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Understanding Medicare Enrollment: Key Scenarios & Solutions | AHIP Final Exam Test Bank | 3 Latest Versions (50 Qs Each) | 100% Verified Answers | A+ Graded | Brand New

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Ace your AHIP Final Exam with this exclusive test bank: Understanding Medicare Enrollment – Key Scenarios & Solutions ( Update). Includes: 3 Complete Versions – 50 Questions Each Correct & Verified Answers – Already Graded A+ Covers Key Medicare Scenarios & Solutions Latest Updates – Brand New, Revised Content Real Exam Style Q&A – Prepare with confidence Designed for insurance professionals and AHIP exam candidates, this resource ensures you stay current with the most updated Medicare enrollment rules, compliance requirements, and practice-ready scenarios. Perfect for: ️ AHIP Certification Prep ️ Medicare Advantage & Supplement Training ️ Insurance Agents & Brokers ️ Compliance & Continuing Education

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Institution
UNDERSTANDING MEDICARE ENROLLMENT
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UNDERSTANDING MEDICARE ENROLLMENT











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UNDERSTANDING MEDICARE ENROLLMENT
Course
UNDERSTANDING MEDICARE ENROLLMENT

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September 12, 2025
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UNDERSTANDING MEDICARE ENROLLMENT: KEY
SCENARIOS & SOLUTIONS/ AHIP FINAL
EXAMINATION TEST BANK 2024 | 3 VERSIONS WITH 50
QUESTIONS EACH/EADY GRADED /BRAND NEW 2024-
2025
Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part D during the
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 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? - RIGHT
ANS:>>>There is a MA Open Enrollment Period (OEP) that takes place between January 1 and
March 31, but Ms. Gonzales cannot use it because eligibility to use the OEP is available only to
MA enrollees.


Ms. Claggett is sixty-six (66) years old. She has been covered under Original Medicare for the
last six years due to her disability and has never been enrolled in a Medicare Advantage or a Part
D plan before. She wants to enroll in a Part D plan. She knows that there is such a thing as the
"Part D Initial Enrollment Period" (IEP) and has concluded that, since she has never enrolled in
such a plan before, she should be eligible to enroll under this period. What should you tell her
about how the Part D Initial Enrollment Period applies to her situation? - RIGHT ANS:>>>Ms.
Claggett has had two IEPs and missed them both. The first occurred three months before and
three months after the month when she was first entitled to Part A OR enrolled in Part B.
Because she was eligible for Medicare before age 65, Ms. Claggett had a second IEP based on
turning age 65, which has also expired.


Mary Samuels recently suffered a stroke while visiting her daughter and grandchildren. As a
result, Mary has been admitted to a rehabilitation hospital where she is expected to reside for
several months. The rehabilitation hospital is located outside the geographic area served by her
current Medicare Advantage (MA) plan. What options are available to Mary regarding her health
plan coverage? - RIGHT ANS:>>>Mary may make an unlimited number of MA enrollment
requests and may disenroll from her current MA plan.


Mrs. Pierce would like to enroll in a Medicare Cost plan that offers Part D prescription drug
coverage. She comes to you for advice about when she can enroll in a plan you have previously
discussed. What should you tell her? - RIGHT ANS:>>>Enrollment in Cost plans offering

,Part UD Ucoverage Uis Uavailable Uonly Uduring Uenrollment Uperiods Uunder Uthe UPart UD Uprogram, Uand
UCost Uplans Umust Uaccept Uenrollments Uduring Uthese Uperiods.




Mr. UFord Uenrolled Uin Uan UMA-only Uplan Uin Umid-November Uduring Uthe UAnnual UElection
UPeriod U(AEP). UOn UDecember U1, Uhe Ucalls Uyou Uup Uand Usays Uthat Uhe Uhas Uchanged Uhis Umind

Uand Uwould Ulike Uto Uenroll Uinto Ua UMA-PD Uplan. UWhat Uenrollment Urules Uwould Uapply Uin Uthis

Ucase? U- U RIGHT UANS:>>>He Ucan Umake Uas Umany Uenrollment Uchanges Uas Uhe Ulikes Uduring

Uthe UAnnual UElection UPeriod Uand Uthe Ulast Uchoice Umade Uprior Uto Uthe Uend Uof Uthe Uperiod Uwill

Ube Uthe Ueffective Uone Uas Uof UJanuary U1.




Which Uof Uthe Ufollowing Uindividuals Uis Umost Ulikely Uto Ube Ueligible Uto Uenroll Uin Ua UMedicare
UAdvantage U(MA) Uor UPart UD UPlan? U- U RIGHT UANS:>>>Jose, Ua Ugrandfather Uwho Uwas

Ugranted Uasylum Uand Uhas Uworked Uin Uthe UUnited UStates Ufor Umany U years.




Which Uof Uthe Ufollowing Uindividuals Uare Ulikely Uto Uqualify Ufor Ua Uspecial Uenrollment Uperiod
U(SEP) Ufor Ueither Ua UMA Uand/or UPart UD Udue Uto Ua Uchange Uof Uresidence?


I. Edward U(enrolled Uin UMA Uand UPart UD) Umoves Uto Ua Unew Uhome Uwithin Uthe Usame
Uneighborhood Uin Uhis Uexisting Uplan's Uservice Uarea.II. UFiona U(enrolled Uin UMA Uand UPart UD)

Umoves Ucross-country Uto Uan Uarea Uoutside Uher Uexisting Uplan's Uservice Uarea.III. UGilbert

Umoves Uinto Ua Uplan Uservice Uarea Uwhere Uthere Uis Unow Ua UPart UD Uplan Uavailable Uto Uhim

Ufrom Ua Uservice Uarea Uwhere Uno UPart UD Uplan Uwas Uavailable.IV. UHenry Umakes Ua Upermanent

Umove Uto Ua Unew Ustate Uproviding Uhim Uwith Unew UMA Uand UPart UD Uoptions. U- U RIGHT

UANS:>>>II, U III, Uand UIV Uonly




Mr. UKelly Uwants Uto Uknow Uwhether Uhe Uis Ueligible Uto Usign Uup Ufor Ua UPrivate Ufee-for-service
U(PFFS) Uplan. UWhat Uquestions Uwould Uyou Uneed Uto Uask Uto Udetermine Uhis Ueligibility? U-

U RIGHT UANS:>>>You Uwould Uneed Uto Uask UMr. UKelly Uif Uhe Uis Uentitled Uto UPart UA, Uenrolled

Uin UPart UB, Uand Uif Uhe Ulives Uin Uthe UPFFS Uplan's Uservice Uarea.




Mrs. USchneider Uhas UOriginal UMedicare UParts UA Uand UB Uand Uhas Ujust Uqualified Ufor Uher
Ustate's UMedicaid Uprogram, Uso Uthe Ustate Uis Unow Upaying Uher UPart UB Upremium Uand Ushe Uis

Uconsidered Ua Udual Ueligible. UWill Ugaining Ueligibility Ufor Uthis Uprogram Uaffect Uher Uability Uto

Uenroll Uin Ua UMedicare UAdvantage Uor UMedicare UPrescription UDrug Uplan? U- U RIGHT

UANS:>>>Yes. UQualifying Ufor Uthis Ustate Uprogram Ugives UMrs. USchneider Uaccess Uto Ua

USpecial UEnrollment UPeriod Uthat Uallows Uher Uto Umake Uchanges Uto Uher UMA Uand/or UPart UD

Uenrollment Uduring Uthe Ufirst U9 Umonths Uof Ueach Ucalendar U year.

,Phiona Uworks Uin Uthe UIT UDepartment Uof UBestCare UHealth UPlan. UPhiona Uis Uplaced Uin Ucharge
Uof UBestCare's Uefforts Uto Ufacilitate Uelectronic Uenrollment Uin Uits UMedicare UAdvantage Uplans.

UIn Usetting Uup Uthe Uenrollment Usite, Uwhich Uof Uthe Ufollowing Umust UPhiona Uconsider?


I. If Ua Ulegal Urepresentative Uis Ucompleting Uan Uelectronic Uenrollment Urequest, Uhe Uor Ushe
Umust Ufirst Uupload Uproof Uof Uhis Uor Uher Uauthority.


II. All Udata Uelements Urequired Uto Ucomplete Uan Uenrollment Urequest Umust Ube Ucaptured.
III. The Umechanism Umust Uadvise Ueach Uindividual Uat Uthe Ubeginning Uof Uthe Uprocess Uthat Uhe
Uor Ushe Uis Ucompleting Uan Uactual Uenrollment Urequest.


IV. The Umechanism Umust Ucapture Uan Uaccurate Utime Uand Udate Ustamp Uat Uthe Utime Uthe
Uapplicant Uenters Uthe Uonline Usite. U- U RIGHT UANS:>>>II Uand UIII Uonly




Mrs. URidgeway Uenrolled Uin UOriginal UMedicare Uand UMedigap Ucoverage Ufollowing Uher
Uretirements Useveral Uyears Uago. UFour Umonths Uago, UMrs. URidgeway Udropped Uher UMedigap

Upolicy Uto Uenroll Uin Ua UMedicare UAdvantage U(MA) Uplan Ufor Uthe Ufirst Utime. UUnfortunately,

UMrs. URidgeway Uhas Ufound Uthat Umany Uof Uher Uproviders Uare Unot Uin Uthe UMA Uplan's Unetwork.

UShe Uhas Ucome Uto Uyou Ufor Uadvice? UWhat Ushould Uyou Utell Uher? U- U RIGHT UANS:>>>She

Uqualifies Ufor Ua Uspecial Uenrollment Uperiod U(SEP) Uthat Uwill Uallow Uher Uto Umake Ua Uone-time

Uelection Uto Ureturn Uto UOriginal UMedicare Uand Ushe Ualso Uhas Ua Uguaranteed Ueligibility Uperiod Uto

Urejoin Uher UMedigap Uplan.




Mrs. UKendrick Uis Uin Ugood Uhealth, Uhas Uworked Ufor Umany Uyears Uand Uis Usix Umonths Uaway Ufrom
Uturning

65. UShe Uwants Uto Uknow Uwhat Ushe Uwill Uhave Uto Udo Uto Uenroll Uin Ua UMedicare UAdvantage
U(MA) Uplan Uas Usoon Uas Upossible. UWhat Ucould Uyou Utell Uher? U- U RIGHT UANS:>>>She Umay

Uenroll Uin Uan UMA Uplan Ubeginning Uthree Umonths Uimmediately Ubefore Uher Ufirst Uentitlement Uto

Uboth UMedicare UPart UA Uand UPart UB.




Mr. URockwell, Uage U67, Uis Uenrolled Uin UMedicare UPart UA, Ubut Ubecause Uhe Ucontinues Uto Uwork
Uand Uis Ucovered Uby Uan Uemployer Uhealth Uplan, Uhe Uhas Unot Uenrolled Uin UPart UB Uor UPart UD. UHe

Ureceives Ua Unotice Uon UJune U1 Uthat Uhis Uemployer Uis Ucutting Uback Uon Uprescription Udrug

Ubenefits Uand Uthat Uas Uof UJuly U1 Uhis Ucoverage Uwill Uno Ulonger Ube Ucreditable. UHe Uhas Ucome

Uto Uyou Ufor Uadvice. UWhat Uadvice Uwould Uyou Ugive UMr. URockwell Uabout Uspecial Uelection

Uperiods U(SEPs)? U- U RIGHT UANS:>>>Mr.

Rockwell Uis Ueligible Ufor Ua USEP Udue Uto Uhis Uinvoluntary Uloss Uof Ucreditable Udrug Ucoverage;
Uthe USEP Ubegins Uin UJune Uand Uends Uon USeptember U1- Utwo Umonths Uafter Uthe Uloss Uof

Ucreditable Ucoverage.




Mr. UChen Uis Uenrolled Uin Uhis Uemployer's Ugroup Uhealth Uplan Uand Uwill Ube Uretiring Usoon. UHe
Uwould Ulike Uto Uknow Uhis Uoptions Usince Uhe Uhas Udecided Uto Udrop Uhis Uretiree Ucoverage Uand Uis

Ueligible Ufor UMedicare. UWhat Ushould Uyou Utell Uhim? U- U RIGHT UANS:>>>Mr. UChen Ucan

Udisenroll Ufrom Uhis

, employer-sponsored Ucoverage Uto Uelect Ua UMedicare UAdvantage Uor UPart UD Uplan Uwithin U2
Umonths Uof Uhis Udisenrollment.




Mrs. UKumar Uwould Ulike Uher Udaughter, Uwho Ulives Uin Uanother Ustate, Uto Umeet Uwith Uyou Uduring
Uthe UAnnual UElection UPeriod Uto Uhelp Uher Ucomplete Uher Uenrollment Uin Ua UPart UD Uplan. UShe

Uasked Uyou Uwhen Ushe Ushould Uhave Uher Udaughter Uplan Uto Uvisit. UWhat Ucould Uyou Utell Uher? U-

U RIGHT UANS:>>>Her Udaughter Ushould Ucome Uin UNovember.




Mr. UGarrett Uhas Ujust Uentered Uhis UMA UInitial UCoverage UElection UPeriod U(ICEP). UWhat Uaction
Ucould Uyou Uhelp Uhim Utake Uduring Uthis Utime? U- U RIGHT UANS:>>>He Uwill Uhave Uone

Uopportunity Uto Uenroll Uin Ua UMedicare UAdvantage Uplan.




Mrs. UMargolis Ucontacts Uyou Uin UAugust Ubecause Ushe Uwill Ubecome Ueligible Ufor UMedicare Ufor
Uthe Ufirst Utime Uin UNovember. UShe Uwould Ulike Uto Umeet Uand Udiscuss Uplan Uchoices Uwith Uyou.

UWhat Uadvice Ushould Uyou Ugive Uher? U- U RIGHT UANS:>>>Tell Uher Uto Uwait Uuntil UOctober Uto

Udiscuss Uplan Uchoices Uwith Uyou Uso Uthat Uyou Ucan Ushare Uplan Ubenefits Ufor Uthe Ucurrent U year

Uas Uwell Uas Uany Uchanges Ufor Uthe Ufollowing Uyear Uthat Umay Uimpact Uher Uchoice.




Mrs. UYoung Uis Ucurrently Uenrolled Uin UOriginal UMedicare U(Parts UA Uand UB), Ubut Ushe Uhas Ubeen
Uworking Uwith UAgent UNeil UAdams Uin Uthe Uselection Uof Ua UMedicare UAdvantage U(MA) Uplan.

UIt Uis Umid- USeptember, Uand UMrs. UYoung Uis Ugoing Uon Uvacation. UAgent UAdams Uis Uconsidering

Usuggesting Uthat Uhe Uand UMrs. UYoung Ucomplete Uthe Uapplication Utogether Ubefore Ushe Uleaves.

UHe Uwill Uthen Usubmit Uthe Upaper Uapplication Ubefore Uthe Ustart Uof Uthe Uannual Uenrollment

Uperiod U(AEP). UWhat Uwould Uyou Usay UIf U you Uwere Uadvising UAgent UAdams? U- U RIGHT

UANS:>>>This Uis Ua Ubad Uidea. UAgents Uare Ugenerally Uprohibited Ufrom Usoliciting Uor Uaccepting

Uan Uenrollment Uform Ubefore Uthe Ustart Uof Uthe UAEP.




Mr. Uand UMrs. UNunez Uattended Uone Uof Uyour Usales Upresentations. UThey've Uasked Uyou Uto Ucome
Uto Utheir Uhome Uto Uclear Uup Ua Ufew Uquestions. UDuring Uthe Upresentation, UMrs. UNunez Ufeels

Utired Uand Utells Uyou Uthat Uher Uhusband Ucan Ufinish Uthings Uup. UShe Ugoes Uto Ubed. UAt Uthe Uend

Uof Uyour Udiscussion, UMr. UNunez Usays Uthat Uhe Uwants Uto Uenroll Uboth Uhimself Uand Uhis Uwife.

UWhat Ushould Uyou Udo? U- U RIGHT UANS:>>>As Ulong Uas Ushe Ucan Udo Uso, Uonly UMrs. UNunez

Ucan Usign Uher Uenrollment Uform. UMrs. UNunez Uwill Uhave Uto Uwake Uup Uto Usign Uher Uform Uor Udo

Uso Uat Uanother Utime.




Mr. UJohannsen Uis Uentitled Uto UMedicare UPart UA Uand UPart UB. UHe Ugains Uthe UPart UD Ulow-
income Usubsidy. UHow Udoes Uthat Uaffect Uhis Uability Uto Uenroll Uor Udisenroll Uin Ua UPart UD Uplan?
U- U RIGHT UANS:>>>He Uqualifies Ufor Ua Uspecial Uelection Uperiod Uand Ucan Uenroll Uin Uor

Udisenroll Ufrom Ua UPart UD Uplan Uonce Uduring Uthat Uperiod.

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