2025 AHIP Module 5
Which of the subsequent people are likely to qualify for a unique election length (SEP) for
both a MA and/or Part D due to a exchange of residence?
I. Edward (enrolled in MA and Part D) movements to a brand new home within the identical
community in his present plan's carrier area.
II. Fiona (enrolled in MA and Part D) movements pass-u . S . To a place outdoor her present
plan's carrier vicinity.
III. Gilbert movements right into a plan provider area wherein there is now a Part D plan to
be had to him from a service location where no Part D plan was available.
IV. Henry makes a everlasting move to a new country imparting him with new MA and Part D
alternatives.
A. II, III, and IV handiest.
B. II and III handiest.
C. I, II, III and IV.
D. I and II simplest. - ANSa
Mrs. Ridgeway enrolled in Original Medicare and Medigap insurance following her retirement
several years in the past. Four months ago, Mrs. Ridgeway dropped her Medigap coverage
to sign up for a Medicare Advantage (MA) plan for the first time. Unfortunately, Mrs.
Ridgeway has discovered that a lot of her companies aren't inside the MA plan's community.
She has come to you for advice. What must you tell her?
A. She qualifies for a special election length (SEP) with a purpose to permit her to make a
one-time election to return to Original Medicare, but she might also or may not qualify to
rejoin her Medigap plan based totally on scientific underwriting.
B. She should wait till the subsequent MA Open Enrollment Period (OEP) during which she
will select to go back to Original Medicare.
C. She must wait till the next Annual Election Period (AEP) for the duration of which she
might also choose another MA plan.
D. She qualifies for a special election period (SEP) with a purpose to permit her to make a
one - ANSd
Mr. Liu turns 65 on June 19. He has never formerly qualified for Medicare so his first
Medicare eligibility date may be June 1. Mr. Liu's ICEP and Part D IEP begin on March 1 and
, end on September 30. He wishes prescription drug coverage together with his Part A and
Part B advantages. What recommendation can you offer him?
A. He can join in a MA plan now, but he'll must wait until the subsequent Annual Election
Period to obtain prescription drug coverage.
B. He should wait until the following Annual Election Period to sign up for a MA-PD plan.
C. Since this is his first time qualifying for Medicare, he'll must enroll in Original Medicare
with a Part D plan this 12 months and trade his enrollment to a MA-PD plan next 12 months.
D. He can join in a MA-PD as long as he enrolls in Part B and is entitled to Part A. - ANSd
Mr. Chen is enrolled in his company's institution fitness plan and might be retiring quickly. He
would really like to recognize his alternatives considering he has determined to drop his
retiree coverage and is eligible for Medicare. What should you inform him?
A. Mr. Chen can disenroll from his company-subsidized insurance to go with a Medicare
Advantage or Part D plan, but he have to wait till the next Annual Election Period.
B. Mr. Chen should convert his modern insurance to enterprise-subsidized retiree insurance
and wait twelve months earlier than enrolling in a MA or Part D plan.
C. Mr. Chen can disenroll from the business enterprise-sponsored plan and his handiest
option is to pick out a Medigap plan.
D. Mr. Chen can disenroll from his agency-subsidized insurance to select a Medicare
Advantage or Part D plan within 2 months of his disenrollment. - ANSd
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), however 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 excursion. Agent Adams is thinking about
suggesting that he and Mrs. Young complete the application collectively before she leaves.
He will then submit the paper utility earlier than the begin of the once a year enrollment
period (AEP). What would you are saying If you had been advising Agent Adams?
A. This is a good concept. The plan will keep Mrs. Young's application and procedure it while
the AEP starts.
B. This is a terrible idea. Mrs. Young have to entire an internet application now so that Agent
Adams will be given immediately credit score for his paintings as soon as the AEP begins.
C. This is a good idea. This locks Mrs. Young right into a plan and protects Agent Adams'
fee.
D. This is a bad concept. Agents are generally prohibited from soliciting - ANSd
Which of the subsequent people are likely to qualify for a unique election length (SEP) for
both a MA and/or Part D due to a exchange of residence?
I. Edward (enrolled in MA and Part D) movements to a brand new home within the identical
community in his present plan's carrier area.
II. Fiona (enrolled in MA and Part D) movements pass-u . S . To a place outdoor her present
plan's carrier vicinity.
III. Gilbert movements right into a plan provider area wherein there is now a Part D plan to
be had to him from a service location where no Part D plan was available.
IV. Henry makes a everlasting move to a new country imparting him with new MA and Part D
alternatives.
A. II, III, and IV handiest.
B. II and III handiest.
C. I, II, III and IV.
D. I and II simplest. - ANSa
Mrs. Ridgeway enrolled in Original Medicare and Medigap insurance following her retirement
several years in the past. Four months ago, Mrs. Ridgeway dropped her Medigap coverage
to sign up for a Medicare Advantage (MA) plan for the first time. Unfortunately, Mrs.
Ridgeway has discovered that a lot of her companies aren't inside the MA plan's community.
She has come to you for advice. What must you tell her?
A. She qualifies for a special election length (SEP) with a purpose to permit her to make a
one-time election to return to Original Medicare, but she might also or may not qualify to
rejoin her Medigap plan based totally on scientific underwriting.
B. She should wait till the subsequent MA Open Enrollment Period (OEP) during which she
will select to go back to Original Medicare.
C. She must wait till the next Annual Election Period (AEP) for the duration of which she
might also choose another MA plan.
D. She qualifies for a special election period (SEP) with a purpose to permit her to make a
one - ANSd
Mr. Liu turns 65 on June 19. He has never formerly qualified for Medicare so his first
Medicare eligibility date may be June 1. Mr. Liu's ICEP and Part D IEP begin on March 1 and
, end on September 30. He wishes prescription drug coverage together with his Part A and
Part B advantages. What recommendation can you offer him?
A. He can join in a MA plan now, but he'll must wait until the subsequent Annual Election
Period to obtain prescription drug coverage.
B. He should wait until the following Annual Election Period to sign up for a MA-PD plan.
C. Since this is his first time qualifying for Medicare, he'll must enroll in Original Medicare
with a Part D plan this 12 months and trade his enrollment to a MA-PD plan next 12 months.
D. He can join in a MA-PD as long as he enrolls in Part B and is entitled to Part A. - ANSd
Mr. Chen is enrolled in his company's institution fitness plan and might be retiring quickly. He
would really like to recognize his alternatives considering he has determined to drop his
retiree coverage and is eligible for Medicare. What should you inform him?
A. Mr. Chen can disenroll from his company-subsidized insurance to go with a Medicare
Advantage or Part D plan, but he have to wait till the next Annual Election Period.
B. Mr. Chen should convert his modern insurance to enterprise-subsidized retiree insurance
and wait twelve months earlier than enrolling in a MA or Part D plan.
C. Mr. Chen can disenroll from the business enterprise-sponsored plan and his handiest
option is to pick out a Medigap plan.
D. Mr. Chen can disenroll from his agency-subsidized insurance to select a Medicare
Advantage or Part D plan within 2 months of his disenrollment. - ANSd
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), however 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 excursion. Agent Adams is thinking about
suggesting that he and Mrs. Young complete the application collectively before she leaves.
He will then submit the paper utility earlier than the begin of the once a year enrollment
period (AEP). What would you are saying If you had been advising Agent Adams?
A. This is a good concept. The plan will keep Mrs. Young's application and procedure it while
the AEP starts.
B. This is a terrible idea. Mrs. Young have to entire an internet application now so that Agent
Adams will be given immediately credit score for his paintings as soon as the AEP begins.
C. This is a good idea. This locks Mrs. Young right into a plan and protects Agent Adams'
fee.
D. This is a bad concept. Agents are generally prohibited from soliciting - ANSd
