2024 AHIP MODULE 5 EXAM WITH
VALID ANSWERS
Mr. Anderson is a very organized individual and has filled out and brought to
you an enrollment form on October 10 for a new plan available on January 1
next year. He is currently enrolled in Original Medicare. What should you do?
- CORRECT-ANSWERSTell Mr. Anderson that you cannot accept any
enrollment forms until the annual election period begins.
Mrs. Schmidt 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-ANSWERSIt is a single period from January 1 - March 31, created
by statute, when any Medicare beneficiary who has moved out of the area of
their Medicare Advantage or Part D plan can add, drop, or change their
Medicare prescription drug coverage.
Mr. Yoo's employer has recently dropped comprehensive creditable
prescription drug coverage that was offered to company retirees. The
company told Mr. Yoo that, because he was affected by this change, he
would qualify for a special election period. Mr. Yoo contacted you to find out
more about what this means. What can you tell him? - CORRECT-ANSWERSIt
means that he qualifies for a one-time opportunity to enroll in an MA-PD or
Part D prescription drug plan.
Ms. Thomas has worked for many years and is turning 68 in June. She is
eligible for Medicare Part A and did not enroll for Part B when first eligible
because she has insurance through her employer - Coffee Brew, Inc. She also
did not enroll in Part D because she had creditable coverage. She would like
to retire in June and enroll in a Medicare Advantage plan. She has been
informed that her group coverage will end on her retirement effective date.
How would you advise Ms. Thomas? - CORRECT-ANSWERSMs. Thomas can
enroll in Part B without a late penalty at any time she is still covered by her
employer group and 8 months after her last month of employer group
coverage without a penalty. However, because she wants to enroll in a MA
plan after retirement, she should make sure her Part B coverage is effective
in time to use the Medicare Advantage/Part D special election period for
individuals changing from employer group coverage to enroll in a MA plan or
MA-PD. The SEP begins while she has employer group coverage and will last
until 2 months after the month after the month her employer coverage ends.
If she wants Part D coverage she should enroll in an MA-PD or a PDP
, (depending on how she decides to receive her Part A and B benefits) during
this time.
Ms. Lee is enrolled in an MA-PD plan but will be moving out of the plan's
service area next month. She is worried that she will not be able to enroll in
another plan available in her new residence until the Annual Election Period.
What should you tell her? - CORRECT-ANSWERSShe is eligible for a special
election period (SEP) that begins either the month before her permanent
move, if the plan is notified in advance, or the month she provides notice of
the move, and this period typically lasts an additional two months.
Mrs. Kendrick is in good health, has worked for many years, and is six
months away from turning 65. She wants to know what she will have to do to
enroll in a Medicare Advantage (MA) plan as soon as possible. What could
you tell her? - CORRECT-ANSWERSShe may enroll in an MA plan beginning
three months immediately before her first entitlement to both Medicare Part
A and Part B.
Mr. Liu turns 65 on June 19. He has never previously qualified for Medicare so
his first Medicare eligibility date will be June 1. Mr. Liu's ICEP and Part D IEP
begin on March 1 and end on September 30. He wants prescription drug
coverage with his Part A and Part B benefits. What advice can you provide
him? - CORRECT-ANSWERSHe can enroll in a MA-PD as long as he enrolls in
Part B and is entitled to Part A.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she
has been working with Agent Neil Adams in the selection of a Medicare
Advantage (MA) plan. It is mid-September, and Mrs. Young is going on
vacation. Agent Adams is considering suggesting that he and Mrs. Young
complete the application together before she leaves. He will then submit the
paper application before the start of the annual enrollment period (AEP).
What would you say If you were advising Agent Adams? - CORRECT-
ANSWERSThis is a bad idea. Agents are generally prohibited from soliciting
or accepting an enrollment form before the start of the AEP.
Mr. Block is currently enrolled in a Medicare Advantage plan that includes
drug coverage. He found a stand-alone Medicare prescription drug plan in his
area that offers better coverage than that available through his MA-PD plan
and in addition, has a low premium. It won't cost him much more and,
because he has the means to do so, he wishes to enroll in the stand-alone
prescription drug plan in addition to his MA-PD plan. What should you tell
him? - CORRECT-ANSWERSIf Mr. Block enrolls in the stand-alone Medicare
prescription drug plan, he will be disenrolled from the Medicare Advantage
plan.
VALID ANSWERS
Mr. Anderson is a very organized individual and has filled out and brought to
you an enrollment form on October 10 for a new plan available on January 1
next year. He is currently enrolled in Original Medicare. What should you do?
- CORRECT-ANSWERSTell Mr. Anderson that you cannot accept any
enrollment forms until the annual election period begins.
Mrs. Schmidt 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-ANSWERSIt is a single period from January 1 - March 31, created
by statute, when any Medicare beneficiary who has moved out of the area of
their Medicare Advantage or Part D plan can add, drop, or change their
Medicare prescription drug coverage.
Mr. Yoo's employer has recently dropped comprehensive creditable
prescription drug coverage that was offered to company retirees. The
company told Mr. Yoo that, because he was affected by this change, he
would qualify for a special election period. Mr. Yoo contacted you to find out
more about what this means. What can you tell him? - CORRECT-ANSWERSIt
means that he qualifies for a one-time opportunity to enroll in an MA-PD or
Part D prescription drug plan.
Ms. Thomas has worked for many years and is turning 68 in June. She is
eligible for Medicare Part A and did not enroll for Part B when first eligible
because she has insurance through her employer - Coffee Brew, Inc. She also
did not enroll in Part D because she had creditable coverage. She would like
to retire in June and enroll in a Medicare Advantage plan. She has been
informed that her group coverage will end on her retirement effective date.
How would you advise Ms. Thomas? - CORRECT-ANSWERSMs. Thomas can
enroll in Part B without a late penalty at any time she is still covered by her
employer group and 8 months after her last month of employer group
coverage without a penalty. However, because she wants to enroll in a MA
plan after retirement, she should make sure her Part B coverage is effective
in time to use the Medicare Advantage/Part D special election period for
individuals changing from employer group coverage to enroll in a MA plan or
MA-PD. The SEP begins while she has employer group coverage and will last
until 2 months after the month after the month her employer coverage ends.
If she wants Part D coverage she should enroll in an MA-PD or a PDP
, (depending on how she decides to receive her Part A and B benefits) during
this time.
Ms. Lee is enrolled in an MA-PD plan but will be moving out of the plan's
service area next month. She is worried that she will not be able to enroll in
another plan available in her new residence until the Annual Election Period.
What should you tell her? - CORRECT-ANSWERSShe is eligible for a special
election period (SEP) that begins either the month before her permanent
move, if the plan is notified in advance, or the month she provides notice of
the move, and this period typically lasts an additional two months.
Mrs. Kendrick is in good health, has worked for many years, and is six
months away from turning 65. She wants to know what she will have to do to
enroll in a Medicare Advantage (MA) plan as soon as possible. What could
you tell her? - CORRECT-ANSWERSShe may enroll in an MA plan beginning
three months immediately before her first entitlement to both Medicare Part
A and Part B.
Mr. Liu turns 65 on June 19. He has never previously qualified for Medicare so
his first Medicare eligibility date will be June 1. Mr. Liu's ICEP and Part D IEP
begin on March 1 and end on September 30. He wants prescription drug
coverage with his Part A and Part B benefits. What advice can you provide
him? - CORRECT-ANSWERSHe can enroll in a MA-PD as long as he enrolls in
Part B and is entitled to Part A.
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she
has been working with Agent Neil Adams in the selection of a Medicare
Advantage (MA) plan. It is mid-September, and Mrs. Young is going on
vacation. Agent Adams is considering suggesting that he and Mrs. Young
complete the application together before she leaves. He will then submit the
paper application before the start of the annual enrollment period (AEP).
What would you say If you were advising Agent Adams? - CORRECT-
ANSWERSThis is a bad idea. Agents are generally prohibited from soliciting
or accepting an enrollment form before the start of the AEP.
Mr. Block is currently enrolled in a Medicare Advantage plan that includes
drug coverage. He found a stand-alone Medicare prescription drug plan in his
area that offers better coverage than that available through his MA-PD plan
and in addition, has a low premium. It won't cost him much more and,
because he has the means to do so, he wishes to enroll in the stand-alone
prescription drug plan in addition to his MA-PD plan. What should you tell
him? - CORRECT-ANSWERSIf Mr. Block enrolls in the stand-alone Medicare
prescription drug plan, he will be disenrolled from the Medicare Advantage
plan.
