2025 AHIP Module 5 questions and answers
2025 update
Which of the following individuals are likely to qualify for a special election period (SEP) for either a MA
and/or Part D due to a change of residence?
I. Edward (enrolled in MA and Part D) moves to a new home within the same neighborhood in his
existing plan's service area.
II. Fiona (enrolled in MA and Part D) moves cross-country to an area outside her existing plan's service
area.
III. Gilbert moves into a plan service area where there is now a Part D plan available to him from a
service area where no Part D plan was available.
IV. Henry makes a permanent move to a new state providing him with new MA and Part D options. - ->>
Ans II, III, and IV only.
Mr. Chen is enrolled in his employer's group health plan and will be retiring soon. He would like to know
his options since he has decided to drop his retiree coverage and is eligible for Medicare. What should
you tell him? - ->> Ans Mr. Chen can disenroll from his employer-sponsored coverage to elect a
Medicare Advantage or Part D plan within 2 months of his disenrollment.
Mr. Liu turns 65 on June 19. He has never previously qualified for Medicare so his first Medicare
eligibility date will be June 1. Mr. Liu's ICEP and Part D IEP begin on March 1 and end on September 30.
He wants prescription drug coverage with his Part A and Part B benefits. What advice can you provide
him? - ->> Ans He can enroll in a MA-PD as long as he enrolls in Part B and is entitled to Part A.
Mr. and Mrs. Nunez attended one of your sales presentations. They've asked you to come to their home
to clear up a few questions. During the presentation, Mrs. Nunez feels tired and tells you that her
husband can finish things up. She goes to bed. At the end of your discussion, Mr. Nunez says that he
wants to enroll both himself and his wife. What should you do? - ->> Ans As long as she can do so, only
Mrs. Nunez can sign her enrollment form. Mrs. Nunez will have to wake up to sign her form or do so at
another time.
Mr. Anderson is a very organized individual and has filled out and brought to you an enrollment form on
October 10 for a new plan available on January 1 next year. He is currently enrolled in Original Medicare.
What should you do? - ->> Ans Tell Mr. Anderson that you cannot accept any enrollment forms until the
annual election period begins.
2025 update
Which of the following individuals are likely to qualify for a special election period (SEP) for either a MA
and/or Part D due to a change of residence?
I. Edward (enrolled in MA and Part D) moves to a new home within the same neighborhood in his
existing plan's service area.
II. Fiona (enrolled in MA and Part D) moves cross-country to an area outside her existing plan's service
area.
III. Gilbert moves into a plan service area where there is now a Part D plan available to him from a
service area where no Part D plan was available.
IV. Henry makes a permanent move to a new state providing him with new MA and Part D options. - ->>
Ans II, III, and IV only.
Mr. Chen is enrolled in his employer's group health plan and will be retiring soon. He would like to know
his options since he has decided to drop his retiree coverage and is eligible for Medicare. What should
you tell him? - ->> Ans Mr. Chen can disenroll from his employer-sponsored coverage to elect a
Medicare Advantage or Part D plan within 2 months of his disenrollment.
Mr. Liu turns 65 on June 19. He has never previously qualified for Medicare so his first Medicare
eligibility date will be June 1. Mr. Liu's ICEP and Part D IEP begin on March 1 and end on September 30.
He wants prescription drug coverage with his Part A and Part B benefits. What advice can you provide
him? - ->> Ans He can enroll in a MA-PD as long as he enrolls in Part B and is entitled to Part A.
Mr. and Mrs. Nunez attended one of your sales presentations. They've asked you to come to their home
to clear up a few questions. During the presentation, Mrs. Nunez feels tired and tells you that her
husband can finish things up. She goes to bed. At the end of your discussion, Mr. Nunez says that he
wants to enroll both himself and his wife. What should you do? - ->> Ans As long as she can do so, only
Mrs. Nunez can sign her enrollment form. Mrs. Nunez will have to wake up to sign her form or do so at
another time.
Mr. Anderson is a very organized individual and has filled out and brought to you an enrollment form on
October 10 for a new plan available on January 1 next year. He is currently enrolled in Original Medicare.
What should you do? - ->> Ans Tell Mr. Anderson that you cannot accept any enrollment forms until the
annual election period begins.
