2027 AHIP FInAl ExAm ExAm lAtEst 2026 | 2027 ExAm WItH
corrEct ActuAl QuEstIons And corrEctlY WEll dEFInEd AnsWErs
lAtEst AlrEAdY grAdEd A+
Mr. Khan's employer has recently dropped comprehensive creditable prescription drug coverage
that was offered to company retirees. The company told Mr. Khan that, because he was affected
by this change, he would qualify for a special election period. Mr. Khan contacted you to find out
more about what this means. What can you tell him? - AnsWEr-It means that he qualifies for a
one-time opportunity to enroll in a Part D prescription drug plan.
Mr. Chambers suffers from diabetes which has gotten progressively worse during the last year. He
is currently enrolled in Original Medicare (Parts A and B) and a Part D prescription drug plan and
did not enroll in a Medicare Advantage (MA) plan during the last annual open enrollment period
(AEP) which has just closed. Mr. Chambers has heard certain MA plans might provide him with
more specialized coverage for his diabetes and wants to know if he must wait until the next
annual open enrollment period (AEP) before enrolling in such a plan. What should you tell him? -
AnsWEr-If there is a special needs plan (SNP) in Mr. Chambers's area that specializes in caring
for individuals with diabetes, he may enroll in the SNP at any time under a special election period
(SEP).
Which of the following individuals are likely to qualify for a special election period (SEP) for either
an MA or Part D due to a change of residence?
I. Edward (enrolled in MA and Part D) moves to a new home within the same neighborhood in his
existing plan's service area.
II. Fiona (enrolled in MA and Part D) moves cross-country to an area outside her existing plan's
service area.
III. Gilbert moves into a plan service area where there is now a Part D plan available to him from a
service area where no Part D plan was available.
IV. Henry makes a permanent move to a new state providing him with new MA and Part D options -
AnsWEr-II, III, and IV only
Mr. Washington is turning 65 next month and has asked you what he can do, and when he must
do it, with respect to enrolling in Part D. What could you tell him? - AnsWEr-He is currently in
the Part D Initial Enrollment Period (IEP), and during this time, he may make one Part D enrollment
choice, including enrollment in a stand-alone Part D plan or an MA-PD plan.
,Mrs. Fowler is moving and a friend told her she might qualify for a "special election period" to
enroll in a new Medicare Advantage plan. She contacted you to ask what a special election period
is. What could you tell her? - AnsWEr-It is a period, outside of the Annual Election Period, when
a Medicare beneficiary can select a new or different Medicare Advantage and/or Part D
prescription drug plan. Typically, the special election period is beneficiary specific and results
from events, such as when the beneficiary moves outside of the service area.
When Emma first became eligible for Medicare, she enrolled in Original Medicare (Parts A and B).
She is now 67 and will turn 68 on July 1. She would now like to enroll in a Medicare Advantage
(MA) plan and approaches you about her options. What advice would you give her? - AnsWEr-
She should remain in Original Medicare until the annual election period running from October 15
to December 7, during which she can select an MA plan.
Mr. and Mrs. Orozco attended one of your sales presentations. They've asked you to come to their
home to clear up a few questions. During the presentation, Mrs. Orozco feels tired and tells you
that her husband can finish things up. She goes to bed. At the end of your discussion, Mr. Orozco
says that he wants to enroll both himself and his wife. What should you do? - AnsWEr-If she can
do so, only Mrs. Orozco can sign her enrollment form. Mrs. Orozco will have to wake up to sign
her form or do so at another time.
You are visiting Mr. Connor 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? - AnsWEr-Mr.
Connor'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.
Mr. Blake is enrolled in his employer's group health plan and will be retiring soon. He would like to
know his options since he has decided to drop his retiree coverage and is eligible for Medicare.
What should you tell him? - AnsWEr-Mr. Blake can disenroll from his employer-sponsored
coverage to elect a Medicare Advantage or Part D plan within 2 months of his disenrollment.
Mrs. Farmer would like to enroll in a Medicare Cost plan that offers Part D prescription drug
coverage. She is coming to you for advice about when she can enroll in a plan you have
previously discussed. What should you tell her? - AnsWEr-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.
Mrs. Dunn would like her daughter, who lives in another state, to meet with you during the Annual
Election Period to help her complete her enrollment in a Part D plan. She asked you when she
, should have her daughter plan to visit. What could you tell her? - AnsWEr-Her daughter should
come in November.
Mr. Jerome Summers participated in Original Medicare (Parts A and B) for several years before
electing to enroll in a Medicare Savings Account (MSA) Medicare Advantage Plan for the first time
on November 1st during the Annual Election Period. Almost immediately thereafter, Mr. Summers
contacts you to tell you that he regrets his decision and wants to change his election back to
Original Medicare. How would you advise him? - AnsWEr-Mr. Summers may revoke his election
if he does it no later than December 15th of the same year. He is allowed to do this because he has
never elected an MA MSA plan.
Mrs. Delgado is currently enrolled in Original Medicare (Parts A and B), but she has been working
with Agent Hudson in the selection of a Medicare Advantage (MA) plan. It is mid-September, and
Mrs. Delgado is going on vacation. Agent Hudson is considering suggesting that he and Mrs.
Delgado 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 Hudson? - AnsWEr-This is a bad idea. Agents are generally prohibited from
soliciting or accepting an enrollment form before the start of the AEP.
Ms. Sutton 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? - AnsWEr-She is eligible
for a special election period (SEP) 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.
Which of the following individuals has enrolled in a plan based on a fixed enrollment period? -
AnsWEr-Tran enrolls in a Medicare Advantage plan during the Medicare Advantage Open
Enrollment Period (MA OEP).
Mrs. Knight 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? - AnsWEr-During the MA Open Enrollment
Period, from January 1 - March 31, she may disenroll from the MA-PD plan into Original Medicare
and may add a stand-alone prescription drug plan.
Mr. Shaffer 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? - AnsWEr-If Mr. Shaffer
corrEct ActuAl QuEstIons And corrEctlY WEll dEFInEd AnsWErs
lAtEst AlrEAdY grAdEd A+
Mr. Khan's employer has recently dropped comprehensive creditable prescription drug coverage
that was offered to company retirees. The company told Mr. Khan that, because he was affected
by this change, he would qualify for a special election period. Mr. Khan contacted you to find out
more about what this means. What can you tell him? - AnsWEr-It means that he qualifies for a
one-time opportunity to enroll in a Part D prescription drug plan.
Mr. Chambers suffers from diabetes which has gotten progressively worse during the last year. He
is currently enrolled in Original Medicare (Parts A and B) and a Part D prescription drug plan and
did not enroll in a Medicare Advantage (MA) plan during the last annual open enrollment period
(AEP) which has just closed. Mr. Chambers has heard certain MA plans might provide him with
more specialized coverage for his diabetes and wants to know if he must wait until the next
annual open enrollment period (AEP) before enrolling in such a plan. What should you tell him? -
AnsWEr-If there is a special needs plan (SNP) in Mr. Chambers's area that specializes in caring
for individuals with diabetes, he may enroll in the SNP at any time under a special election period
(SEP).
Which of the following individuals are likely to qualify for a special election period (SEP) for either
an MA or Part D due to a change of residence?
I. Edward (enrolled in MA and Part D) moves to a new home within the same neighborhood in his
existing plan's service area.
II. Fiona (enrolled in MA and Part D) moves cross-country to an area outside her existing plan's
service area.
III. Gilbert moves into a plan service area where there is now a Part D plan available to him from a
service area where no Part D plan was available.
IV. Henry makes a permanent move to a new state providing him with new MA and Part D options -
AnsWEr-II, III, and IV only
Mr. Washington is turning 65 next month and has asked you what he can do, and when he must
do it, with respect to enrolling in Part D. What could you tell him? - AnsWEr-He is currently in
the Part D Initial Enrollment Period (IEP), and during this time, he may make one Part D enrollment
choice, including enrollment in a stand-alone Part D plan or an MA-PD plan.
,Mrs. Fowler is moving and a friend told her she might qualify for a "special election period" to
enroll in a new Medicare Advantage plan. She contacted you to ask what a special election period
is. What could you tell her? - AnsWEr-It is a period, outside of the Annual Election Period, when
a Medicare beneficiary can select a new or different Medicare Advantage and/or Part D
prescription drug plan. Typically, the special election period is beneficiary specific and results
from events, such as when the beneficiary moves outside of the service area.
When Emma first became eligible for Medicare, she enrolled in Original Medicare (Parts A and B).
She is now 67 and will turn 68 on July 1. She would now like to enroll in a Medicare Advantage
(MA) plan and approaches you about her options. What advice would you give her? - AnsWEr-
She should remain in Original Medicare until the annual election period running from October 15
to December 7, during which she can select an MA plan.
Mr. and Mrs. Orozco attended one of your sales presentations. They've asked you to come to their
home to clear up a few questions. During the presentation, Mrs. Orozco feels tired and tells you
that her husband can finish things up. She goes to bed. At the end of your discussion, Mr. Orozco
says that he wants to enroll both himself and his wife. What should you do? - AnsWEr-If she can
do so, only Mrs. Orozco can sign her enrollment form. Mrs. Orozco will have to wake up to sign
her form or do so at another time.
You are visiting Mr. Connor 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? - AnsWEr-Mr.
Connor'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.
Mr. Blake is enrolled in his employer's group health plan and will be retiring soon. He would like to
know his options since he has decided to drop his retiree coverage and is eligible for Medicare.
What should you tell him? - AnsWEr-Mr. Blake can disenroll from his employer-sponsored
coverage to elect a Medicare Advantage or Part D plan within 2 months of his disenrollment.
Mrs. Farmer would like to enroll in a Medicare Cost plan that offers Part D prescription drug
coverage. She is coming to you for advice about when she can enroll in a plan you have
previously discussed. What should you tell her? - AnsWEr-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.
Mrs. Dunn would like her daughter, who lives in another state, to meet with you during the Annual
Election Period to help her complete her enrollment in a Part D plan. She asked you when she
, should have her daughter plan to visit. What could you tell her? - AnsWEr-Her daughter should
come in November.
Mr. Jerome Summers participated in Original Medicare (Parts A and B) for several years before
electing to enroll in a Medicare Savings Account (MSA) Medicare Advantage Plan for the first time
on November 1st during the Annual Election Period. Almost immediately thereafter, Mr. Summers
contacts you to tell you that he regrets his decision and wants to change his election back to
Original Medicare. How would you advise him? - AnsWEr-Mr. Summers may revoke his election
if he does it no later than December 15th of the same year. He is allowed to do this because he has
never elected an MA MSA plan.
Mrs. Delgado is currently enrolled in Original Medicare (Parts A and B), but she has been working
with Agent Hudson in the selection of a Medicare Advantage (MA) plan. It is mid-September, and
Mrs. Delgado is going on vacation. Agent Hudson is considering suggesting that he and Mrs.
Delgado 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 Hudson? - AnsWEr-This is a bad idea. Agents are generally prohibited from
soliciting or accepting an enrollment form before the start of the AEP.
Ms. Sutton 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? - AnsWEr-She is eligible
for a special election period (SEP) 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.
Which of the following individuals has enrolled in a plan based on a fixed enrollment period? -
AnsWEr-Tran enrolls in a Medicare Advantage plan during the Medicare Advantage Open
Enrollment Period (MA OEP).
Mrs. Knight 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? - AnsWEr-During the MA Open Enrollment
Period, from January 1 - March 31, she may disenroll from the MA-PD plan into Original Medicare
and may add a stand-alone prescription drug plan.
Mr. Shaffer 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? - AnsWEr-If Mr. Shaffer
