Ahip Final Exam 2026 | 50 Real Exam Questions With Verified Answers |
Medicare Training Study
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?
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?
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
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?
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?
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?
,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?
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?
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?
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?
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?
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?
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?
Medicare Training Study
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?
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?
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
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?
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?
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?
,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?
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?
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?
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?
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?
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?
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?
