2027 AHIP
ACTUAL FINAL EXAM
QUESTIONS ANSWERS &
EXPLANATIONS LATEST
UPDATE BEST FOR REVISION !!
,1. Mr. Khan's employer has recently dropped comprehensive creditable pre-scription 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 ✔✔ CORRECT ANSWER It means that he qualifies for a one-time opportunity to enroll in a Part D prescription drug plan.
2. 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 ✔✔ CORRECT 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).
3. 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
4. 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 ✔✔ CORRECT 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.
, 5. 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 ✔✔
CORRECT ANSWER It is a period, outside of the Annual Election Period, when a Medicare beneficiary can select a new or ditterent 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.
6. 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 ✔✔ CORRECT 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.
7. 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 ✔✔ CORRECT 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.
8. You are visiting Mr. Connor and his daughter at her request. He has ad-vanced 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 ✔✔ CORRECT 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.
9. 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 ✔✔ CORRECT 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.
10. 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
ACTUAL FINAL EXAM
QUESTIONS ANSWERS &
EXPLANATIONS LATEST
UPDATE BEST FOR REVISION !!
,1. Mr. Khan's employer has recently dropped comprehensive creditable pre-scription 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 ✔✔ CORRECT ANSWER It means that he qualifies for a one-time opportunity to enroll in a Part D prescription drug plan.
2. 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 ✔✔ CORRECT 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).
3. 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
4. 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 ✔✔ CORRECT 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.
, 5. 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 ✔✔
CORRECT ANSWER It is a period, outside of the Annual Election Period, when a Medicare beneficiary can select a new or ditterent 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.
6. 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 ✔✔ CORRECT 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.
7. 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 ✔✔ CORRECT 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.
8. You are visiting Mr. Connor and his daughter at her request. He has ad-vanced 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 ✔✔ CORRECT 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.
9. 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 ✔✔ CORRECT 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.
10. 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
