2025 AHIP Final Exam with Questions and
Correct Answers
Richard ,is ,a ,licensed ,agent ,who ,represents ,Spartan ,Health ,Plan ,and ,its ,Medicare
,Advantage ,(MA) ,plans. ,Richard ,has ,several ,clients ,who ,have ,recently ,come ,to ,him
,for ,help ,who ,are ,in ,their ,initial ,coverage ,election ,period ,(ICEP) ,and ,are ,interested ,in
,enrolling ,in ,one ,of ,Spartan ,Health ,Plan's ,MA ,plans. ,Alice ,will ,soon ,turn ,65 ,and ,retire.
,Alice ,has ,coverage ,through ,Spartan ,Health ,Plan ,offered ,by ,her ,employer. ,Bob ,had
,health ,coverage ,through ,Spartan ,but ,dropped ,the ,coverage ,when ,he ,retired ,early ,to
,travel ,overseas. ,Bob, ,who ,has ,just ,turned ,age ,65, ,is ,now ,back ,in ,the ,United ,States.
,Charlotte, ,who ,will ,turn ,65 ,next ,month, ,has ,coverage ,through ,Athena ,Health ,plan ,- ,a
,company ,Richard ,also ,represents. ,Who ,qualifies ,for ,the ,opt-in ,simplified ,enrollment
,mechanism? ,- ,CORRECT ,ANSWER-Alice ,and ,Charlotte ,because ,each ,of ,them
,currently ,have ,health ,coverage ,and ,is ,in ,their ,initial ,coverage ,election ,period ,(ICEP).
Alice ,is ,enrolled ,in ,a ,MA-PD ,plan. ,She ,makes ,a ,permanent ,move ,across ,the ,country
,and ,wonders ,what ,her ,options ,are ,for ,continuing ,MA-PD ,coverage. ,What ,would ,you
,say ,to ,her ,in ,regard ,to ,a ,special ,enrollment ,period ,(SEP)? ,- ,CORRECT ,ANSWER-
She ,is ,likely ,to ,qualify ,for ,a ,SEP. ,She ,can ,choose ,an ,effective ,date ,of ,up ,to ,three
,months ,after ,the ,month ,in ,which ,the ,enrollment ,form ,is ,received ,by ,the ,new ,plan, ,but
,the ,effective ,date ,may ,not ,be ,earlier ,than ,the ,date ,of ,her ,permanent ,move.
Ms. ,Morris ,will ,turn ,65 ,on ,June ,10th. ,She ,has ,never ,previously ,qualified ,for ,Medicare.
,She ,is ,entitled ,to ,Medicare ,Part ,A ,and ,intends ,to ,enroll ,in ,Part ,B. ,She ,wants ,to ,know
,if ,she ,is ,eligible ,to ,enroll ,in ,a ,Medicare ,Advantage ,plan ,that ,includes ,prescription
,drug ,coverage. ,What ,do ,you ,tell ,her? ,- ,CORRECT ,ANSWER-Ms. ,Morris ,can ,enroll ,in
,an ,MA-PD ,plan ,now ,since ,her ,initial ,election ,period ,(IEP) ,for ,Part ,D ,prescription ,drug
,coverage ,and ,initial ,coverage ,period ,are ,occurring ,together ,beginning ,March ,1st ,and
,ending ,September ,30th.
Mr. ,Lopez, ,who ,is ,fairly ,well-off ,financially, ,would ,like ,to ,enroll ,in ,a ,Medicare
,prescription ,drug ,plan ,you ,represent ,and ,simply ,give ,you ,a ,check ,to ,cover ,his
,premiums ,for ,the ,entire ,year. ,What ,should ,you ,tell ,him? ,- ,CORRECT ,ANSWER-
Enrollees ,should ,pay ,using ,automatic ,withdrawal ,from ,a ,bank ,account ,or ,credit ,or
Correct Answers
Richard ,is ,a ,licensed ,agent ,who ,represents ,Spartan ,Health ,Plan ,and ,its ,Medicare
,Advantage ,(MA) ,plans. ,Richard ,has ,several ,clients ,who ,have ,recently ,come ,to ,him
,for ,help ,who ,are ,in ,their ,initial ,coverage ,election ,period ,(ICEP) ,and ,are ,interested ,in
,enrolling ,in ,one ,of ,Spartan ,Health ,Plan's ,MA ,plans. ,Alice ,will ,soon ,turn ,65 ,and ,retire.
,Alice ,has ,coverage ,through ,Spartan ,Health ,Plan ,offered ,by ,her ,employer. ,Bob ,had
,health ,coverage ,through ,Spartan ,but ,dropped ,the ,coverage ,when ,he ,retired ,early ,to
,travel ,overseas. ,Bob, ,who ,has ,just ,turned ,age ,65, ,is ,now ,back ,in ,the ,United ,States.
,Charlotte, ,who ,will ,turn ,65 ,next ,month, ,has ,coverage ,through ,Athena ,Health ,plan ,- ,a
,company ,Richard ,also ,represents. ,Who ,qualifies ,for ,the ,opt-in ,simplified ,enrollment
,mechanism? ,- ,CORRECT ,ANSWER-Alice ,and ,Charlotte ,because ,each ,of ,them
,currently ,have ,health ,coverage ,and ,is ,in ,their ,initial ,coverage ,election ,period ,(ICEP).
Alice ,is ,enrolled ,in ,a ,MA-PD ,plan. ,She ,makes ,a ,permanent ,move ,across ,the ,country
,and ,wonders ,what ,her ,options ,are ,for ,continuing ,MA-PD ,coverage. ,What ,would ,you
,say ,to ,her ,in ,regard ,to ,a ,special ,enrollment ,period ,(SEP)? ,- ,CORRECT ,ANSWER-
She ,is ,likely ,to ,qualify ,for ,a ,SEP. ,She ,can ,choose ,an ,effective ,date ,of ,up ,to ,three
,months ,after ,the ,month ,in ,which ,the ,enrollment ,form ,is ,received ,by ,the ,new ,plan, ,but
,the ,effective ,date ,may ,not ,be ,earlier ,than ,the ,date ,of ,her ,permanent ,move.
Ms. ,Morris ,will ,turn ,65 ,on ,June ,10th. ,She ,has ,never ,previously ,qualified ,for ,Medicare.
,She ,is ,entitled ,to ,Medicare ,Part ,A ,and ,intends ,to ,enroll ,in ,Part ,B. ,She ,wants ,to ,know
,if ,she ,is ,eligible ,to ,enroll ,in ,a ,Medicare ,Advantage ,plan ,that ,includes ,prescription
,drug ,coverage. ,What ,do ,you ,tell ,her? ,- ,CORRECT ,ANSWER-Ms. ,Morris ,can ,enroll ,in
,an ,MA-PD ,plan ,now ,since ,her ,initial ,election ,period ,(IEP) ,for ,Part ,D ,prescription ,drug
,coverage ,and ,initial ,coverage ,period ,are ,occurring ,together ,beginning ,March ,1st ,and
,ending ,September ,30th.
Mr. ,Lopez, ,who ,is ,fairly ,well-off ,financially, ,would ,like ,to ,enroll ,in ,a ,Medicare
,prescription ,drug ,plan ,you ,represent ,and ,simply ,give ,you ,a ,check ,to ,cover ,his
,premiums ,for ,the ,entire ,year. ,What ,should ,you ,tell ,him? ,- ,CORRECT ,ANSWER-
Enrollees ,should ,pay ,using ,automatic ,withdrawal ,from ,a ,bank ,account ,or ,credit ,or
