AHIP Module 5 2027 | Newest Version Questions and Answers |
Verified
Question 1.
Mrs. Kumar would like her daughter, who lives in another state, to meet with you during
the Annual Election Period to help her complete her enrollment in a Part D plan. She
asked you when she should have her daughter plan to visit. What could you tell her?
Correct Answer: Her daughter should come in November.
Question 2.
Ms. Claggett is sixty-six (66) years old. She has been covered under Original Medicare
for the last six years due to her disability and has never been enrolled in a Medicare
Advantage or a Part D plan before. She wants to enroll in a Part D plan. She knows that
there is such a thing as the "Part D Initial Enrollment Period" and has 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?
Correct Answer: It occurs three months before and three months after the
month when a beneficiary meets the eligibility requirements for Part B, so she
will not be able to use it as a justification for enrolling in a Part D plan now.
Question 3.
Willard works as a representative focused on the senior marketplace. What would be
considered prohibited activity by Willard?
Correct Answer: Implying that only seniors can enroll in a Medicare Advantage
plan when meeting with Mr. Hernandez, who is 58 but qualifies for Medicare
because she is disabled.
Question 4.
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage
through an employer retiree plan. She is not enrolled in Part B. Since the employer plan
does not cover prescription drugs, she wants to enroll in a Medicare prescription drug
plan. Will she be able to?
Correct Answer: Yes. Mrs. Walters must be entitled to Part A or enrolled in
Part B to be eligible for coverage under the Medicare prescription drug
program.
Question 5.
Mr. Barker had surgery recently and expected that he would have certain services and
items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage
has been very good. However, when he received the bill, he was surprised to see large
Verified
Question 1.
Mrs. Kumar would like her daughter, who lives in another state, to meet with you during
the Annual Election Period to help her complete her enrollment in a Part D plan. She
asked you when she should have her daughter plan to visit. What could you tell her?
Correct Answer: Her daughter should come in November.
Question 2.
Ms. Claggett is sixty-six (66) years old. She has been covered under Original Medicare
for the last six years due to her disability and has never been enrolled in a Medicare
Advantage or a Part D plan before. She wants to enroll in a Part D plan. She knows that
there is such a thing as the "Part D Initial Enrollment Period" and has 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?
Correct Answer: It occurs three months before and three months after the
month when a beneficiary meets the eligibility requirements for Part B, so she
will not be able to use it as a justification for enrolling in a Part D plan now.
Question 3.
Willard works as a representative focused on the senior marketplace. What would be
considered prohibited activity by Willard?
Correct Answer: Implying that only seniors can enroll in a Medicare Advantage
plan when meeting with Mr. Hernandez, who is 58 but qualifies for Medicare
because she is disabled.
Question 4.
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage
through an employer retiree plan. She is not enrolled in Part B. Since the employer plan
does not cover prescription drugs, she wants to enroll in a Medicare prescription drug
plan. Will she be able to?
Correct Answer: Yes. Mrs. Walters must be entitled to Part A or enrolled in
Part B to be eligible for coverage under the Medicare prescription drug
program.
Question 5.
Mr. Barker had surgery recently and expected that he would have certain services and
items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage
has been very good. However, when he received the bill, he was surprised to see large
