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