AHIP Module 5 | 2025-2026 LATEST UPDATED|20 ACTUAL EXAM
COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT |
100% VERFIED | ALREADY GRADED A+
Mr. Fitzgerald is selling his home to permanently move into a retirement facility near his daughter
in a neighboring state before the Annual Election Period. He has a stand-alone prescription drug
plan and has learned it is not available where he is moving. He doesn't know what he should do.
What can you tell him? - (answer)Because he is moving outside of the service area, the plan must
automatically disenroll him. He will have a special election period to select a new plan.
Mrs. Parker likes to handle most of her business matters through telephone calls. She currently is
enrolled in Original Medicare Parts A and B but has heard about a Medicare Advantage plan
offered by Senior Health from a neighbor. Mrs. Parker asks you whether she can enroll in Senior
Health's MA plan over the telephone. What can tell her? - (answer)II and III only
Ms. O'Donnell learned about a new MA-PD plan that her neighbor suggested and that you
represent. She plans to switch from her old MA HMO plan to the new MA-PD plan during the
Annual Election Period. However, she wants to make sure she does not end up paying premiums
for two plans. What can you tell her? - (answer)She only needs to enroll in the new MA-PD plan
and she will automatically be disenrolled from her old MA plan.
Mr. Ford enrolled in an MA-only plan in mid-November during the Annual Election Period (AEP).
On December 1, he calls you up and says that he has changed his mind and would like to enroll
into a MA-PD plan. What enrollment rules would apply in this case? - (answer)He can make as
, many enrollment changes as he likes during the Annual Election Period and the last choice made
prior to the end of the period will be the effective one as of January 1.
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 the plan after the plan has received her enrollment
form? - (answer)Evidence of plan membership, information on how to obtain services, and the
effective date of coverage.
Mrs. Reynolds is in her Medicare initial coverage election period (ICEP) and the date of her
entitlement to Part A and B has already occurred. Mrs. Reynolds has just signed up for a Medicare
Advantage plan on the second of the month. She is leaving for vacation in two weeks and wants
to know if her new coverage will start before she leaves. What should you tell her? -
(answer)Typically, her coverage would begin on the first day of the next month, so she should not
expect her coverage to begin before she leaves.
Miles is a licensed agent who represents Colgate Health and its Medicare Advantage (MA) plans.
Miles has several clients who have recently come to him for help. They are in their initial coverage
periods) (ICEP) and are interested in enrolling in one of Colgate Health's MA plans. Adam will
soon turn 68 and has decided to retire. Betty is about to turn 65 and has also decided to retire.
Adam and Betty both currently have coverage through Colgate Health. Charles had health
coverage through Colgate but dropped the coverage when he retired early to travel to Europe.
Charles has just turned age 65 and is now back in the United States. Diedre, who will turn 65 next
month, currently has coverage through Ditmas Health - a company that Miles also represents. Who
COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT |
100% VERFIED | ALREADY GRADED A+
Mr. Fitzgerald is selling his home to permanently move into a retirement facility near his daughter
in a neighboring state before the Annual Election Period. He has a stand-alone prescription drug
plan and has learned it is not available where he is moving. He doesn't know what he should do.
What can you tell him? - (answer)Because he is moving outside of the service area, the plan must
automatically disenroll him. He will have a special election period to select a new plan.
Mrs. Parker likes to handle most of her business matters through telephone calls. She currently is
enrolled in Original Medicare Parts A and B but has heard about a Medicare Advantage plan
offered by Senior Health from a neighbor. Mrs. Parker asks you whether she can enroll in Senior
Health's MA plan over the telephone. What can tell her? - (answer)II and III only
Ms. O'Donnell learned about a new MA-PD plan that her neighbor suggested and that you
represent. She plans to switch from her old MA HMO plan to the new MA-PD plan during the
Annual Election Period. However, she wants to make sure she does not end up paying premiums
for two plans. What can you tell her? - (answer)She only needs to enroll in the new MA-PD plan
and she will automatically be disenrolled from her old MA plan.
Mr. Ford enrolled in an MA-only plan in mid-November during the Annual Election Period (AEP).
On December 1, he calls you up and says that he has changed his mind and would like to enroll
into a MA-PD plan. What enrollment rules would apply in this case? - (answer)He can make as
, many enrollment changes as he likes during the Annual Election Period and the last choice made
prior to the end of the period will be the effective one as of January 1.
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 the plan after the plan has received her enrollment
form? - (answer)Evidence of plan membership, information on how to obtain services, and the
effective date of coverage.
Mrs. Reynolds is in her Medicare initial coverage election period (ICEP) and the date of her
entitlement to Part A and B has already occurred. Mrs. Reynolds has just signed up for a Medicare
Advantage plan on the second of the month. She is leaving for vacation in two weeks and wants
to know if her new coverage will start before she leaves. What should you tell her? -
(answer)Typically, her coverage would begin on the first day of the next month, so she should not
expect her coverage to begin before she leaves.
Miles is a licensed agent who represents Colgate Health and its Medicare Advantage (MA) plans.
Miles has several clients who have recently come to him for help. They are in their initial coverage
periods) (ICEP) and are interested in enrolling in one of Colgate Health's MA plans. Adam will
soon turn 68 and has decided to retire. Betty is about to turn 65 and has also decided to retire.
Adam and Betty both currently have coverage through Colgate Health. Charles had health
coverage through Colgate but dropped the coverage when he retired early to travel to Europe.
Charles has just turned age 65 and is now back in the United States. Diedre, who will turn 65 next
month, currently has coverage through Ditmas Health - a company that Miles also represents. Who
