Howard University INSU 351
AHIP – 5 Exam Questions Verified and Provided with A+
Graded Answers Latest Updated 2026
Mr. Garcia was told he qualifies for a Special If the SEP is for MA coverage, he will generally have one opportunity to
Enrollment Period (SEP), but he lost the paper change his MA coverage.
that explains what he could do during the SEP. 3 multiple choice options
What can you tell him?
Mrs. Walters is entitled to Part A and has medical Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be
coverage without drug coverage through an eligible for coverage under the Medicare prescription drug program.
employer retiree plan. She is not enrolled in Part B. 3 multiple choice options
Since the employer plan does not cover
prescription drugs, she wants to enroll in a
Medicare prescription drug plan. Will she be able
to?
Mrs. Goodman enrolled in an MA-PD plan during During the MA Open Enrollment Period, from January 1 - March 31, she
the Annual Election Period. In mid-January of the may disenroll from the MA-PD plan into Original Medicare and also may
following year, she wants to switch back to add a stand-alone prescription drug plan.
Original Medicare and enroll in a stand-alone 3 multiple choice options
prescription drug plan. What should you tell her?
Mrs. Berkowitz wants to enroll in a Medicare If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan
Advantage plan that does not include drug that does not offer drug coverage or a Medical Savings Account plan,
coverage and also enroll in a stand-alone Mrs. Berkowitz can do this.
Medicare prescription drug plan. Under what 3 multiple choice options
circumstances can she do this?
Ms. Lee is enrolled in an MA-PD plan but will She is eligible for a Special Election Period that begins either the month
be moving out of the plan's service area next before her permanent move, if the plan is notified in advance, or
month. She is worried that she will not be able to the month she provides notice of the move, and this period
enroll in another plan available in her new typically lasts an additional two months.
residence until the Annual Election Period. 3 multiple choice options
What should you tell
her?
You are doing a sales presentation for Mrs. "If you're not in very good health, you will probably do better with a
Pearson. You know that Medicare marketing different product."
guidelines prohibit certain types of statements. 3 multiple choice options
Apply those guidelines to the following statements
and identify which would be prohibited.
Mr. Anderson is a very organized individual Tell Mr. Anderson that you cannot accept any enrollment forms until
and has filled out and brought to you an the annual election period begins.
enrollment form on October 10 for a new 3 multiple choice options
plan available
January 1 next year. He is currently enrolled in
Original Medicare. What should you do?
You are visiting with Mr. Tully and his daughter Mr. Tully's daughter can do so only, if she is authorized under state law
at her request. He has advanced Alzheimer's as a court-appointed legal guardian, has a durable power of attorney
and is incapable of understanding the for health care decisions, or is authorized under state surrogate consent
implications of choosing a Medicare laws to make health decisions.
Advantage or prescription 3 multiple choice options
drug plan. Can his daughter fill out the enrollment
form and sign it for him?
, Ms. Gonzales decided to remain in Original There is a MA Open Enrollment Period (OEP) that takes place between
Medicare (Parts A and B) and Part D during January 1 and March 31, but Ms. Gonzales cannot use it because
the Annual Enrollment Period (AEP). At the eligibility to use the OEP is available only to MA enrollees.
beginning of January, her neighbor told her
3 multiple choice options
about the
Medicare Advantage (MA) plan he selected. He
also told her there was an open enrollment period
that she might be able to use to enroll in a MA
plan. Ms. Gonzales comes to you for advice
shortly after speaking to her neighbor. What
should you tell her?
Ms. Claggett is sixty-six (66) years old. She has Ms. Claggett has had two IEPs and missed them both. The first
been covered under Original Medicare for the occurred three months before and three months after the month when
last six years due to her disability and has never she was
been enrolled in a Medicare Advantage or a Part first entitled to Part A OR enrolled in Part B. Because she was eligible
D plan before. She wants to enroll in a Part D for Medicare before age 65, Ms. Claggett had a second IEP based on
plan. She knows that there is such a thing as the turning age 65, which has also expired.
"Part D Initial Enrollment Period" (IEP) and has 3 multiple choice options
concluded that, since she has never enrolled in
such a plan before, she should be eligible to
enroll under this period. What should you tell
her about how the Part D
Initial Enrollment Period applies to her situation?
Mary Samuels recently suffered a stroke while Mary may make an unlimited number of MA enrollment requests and
visiting her daughter and grandchildren. As a may disenroll from her current MA plan.
result, Mary has been admitted to a 3 multiple choice options
rehabilitation hospital where she is expected
to reside for several months. The
rehabilitation hospital is
located outside the geographic area served by her
current Medicare Advantage (MA) plan. What
options are available to Mary regarding her health
plan coverage?
Mrs. Pierce would like to enroll in a Medicare Cost Enrollment in Cost plans offering Part D coverage is available only
plan that offers Part D prescription drug coverage. during enrollment periods under the Part D program, and Cost plans
She comes to you for advice about when she can must accept enrollments during these periods.
enroll in a plan you have previously discussed.
3 multiple choice options
What should you tell her?
Mr. Ford enrolled in an MA-only plan in He can make as many enrollment changes as he likes during the
mid-November during the Annual Election Annual Election Period and the last choice made prior to the end of the
Period (AEP). On December 1, he calls you up period will be the effective one as of January 1.
and says that he has changed his mind and 3 multiple choice options
would like to
enroll into a MA-PD plan. What enrollment rules
would apply in this case?
Which of the following individuals is most likely Jose, a grandfather who was granted asylum and has worked in the
to be eligible to enroll in a Medicare Advantage United States for many years.
(MA) or Part D Plan?
3 multiple choice options
AHIP – 5 Exam Questions Verified and Provided with A+
Graded Answers Latest Updated 2026
Mr. Garcia was told he qualifies for a Special If the SEP is for MA coverage, he will generally have one opportunity to
Enrollment Period (SEP), but he lost the paper change his MA coverage.
that explains what he could do during the SEP. 3 multiple choice options
What can you tell him?
Mrs. Walters is entitled to Part A and has medical Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be
coverage without drug coverage through an eligible for coverage under the Medicare prescription drug program.
employer retiree plan. She is not enrolled in Part B. 3 multiple choice options
Since the employer plan does not cover
prescription drugs, she wants to enroll in a
Medicare prescription drug plan. Will she be able
to?
Mrs. Goodman enrolled in an MA-PD plan during During the MA Open Enrollment Period, from January 1 - March 31, she
the Annual Election Period. In mid-January of the may disenroll from the MA-PD plan into Original Medicare and also may
following year, she wants to switch back to add a stand-alone prescription drug plan.
Original Medicare and enroll in a stand-alone 3 multiple choice options
prescription drug plan. What should you tell her?
Mrs. Berkowitz wants to enroll in a Medicare If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan
Advantage plan that does not include drug that does not offer drug coverage or a Medical Savings Account plan,
coverage and also enroll in a stand-alone Mrs. Berkowitz can do this.
Medicare prescription drug plan. Under what 3 multiple choice options
circumstances can she do this?
Ms. Lee is enrolled in an MA-PD plan but will She is eligible for a Special Election Period that begins either the month
be moving out of the plan's service area next before her permanent move, if the plan is notified in advance, or
month. She is worried that she will not be able to the month she provides notice of the move, and this period
enroll in another plan available in her new typically lasts an additional two months.
residence until the Annual Election Period. 3 multiple choice options
What should you tell
her?
You are doing a sales presentation for Mrs. "If you're not in very good health, you will probably do better with a
Pearson. You know that Medicare marketing different product."
guidelines prohibit certain types of statements. 3 multiple choice options
Apply those guidelines to the following statements
and identify which would be prohibited.
Mr. Anderson is a very organized individual Tell Mr. Anderson that you cannot accept any enrollment forms until
and has filled out and brought to you an the annual election period begins.
enrollment form on October 10 for a new 3 multiple choice options
plan available
January 1 next year. He is currently enrolled in
Original Medicare. What should you do?
You are visiting with Mr. Tully and his daughter Mr. Tully's daughter can do so only, if she is authorized under state law
at her request. He has advanced Alzheimer's as a court-appointed legal guardian, has a durable power of attorney
and is incapable of understanding the for health care decisions, or is authorized under state surrogate consent
implications of choosing a Medicare laws to make health decisions.
Advantage or prescription 3 multiple choice options
drug plan. Can his daughter fill out the enrollment
form and sign it for him?
, Ms. Gonzales decided to remain in Original There is a MA Open Enrollment Period (OEP) that takes place between
Medicare (Parts A and B) and Part D during January 1 and March 31, but Ms. Gonzales cannot use it because
the Annual Enrollment Period (AEP). At the eligibility to use the OEP is available only to MA enrollees.
beginning of January, her neighbor told her
3 multiple choice options
about the
Medicare Advantage (MA) plan he selected. He
also told her there was an open enrollment period
that she might be able to use to enroll in a MA
plan. Ms. Gonzales comes to you for advice
shortly after speaking to her neighbor. What
should you tell her?
Ms. Claggett is sixty-six (66) years old. She has Ms. Claggett has had two IEPs and missed them both. The first
been covered under Original Medicare for the occurred three months before and three months after the month when
last six years due to her disability and has never she was
been enrolled in a Medicare Advantage or a Part first entitled to Part A OR enrolled in Part B. Because she was eligible
D plan before. She wants to enroll in a Part D for Medicare before age 65, Ms. Claggett had a second IEP based on
plan. She knows that there is such a thing as the turning age 65, which has also expired.
"Part D Initial Enrollment Period" (IEP) and has 3 multiple choice options
concluded that, since she has never enrolled in
such a plan before, she should be eligible to
enroll under this period. What should you tell
her about how the Part D
Initial Enrollment Period applies to her situation?
Mary Samuels recently suffered a stroke while Mary may make an unlimited number of MA enrollment requests and
visiting her daughter and grandchildren. As a may disenroll from her current MA plan.
result, Mary has been admitted to a 3 multiple choice options
rehabilitation hospital where she is expected
to reside for several months. The
rehabilitation hospital is
located outside the geographic area served by her
current Medicare Advantage (MA) plan. What
options are available to Mary regarding her health
plan coverage?
Mrs. Pierce would like to enroll in a Medicare Cost Enrollment in Cost plans offering Part D coverage is available only
plan that offers Part D prescription drug coverage. during enrollment periods under the Part D program, and Cost plans
She comes to you for advice about when she can must accept enrollments during these periods.
enroll in a plan you have previously discussed.
3 multiple choice options
What should you tell her?
Mr. Ford enrolled in an MA-only plan in He can make as many enrollment changes as he likes during the
mid-November during the Annual Election Annual Election Period and the last choice made prior to the end of the
Period (AEP). On December 1, he calls you up period will be the effective one as of January 1.
and says that he has changed his mind and 3 multiple choice options
would like to
enroll into a MA-PD plan. What enrollment rules
would apply in this case?
Which of the following individuals is most likely Jose, a grandfather who was granted asylum and has worked in the
to be eligible to enroll in a Medicare Advantage United States for many years.
(MA) or Part D Plan?
3 multiple choice options
