AHIP - 5
Save
Mr. Garcia was told he If the SEP is for MA coverage, he will generally have
qualifies for a Special one opportunity to change his MA coverage.
Enrollment Period (SEP),
but he lost the paper that
explains what he could do 3 multiple choice options
during the SEP. What can
you tell him?
Mrs. Walters is entitled to Yes. Mrs. Walters must be entitled to Part A or
Part A and has medical enrolled in Part B to be eligible for coverage under
coverage without drug the Medicare prescription drug program.
coverage through an
employer retiree plan. She
is not enrolled in Part B.
Since the employer plan
does not cover
3 multiple choice options
prescription drugs, she
wants to enroll in a
Medicare prescription
drug plan. Will she be
able to?
,Mrs. Goodman enrolled in During the MA Open Enrollment Period, from January
an MA-PD plan during the 1 - March 31, she may disenroll from the MA-PD plan
Annual Election Period. In into Original Medicare and also may add a stand-
mid-January of the alone prescription drug plan.
following year, she wants
to switch back to Original
Medicare and enroll in a
3 multiple choice options
stand-alone prescription
drug plan. What should
you tell her?
Mrs. Berkowitz wants to If the Medicare Advantage plan is a Private Fee-for-
enroll in a Medicare Service (PFFS) plan that does not offer drug coverage
Advantage plan that does or a Medical Savings Account plan, Mrs. Berkowitz
not include drug coverage can do this.
and also enroll in a stand-
alone Medicare
prescription drug plan. 3 multiple choice options
Under what circumstances
can she do this?
Ms. Lee is enrolled in an She is eligible for a Special Election Period that
MA-PD plan but will be begins either the month before her permanent move,
moving out of the plan's if the plan is notified in advance, or the month she
service area next month. provides notice of the move, and this period typically
She is worried that she will lasts an additional two months.
not be able to enroll in
another plan available in
her new residence until
3 multiple choice options
the Annual Election
Period. What should you
tell her?
,You are doing a sales "If you're not in very good health, you will probably
presentation for Mrs. do better with a different product."
Pearson. You know that
Medicare marketing
guidelines prohibit certain
types of statements. Apply
3 multiple choice options
those guidelines to the
following statements and
identify which would be
prohibited.
Mr. Anderson is a very Tell Mr. Anderson that you cannot accept any
organized individual and enrollment forms until the annual election period
has filled out and brought begins.
to you an enrollment form
on October 10 for a new
plan available January 1
next year. He is currently 3 multiple choice options
enrolled in Original
Medicare. What should
you do?
You are visiting with Mr. Mr. Tully's daughter can do so only, if she is authorized
Tully and his daughter at under state law as a court-appointed legal guardian,
her request. He has has a durable power of attorney for health care
advanced Alzheimer's and decisions, or is authorized under state surrogate
is incapable of consent laws to make health decisions.
understanding the
implications of choosing a
Medicare Advantage or
prescription drug plan. 3 multiple choice options
Can his daughter fill out
the enrollment form and
sign it for him?
, Ms. Gonzales decided to There is a MA Open Enrollment Period (OEP) that
remain in Original takes place between January 1 and March 31, but Ms.
Medicare (Parts A and B) Gonzales cannot use it because eligibility to use the
and Part D during the OEP is available only to MA enrollees.
Annual Enrollment Period
(AEP). At the beginning of
January, her neighbor told
her about the Medicare
Advantage (MA) plan he
selected. He also told her
there was an open
3 multiple choice options
enrollment period that she
might be able to use to
enroll in a MA plan. Ms.
Gonzales comes to you
for advice shortly after
speaking to her neighbor.
What should you tell her?
Save
Mr. Garcia was told he If the SEP is for MA coverage, he will generally have
qualifies for a Special one opportunity to change his MA coverage.
Enrollment Period (SEP),
but he lost the paper that
explains what he could do 3 multiple choice options
during the SEP. What can
you tell him?
Mrs. Walters is entitled to Yes. Mrs. Walters must be entitled to Part A or
Part A and has medical enrolled in Part B to be eligible for coverage under
coverage without drug the Medicare prescription drug program.
coverage through an
employer retiree plan. She
is not enrolled in Part B.
Since the employer plan
does not cover
3 multiple choice options
prescription drugs, she
wants to enroll in a
Medicare prescription
drug plan. Will she be
able to?
,Mrs. Goodman enrolled in During the MA Open Enrollment Period, from January
an MA-PD plan during the 1 - March 31, she may disenroll from the MA-PD plan
Annual Election Period. In into Original Medicare and also may add a stand-
mid-January of the alone prescription drug plan.
following year, she wants
to switch back to Original
Medicare and enroll in a
3 multiple choice options
stand-alone prescription
drug plan. What should
you tell her?
Mrs. Berkowitz wants to If the Medicare Advantage plan is a Private Fee-for-
enroll in a Medicare Service (PFFS) plan that does not offer drug coverage
Advantage plan that does or a Medical Savings Account plan, Mrs. Berkowitz
not include drug coverage can do this.
and also enroll in a stand-
alone Medicare
prescription drug plan. 3 multiple choice options
Under what circumstances
can she do this?
Ms. Lee is enrolled in an She is eligible for a Special Election Period that
MA-PD plan but will be begins either the month before her permanent move,
moving out of the plan's if the plan is notified in advance, or the month she
service area next month. provides notice of the move, and this period typically
She is worried that she will lasts an additional two months.
not be able to enroll in
another plan available in
her new residence until
3 multiple choice options
the Annual Election
Period. What should you
tell her?
,You are doing a sales "If you're not in very good health, you will probably
presentation for Mrs. do better with a different product."
Pearson. You know that
Medicare marketing
guidelines prohibit certain
types of statements. Apply
3 multiple choice options
those guidelines to the
following statements and
identify which would be
prohibited.
Mr. Anderson is a very Tell Mr. Anderson that you cannot accept any
organized individual and enrollment forms until the annual election period
has filled out and brought begins.
to you an enrollment form
on October 10 for a new
plan available January 1
next year. He is currently 3 multiple choice options
enrolled in Original
Medicare. What should
you do?
You are visiting with Mr. Mr. Tully's daughter can do so only, if she is authorized
Tully and his daughter at under state law as a court-appointed legal guardian,
her request. He has has a durable power of attorney for health care
advanced Alzheimer's and decisions, or is authorized under state surrogate
is incapable of consent laws to make health decisions.
understanding the
implications of choosing a
Medicare Advantage or
prescription drug plan. 3 multiple choice options
Can his daughter fill out
the enrollment form and
sign it for him?
, Ms. Gonzales decided to There is a MA Open Enrollment Period (OEP) that
remain in Original takes place between January 1 and March 31, but Ms.
Medicare (Parts A and B) Gonzales cannot use it because eligibility to use the
and Part D during the OEP is available only to MA enrollees.
Annual Enrollment Period
(AEP). At the beginning of
January, her neighbor told
her about the Medicare
Advantage (MA) plan he
selected. He also told her
there was an open
3 multiple choice options
enrollment period that she
might be able to use to
enroll in a MA plan. Ms.
Gonzales comes to you
for advice shortly after
speaking to her neighbor.
What should you tell her?
