AHIP 2027 MODULE 5 EXAM
QUESTIONS AND VERIFIED
SOLUTIONS|VERIFIED & ALREADY
GRADED A+
Most Studied | Updated
WESTERN GOVERNOR’S UNIVERSITY
2027 VERSION
QUESTIONS & ANSWERS
#Bright_minds #stuvia@2026
, QUESTIONS & ANSWERS
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
QUESTIONS AND VERIFIED
SOLUTIONS|VERIFIED & ALREADY
GRADED A+
Most Studied | Updated
WESTERN GOVERNOR’S UNIVERSITY
2027 VERSION
QUESTIONS & ANSWERS
#Bright_minds #stuvia@2026
, QUESTIONS & ANSWERS
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
