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AHIP FINAL EXAM|| ALL QUESTIONS AND
100% CORRECT ANSWRS ALREADY GRADED
A+|| LATEST AND COMPLETE VERSION 2024-
2025 WITH VERIFIED SOLUTIONS|| ASSURED
PASS!!!
Mr. Garcia was told he qualifies for a Special Enrollment 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 to change his MA coverage.
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage
through an employer retiree plan. She is not enrolled in Part B. Since the employer
plan does not cover prescription drugs, she wants to enroll in a Medicare
prescription drug plan. Will she be able to? ANSWER: - Yes. Mrs. Walters
must be entitled to Part A or enrolled in Part B to be eligible for coverage under the
Medicare prescription drug program.
Mrs. Goodman enrolled in an MA-PD plan during the Annual Election Period. In
mid-January of the following year, she wants to switch back to Original Medicare
and enroll in a stand-alone prescription drug plan. What should you tell her?
ANSWER: - During the MA Open Enrollment Period, from January 1 - March
31, she may disenroll from the MA-PD plan into Original Medicare and also may
add a stand-alone prescription drug plan.
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include
drug coverage and also enroll in a stand-alone Medicare prescription drug plan.
Under what circumstances can she do this? ANSWER: - If the Medicare
Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug
coverage or a Medical Savings Account plan, Mrs. Berkowitz can do this.
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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? ANSWER: - She is eligible for a Special Election Period 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. 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? 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.
A client wants to give you an enrollment application on October 1 before the
beginning of the Annual Election Period because he is leaving on vacation for two
weeks and does not want to forget about turning it in. What should you tell him?
ANSWER: - You must tell him you are not permitted to take the form. If he
sends the form directly to the plan, the plan will process the enrollment on the day
the Annual Election Period begins.
When Myra 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? 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.
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
AHIP FINAL EXAM|| ALL QUESTIONS AND
100% CORRECT ANSWRS ALREADY GRADED
A+|| LATEST AND COMPLETE VERSION 2024-
2025 WITH VERIFIED SOLUTIONS|| ASSURED
PASS!!!
Mr. Garcia was told he qualifies for a Special Enrollment 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 to change his MA coverage.
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage
through an employer retiree plan. She is not enrolled in Part B. Since the employer
plan does not cover prescription drugs, she wants to enroll in a Medicare
prescription drug plan. Will she be able to? ANSWER: - Yes. Mrs. Walters
must be entitled to Part A or enrolled in Part B to be eligible for coverage under the
Medicare prescription drug program.
Mrs. Goodman enrolled in an MA-PD plan during the Annual Election Period. In
mid-January of the following year, she wants to switch back to Original Medicare
and enroll in a stand-alone prescription drug plan. What should you tell her?
ANSWER: - During the MA Open Enrollment Period, from January 1 - March
31, she may disenroll from the MA-PD plan into Original Medicare and also may
add a stand-alone prescription drug plan.
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include
drug coverage and also enroll in a stand-alone Medicare prescription drug plan.
Under what circumstances can she do this? ANSWER: - If the Medicare
Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug
coverage or a Medical Savings Account plan, Mrs. Berkowitz can do this.
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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? ANSWER: - She is eligible for a Special Election Period 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. 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? 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.
A client wants to give you an enrollment application on October 1 before the
beginning of the Annual Election Period because he is leaving on vacation for two
weeks and does not want to forget about turning it in. What should you tell him?
ANSWER: - You must tell him you are not permitted to take the form. If he
sends the form directly to the plan, the plan will process the enrollment on the day
the Annual Election Period begins.
When Myra 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? 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.
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
