lOMoARcPSD|46354221
AHIP Final Exam Questions And Answers
Nursing Practices Final Exam Study Guide (Chamberlain University)
, lOMoARcPSD|46354221
AHIP Final Exam | Questions And Answers | With
Verified Study Solutions | 2026/2027 Updates
QUESTION 1
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?
A. It means he can enroll in a Medicare Advantage plan at any time
B. It means he qualifies for a one-time opportunity to enroll in a Part D prescription drug plan
C. It means he must wait until the Annual Election Period to enroll
D. It means he can switch plans multiple times during the year
Correct Answer: B. It means he qualifies for a one-time opportunity to enroll in a Part D prescription drug
plan
Expert Rationale: When an employer drops creditable prescription drug coverage, beneficiaries qualify
for a Special Election Period (SEP) that allows them a one-time opportunity to enroll in a Part D
prescription drug plan. This SEP is triggered by the loss of creditable coverage. The SEP is not unlimited
(A) and does not require waiting for the Annual Election Period (C). The SEP provides a single
enrollment opportunity, not multiple switches (D).
QUESTION 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?
A. He must wait until the next AEP to enroll in any MA plan
B. He can enroll in any MA plan at any time due to his diabetes diagnosis
, lOMoARcPSD|46354221
C. If there is a special needs plan (SNP) in his area that specializes in caring for individuals with diabetes,
he may enroll in the SNP at any time under a special election period (SEP)
D. He can only enroll in an MA plan during the Medicare Advantage Open Enrollment Period (MA OEP)
Correct Answer: C. If there is a special needs plan (SNP) in his area that specializes in caring for
individuals with diabetes, he may enroll in the SNP at any time under a special election period (SEP)
Expert Rationale: Individuals with diabetes may qualify for a Chronic Condition Special Needs Plan (C-
SNP) if available in their area. They can enroll in such plans at any time through a Special Election Period
(SEP). The patient does not have to wait for the AEP (A). Not all MA plans are available at any time (B),
only SNPs for qualifying conditions. The MA OEP (D) is not the only enrollment opportunity.
QUESTION 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
A. I, II, III, and IV
B. II, III, and IV only
C. I and II only
D. I, II, and III only
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Correct Answer: B. II, III, and IV only
Expert Rationale: A change of residence qualifies for a SEP when the beneficiary moves outside the plan's
service area (II), moves into an area where a Part D plan is now available where none was available
before (III), or makes a permanent move to a new state with new MA and Part D options (IV). Moving
within the same neighborhood in the existing plan's service area (I) does NOT qualify for a SEP, as the
beneficiary still has access to their current plan.
QUESTION 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?
A. He must wait until the Annual Election Period to enroll in Part D
B. 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
C. He can only enroll in a stand-alone Part D plan during his IEP
D. He has a 6-month window after turning 65 to enroll without penalty
Correct Answer: B. 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
Expert Rationale: The Initial Enrollment Period (IEP) for Part D begins 3 months before the month of
eligibility and ends 3 months after. During this time, beneficiaries can make one Part D enrollment
choice, which includes enrolling in a stand-alone Part D plan or an MA-PD plan. They do not have to
wait for the AEP (A). They are not limited to stand-alone plans only (C). The IEP is 7 months total, not
just 6 months after turning 65 (D).
QUESTION 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?
AHIP Final Exam Questions And Answers
Nursing Practices Final Exam Study Guide (Chamberlain University)
, lOMoARcPSD|46354221
AHIP Final Exam | Questions And Answers | With
Verified Study Solutions | 2026/2027 Updates
QUESTION 1
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?
A. It means he can enroll in a Medicare Advantage plan at any time
B. It means he qualifies for a one-time opportunity to enroll in a Part D prescription drug plan
C. It means he must wait until the Annual Election Period to enroll
D. It means he can switch plans multiple times during the year
Correct Answer: B. It means he qualifies for a one-time opportunity to enroll in a Part D prescription drug
plan
Expert Rationale: When an employer drops creditable prescription drug coverage, beneficiaries qualify
for a Special Election Period (SEP) that allows them a one-time opportunity to enroll in a Part D
prescription drug plan. This SEP is triggered by the loss of creditable coverage. The SEP is not unlimited
(A) and does not require waiting for the Annual Election Period (C). The SEP provides a single
enrollment opportunity, not multiple switches (D).
QUESTION 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?
A. He must wait until the next AEP to enroll in any MA plan
B. He can enroll in any MA plan at any time due to his diabetes diagnosis
, lOMoARcPSD|46354221
C. If there is a special needs plan (SNP) in his area that specializes in caring for individuals with diabetes,
he may enroll in the SNP at any time under a special election period (SEP)
D. He can only enroll in an MA plan during the Medicare Advantage Open Enrollment Period (MA OEP)
Correct Answer: C. If there is a special needs plan (SNP) in his area that specializes in caring for
individuals with diabetes, he may enroll in the SNP at any time under a special election period (SEP)
Expert Rationale: Individuals with diabetes may qualify for a Chronic Condition Special Needs Plan (C-
SNP) if available in their area. They can enroll in such plans at any time through a Special Election Period
(SEP). The patient does not have to wait for the AEP (A). Not all MA plans are available at any time (B),
only SNPs for qualifying conditions. The MA OEP (D) is not the only enrollment opportunity.
QUESTION 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
A. I, II, III, and IV
B. II, III, and IV only
C. I and II only
D. I, II, and III only
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Correct Answer: B. II, III, and IV only
Expert Rationale: A change of residence qualifies for a SEP when the beneficiary moves outside the plan's
service area (II), moves into an area where a Part D plan is now available where none was available
before (III), or makes a permanent move to a new state with new MA and Part D options (IV). Moving
within the same neighborhood in the existing plan's service area (I) does NOT qualify for a SEP, as the
beneficiary still has access to their current plan.
QUESTION 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?
A. He must wait until the Annual Election Period to enroll in Part D
B. 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
C. He can only enroll in a stand-alone Part D plan during his IEP
D. He has a 6-month window after turning 65 to enroll without penalty
Correct Answer: B. 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
Expert Rationale: The Initial Enrollment Period (IEP) for Part D begins 3 months before the month of
eligibility and ends 3 months after. During this time, beneficiaries can make one Part D enrollment
choice, which includes enrolling in a stand-alone Part D plan or an MA-PD plan. They do not have to
wait for the AEP (A). They are not limited to stand-alone plans only (C). The IEP is 7 months total, not
just 6 months after turning 65 (D).
QUESTION 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?
