2024 AHIP Module 5: Test Questions with Correct
Answers Latest Update
Mrs. Margolis contacts you in August because she will become eligible for
Medicare for the first time in November. She would like to meet and discuss plan
choices with you. What advice should you give her? - Exact Answer Tell her to
wait until October to discuss plan choices with you so that you can share plan
benefits for the current year as well as any changes for the following year that
may impact her choice.
Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-
income subsidy. How does that affect his ability to enroll or disenroll in a Part D
plan? - Exact Answer He qualifies for a special election period and can enroll in or
disenroll from a Part D plan once during that period.
Mary Samuels recently suffered a stroke while visiting her daughter and
grandchildren. As a result, Mary has been admitted to a 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? - Exact Answer Mary may make an unlimited number of MA enrollment
requests and may disenroll from her current MA plan.
Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP). What
action could you help him take during this time? - Exact Answer He will have one
opportunity to enroll in a Medicare Advantage plan.
, 2024 AHIP Module 5: Test Questions with Correct
Answers Latest Update
You have come to Mrs. Midler's home for a sales presentation. At the beginning of
the presentation, Mrs. Midler tells you that she has a copy of her medical records
available because she thinks this will help you understand her needs. She suggests
that you will know which questions to ask her about her health status in order to
best assist her in selecting a plan. What should you do? - Exact Answer You can
only ask Mrs. Midler questions about conditions that affect eligibility, specifically,
whether she has one of the conditions that would qualify her for a special needs
plan.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA
Initial Coverage Election Period (ICEP) has just begun. Which of the following can
she not do during the ICEP? - Exact Answer She can enroll in a Medigap plan to
supplement the benefits of the MA plan that she's also enrolling in.
Mr. White has Medicare Parts A and B with a Part D plan. Last year, he received a
notice that his plan sponsor identified him as a "potential at-risk" beneficiary. This
month, he started receiving assistance from Medicaid. He wants to find a different
Part D plan that's more suitable to his current prescription drug needs. He
believes he's entitled to a SEP since he is now a dual eligible. Is he able to change
to a different Part D plan during a SEP for dual eligible individuals? - Exact Answer
No. Once he is identified by the plan sponsor as a "potential at-risk" beneficiary,
Answers Latest Update
Mrs. Margolis contacts you in August because she will become eligible for
Medicare for the first time in November. She would like to meet and discuss plan
choices with you. What advice should you give her? - Exact Answer Tell her to
wait until October to discuss plan choices with you so that you can share plan
benefits for the current year as well as any changes for the following year that
may impact her choice.
Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-
income subsidy. How does that affect his ability to enroll or disenroll in a Part D
plan? - Exact Answer He qualifies for a special election period and can enroll in or
disenroll from a Part D plan once during that period.
Mary Samuels recently suffered a stroke while visiting her daughter and
grandchildren. As a result, Mary has been admitted to a 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? - Exact Answer Mary may make an unlimited number of MA enrollment
requests and may disenroll from her current MA plan.
Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP). What
action could you help him take during this time? - Exact Answer He will have one
opportunity to enroll in a Medicare Advantage plan.
, 2024 AHIP Module 5: Test Questions with Correct
Answers Latest Update
You have come to Mrs. Midler's home for a sales presentation. At the beginning of
the presentation, Mrs. Midler tells you that she has a copy of her medical records
available because she thinks this will help you understand her needs. She suggests
that you will know which questions to ask her about her health status in order to
best assist her in selecting a plan. What should you do? - Exact Answer You can
only ask Mrs. Midler questions about conditions that affect eligibility, specifically,
whether she has one of the conditions that would qualify her for a special needs
plan.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA
Initial Coverage Election Period (ICEP) has just begun. Which of the following can
she not do during the ICEP? - Exact Answer She can enroll in a Medigap plan to
supplement the benefits of the MA plan that she's also enrolling in.
Mr. White has Medicare Parts A and B with a Part D plan. Last year, he received a
notice that his plan sponsor identified him as a "potential at-risk" beneficiary. This
month, he started receiving assistance from Medicaid. He wants to find a different
Part D plan that's more suitable to his current prescription drug needs. He
believes he's entitled to a SEP since he is now a dual eligible. Is he able to change
to a different Part D plan during a SEP for dual eligible individuals? - Exact Answer
No. Once he is identified by the plan sponsor as a "potential at-risk" beneficiary,
