AHIP Module 5 Exam Questions and Answers|
Latest
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA
Initial Coverage Election Period (ICEP) has just begun. Which of the following can
she not do during the ICEP?
She can enroll in a Medigap plan to supplement the benefits of the MA plan that
she's also enrolling in.
Mr. Chen 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. Chen can disenroll from his employer-sponsored coverage to elect a Medicare
Advantage or Part D plan within 2 months of his disenrollment.
Mr. Rockwell, age 67, is enrolled in Medicare Part A, but because he continues to
work and is covered by an employer health plan, he has not enrolled in Part B or
Part D. He receives a notice on June 1 that his employer is cutting back on
prescription drug benefits and that as of July 1 his coverage will no longer be
creditable. He has come to you for advice. What advice would you give Mr.
Rockwell about special election periods (SEPs)?
Mr. Rockwell is eligible for a SEP due to his involuntary loss of creditable drug
coverage; the SEP begins in June and ends on September 1- two months after the
loss of creditable coverage
, Mr. Johannsen Is Entitled To Medicare Part A And Part B. He Gains The Part D
Low-Income Subsidy. How Does That Affect His Ability To Enroll Or Disenroll In A
Part D Plan?
He Qualifies For A Special Election Period And Can Enroll In Or Disenroll From A
Part D Plan Once During That Period.
Mr. White Has Medicare Parts A And B With A Part D Plan. Last Year, He
Received A Notice That His Plan Sponsor Identified Him As A "Potential At-Risk"
Beneficiary. This Month, He Started Receiving Assistance From Medicaid. He
Wants To Find A Different Part D Plan That's More Suitable To His Current
Prescription Drug Needs. He Believes He's Entitled To A SEP Since He Is Now A
Dual Eligible. Is He Able To Change To A Different Part D Plan During A SEP For
Dual Eligible Individuals?
No. Once He Is Identified By The Plan Sponsor As A "Potential At-Risk" Beneficiary,
He Cannot Use The Dual Eligible SEP To Change Plans While This Designation Is In
Place.
Mr. Roberts Is Enrolled In An MA Plan. He Recently Suffered Complications
Following Hip Replacement Surgery. As A Result, He Has Spent The Last Three
Months In Resthaven, A Skilled Nursing Facility. Mr. Roberts Is About To Be
Discharged. What Advice Would You Give Him Regarding His Health Coverage
Options?
Latest
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA
Initial Coverage Election Period (ICEP) has just begun. Which of the following can
she not do during the ICEP?
She can enroll in a Medigap plan to supplement the benefits of the MA plan that
she's also enrolling in.
Mr. Chen 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. Chen can disenroll from his employer-sponsored coverage to elect a Medicare
Advantage or Part D plan within 2 months of his disenrollment.
Mr. Rockwell, age 67, is enrolled in Medicare Part A, but because he continues to
work and is covered by an employer health plan, he has not enrolled in Part B or
Part D. He receives a notice on June 1 that his employer is cutting back on
prescription drug benefits and that as of July 1 his coverage will no longer be
creditable. He has come to you for advice. What advice would you give Mr.
Rockwell about special election periods (SEPs)?
Mr. Rockwell is eligible for a SEP due to his involuntary loss of creditable drug
coverage; the SEP begins in June and ends on September 1- two months after the
loss of creditable coverage
, Mr. Johannsen Is Entitled To Medicare Part A And Part B. He Gains The Part D
Low-Income Subsidy. How Does That Affect His Ability To Enroll Or Disenroll In A
Part D Plan?
He Qualifies For A Special Election Period And Can Enroll In Or Disenroll From A
Part D Plan Once During That Period.
Mr. White Has Medicare Parts A And B With A Part D Plan. Last Year, He
Received A Notice That His Plan Sponsor Identified Him As A "Potential At-Risk"
Beneficiary. This Month, He Started Receiving Assistance From Medicaid. He
Wants To Find A Different Part D Plan That's More Suitable To His Current
Prescription Drug Needs. He Believes He's Entitled To A SEP Since He Is Now A
Dual Eligible. Is He Able To Change To A Different Part D Plan During A SEP For
Dual Eligible Individuals?
No. Once He Is Identified By The Plan Sponsor As A "Potential At-Risk" Beneficiary,
He Cannot Use The Dual Eligible SEP To Change Plans While This Designation Is In
Place.
Mr. Roberts Is Enrolled In An MA Plan. He Recently Suffered Complications
Following Hip Replacement Surgery. As A Result, He Has Spent The Last Three
Months In Resthaven, A Skilled Nursing Facility. Mr. Roberts Is About To Be
Discharged. What Advice Would You Give Him Regarding His Health Coverage
Options?
