
HMO plan to the new MA-PD plan during the Annual Election Period.
However, she wants to make sure she does not end up paying
premiums for two plans. What can you tell her? - correct answer_ She
only needs to enroll in the new MA-PD plan and she will automatically
be disenrolled from her old MA plan.
