AHIP
AHIP FINAL EXAM QUESTIONS AND ANSWERS
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? - correct answer It means
that he qualifies for a one-time opportunity to enroll in a Part D
prescription drug plan.
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
,AHIP
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).
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 - correct answer II, III, and IV
only
Mr. Washington is turning 65 next month and has asked you
what he can do, and when he must do it, with respect to
,AHIP
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.
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 different 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.
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.
, AHIP
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.
You are visiting Mr. Connor and his daughter at her request. He
has advanced 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.
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
AHIP FINAL EXAM QUESTIONS AND ANSWERS
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? - correct answer It means
that he qualifies for a one-time opportunity to enroll in a Part D
prescription drug plan.
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
,AHIP
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).
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 - correct answer II, III, and IV
only
Mr. Washington is turning 65 next month and has asked you
what he can do, and when he must do it, with respect to
,AHIP
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.
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 different 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.
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.
, AHIP
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.
You are visiting Mr. Connor and his daughter at her request. He
has advanced 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.
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
