AHIP Module 5
By ExamNavigator
, AHIP Module 5
1. Mr. Liu turns 65 on June 19. He has never previously qualified for Medicareso 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?
Answer: He can enroll in a MA-PD as long as he enrolls in Part B and is entitled to Part A.
2. 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 completethe 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?
Answer: This is a bad idea. Agents are generally prohibited from soliciting or accepting an
enrollment form before the startof the AEP.
3. Mr. Block is currently enrolled in a Medicare Advantage plan that includesdrug coverage.
He found a stand-alone Medicare prescription drug plan in hisarea 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, becausehe has the means to do so, he wishes to enroll in the stand-alone
prescriptiondrug plan in addition to his MA-PD plan. What should you tell him?
Answer: If Mr. Blockenrolls in the stand-alone Medicare prescription drug plan, he will be
disenrolled from the Medicare Advantage plan.
4. Mr. Garcia was told he qualifies for a special election period (SEP), but he lost the paper
that explains what he could do during the SEP. What can you tell him?
Answer: If the SEP is for MA coverage, he will generally have one opportunity tochange his
MA coverage.
5. Which of the following individuals has enrolled in a plan based on a fixed enrollment
period?
Answer: Ben enrolls in a Medicare Advantage plan during the MedicareAdvantage Open
Enrollment Period (MA OEP).
6. Mr. Chen is enrolled in his employer's group health plan and will be retiringsoon. 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?
Answer: Mr. Chen can disenroll from his employer-sponsored coverage to elect a Medicare
Advantage or Part D plan within 2 months of his disenrollment.
7. Mrs. Pierce would like to enroll in a Medicare Cost plan that offers Part D prescription
drug coverage. She comes to you for advice about when she canenroll in a plan you have
By ExamNavigator
, AHIP Module 5
1. Mr. Liu turns 65 on June 19. He has never previously qualified for Medicareso 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?
Answer: He can enroll in a MA-PD as long as he enrolls in Part B and is entitled to Part A.
2. 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 completethe 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?
Answer: This is a bad idea. Agents are generally prohibited from soliciting or accepting an
enrollment form before the startof the AEP.
3. Mr. Block is currently enrolled in a Medicare Advantage plan that includesdrug coverage.
He found a stand-alone Medicare prescription drug plan in hisarea 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, becausehe has the means to do so, he wishes to enroll in the stand-alone
prescriptiondrug plan in addition to his MA-PD plan. What should you tell him?
Answer: If Mr. Blockenrolls in the stand-alone Medicare prescription drug plan, he will be
disenrolled from the Medicare Advantage plan.
4. Mr. Garcia was told he qualifies for a special election period (SEP), but he lost the paper
that explains what he could do during the SEP. What can you tell him?
Answer: If the SEP is for MA coverage, he will generally have one opportunity tochange his
MA coverage.
5. Which of the following individuals has enrolled in a plan based on a fixed enrollment
period?
Answer: Ben enrolls in a Medicare Advantage plan during the MedicareAdvantage Open
Enrollment Period (MA OEP).
6. Mr. Chen is enrolled in his employer's group health plan and will be retiringsoon. 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?
Answer: Mr. Chen can disenroll from his employer-sponsored coverage to elect a Medicare
Advantage or Part D plan within 2 months of his disenrollment.
7. Mrs. Pierce would like to enroll in a Medicare Cost plan that offers Part D prescription
drug coverage. She comes to you for advice about when she canenroll in a plan you have
