AHIP MODULE 5 WITH COMPLETE SOLUTIONS
GUARANTEED PASS
Willard works as a representative focused on the senior marketplace.
What would be considered prohibited activity by Willard? - ANSWER -
>Implying that only seniors can enroll in a Medicare Advantage plan
when meeting with Mr. Hernandez, who is 58 but qualifies for
Medicare because he is disabled.
Mr. Wendt suffers from diabetes which has gotten progressively worse
during the last year. He is currently enrolled in Original Medicare (Parts
A and B) and a Part D prescription drug plan and did not enroll in a
Medicare Advantage (MA) plan during the last annual open enrollment
period (AEP) which has just closed. Mr. Wendt has heard certain MA
plans might provide him with more specialized coverage for his
diabetes and wants to know if he must wait until the next annual open
enrollment period (AEP) before enrolling in such a plan. What should
you tell him? - ANSWER ->If there is a special needs plan (SNP) in Mr.
Wendt's area that specializes in caring for individuals with diabetes, he
may enroll in the SNP at any time under a special election period (SEP)
, 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? - ANSWER ->Ms. 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.
Mrs. Johnson calls to tell you she has not received her new plan ID card
yet, but she needs to see a doctor. What can she expect to receive from
GUARANTEED PASS
Willard works as a representative focused on the senior marketplace.
What would be considered prohibited activity by Willard? - ANSWER -
>Implying that only seniors can enroll in a Medicare Advantage plan
when meeting with Mr. Hernandez, who is 58 but qualifies for
Medicare because he is disabled.
Mr. Wendt suffers from diabetes which has gotten progressively worse
during the last year. He is currently enrolled in Original Medicare (Parts
A and B) and a Part D prescription drug plan and did not enroll in a
Medicare Advantage (MA) plan during the last annual open enrollment
period (AEP) which has just closed. Mr. Wendt has heard certain MA
plans might provide him with more specialized coverage for his
diabetes and wants to know if he must wait until the next annual open
enrollment period (AEP) before enrolling in such a plan. What should
you tell him? - ANSWER ->If there is a special needs plan (SNP) in Mr.
Wendt's area that specializes in caring for individuals with diabetes, he
may enroll in the SNP at any time under a special election period (SEP)
, 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? - ANSWER ->Ms. 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.
Mrs. Johnson calls to tell you she has not received her new plan ID card
yet, but she needs to see a doctor. What can she expect to receive from
