.
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 QD Qcoverage Qis Qavailable Qonly Qduring Qenrollment Qperiods Qunder Qthe QPart QD Qprogram, Qand
QCost Qplans Qmust Qaccept Qenrollments Qduring Qthese Qperiods.
Mr. QFord Qenrolled Qin Qan QMA-only Qplan Qin Qmid-November Qduring Qthe QAnnual QElection
QPeriod Q(AEP). QOn QDecember Q1, Qhe Qcalls Qyou Qup Qand Qsays Qthat Qhe Qhas Qchanged Qhis Qmind
Qand Qwould Qlike Qto Qenroll Qinto Qa QMA-PD Qplan. QWhat Qenrollment Qrules Qwould Qapply Qin Qthis
Qcase? Q- Q RIGHT QANS:>>>He Qcan Qmake Qas Qmany Qenrollment Qchanges Qas Qhe Qlikes Qduring
Qthe QAnnual QElection QPeriod Qand Qthe Qlast Qchoice Qmade Qprior Qto Qthe Qend Qof Qthe Qperiod Qwill
Qbe Qthe Qeffective Qone Qas Qof QJanuary Q1.
Which Qof Qthe Qfollowing Qindividuals Qis Qmost Qlikely Qto Qbe Qeligible Qto Qenroll Qin Qa QMedicare
QAdvantage Q(MA) Qor QPart QD QPlan? Q- Q RIGHT QANS:>>>Jose, Qa Qgrandfather Qwho Qwas
Qgranted Qasylum Qand Qhas Qworked Qin Qthe QUnited QStates Qfor Qmany Q years.
Which Qof Qthe Qfollowing Qindividuals Qare Qlikely Qto Qqualify Qfor Qa Qspecial Qenrollment Qperiod
Q(SEP) Qfor Qeither Qa QMA Qand/or QPart QD Qdue Qto Qa Qchange Qof Qresidence?
I. Edward Q(enrolled Qin QMA Qand QPart QD) Qmoves Qto Qa Qnew Qhome Qwithin Qthe Qsame
Qneighborhood Qin Qhis Qexisting Qplan's Qservice Qarea.II. QFiona Q(enrolled Qin QMA Qand QPart QD)
Qmoves Qcross-country Qto Qan Qarea Qoutside Qher Qexisting Qplan's Qservice Qarea.III. QGilbert
Qmoves Qinto Qa Qplan Qservice Qarea Qwhere Qthere Qis Qnow Qa QPart QD Qplan Qavailable Qto Qhim
Qfrom Qa Qservice Qarea Qwhere Qno QPart QD Qplan Qwas Qavailable.IV. QHenry Qmakes Qa Qpermanent
Qmove Qto Qa Qnew Qstate Qproviding Qhim Qwith Qnew QMA Qand QPart QD Qoptions. Q- Q RIGHT
QANS:>>>II, Q III, Qand QIV Qonly
Mr. QKelly Qwants Qto Qknow Qwhether Qhe Qis Qeligible Qto Qsign Qup Qfor Qa QPrivate Qfee-for-service
Q(PFFS) Qplan. QWhat Qquestions Qwould Qyou Qneed Qto Qask Qto Qdetermine Qhis Qeligibility? Q-
Q RIGHT QANS:>>>You Qwould Qneed Qto Qask QMr. QKelly Qif Qhe Qis Qentitled Qto QPart QA, Qenrolled
Qin QPart QB, Qand Qif Qhe Qlives Qin Qthe QPFFS Qplan's Qservice Qarea.
Mrs. QSchneider Qhas QOriginal QMedicare QParts QA Qand QB Qand Qhas Qjust Qqualified Qfor Qher
Qstate's QMedicaid Qprogram, Qso Qthe Qstate Qis Qnow Qpaying Qher QPart QB Qpremium Qand Qshe Qis
Qconsidered Qa Qdual Qeligible. QWill Qgaining Qeligibility Qfor Qthis Qprogram Qaffect Qher Qability Qto
Qenroll Qin Qa QMedicare QAdvantage Qor QMedicare QPrescription QDrug Qplan? Q- Q RIGHT
QANS:>>>Yes. QQualifying Qfor Qthis Qstate Qprogram Qgives QMrs. QSchneider Qaccess Qto Qa
QSpecial QEnrollment QPeriod Qthat Qallows Qher Qto Qmake Qchanges Qto Qher QMA Qand/or QPart QD
Qenrollment Qduring Qthe Qfirst Q9 Qmonths Qof Qeach Qcalendar Q year.
,Phiona Qworks Qin Qthe QIT QDepartment Qof QBestCare QHealth QPlan. QPhiona Qis Qplaced Qin Qcharge
Qof QBestCare's Qefforts Qto Qfacilitate Qelectronic Qenrollment Qin Qits QMedicare QAdvantage Qplans.
QIn Qsetting Qup Qthe Qenrollment Qsite, Qwhich Qof Qthe Qfollowing Qmust QPhiona Qconsider?
I. If Qa Qlegal Qrepresentative Qis Qcompleting Qan Qelectronic Qenrollment Qrequest, Qhe Qor Qshe
Qmust Qfirst Qupload Qproof Qof Qhis Qor Qher Qauthority.
II. All Qdata Qelements Qrequired Qto Qcomplete Qan Qenrollment Qrequest Qmust Qbe Qcaptured.
III. The Qmechanism Qmust Qadvise Qeach Qindividual Qat Qthe Qbeginning Qof Qthe Qprocess Qthat Qhe
Qor Qshe Qis Qcompleting Qan Qactual Qenrollment Qrequest.
IV. The Qmechanism Qmust Qcapture Qan Qaccurate Qtime Qand Qdate Qstamp Qat Qthe Qtime Qthe
Qapplicant Qenters Qthe Qonline Qsite. Q- Q RIGHT QANS:>>>II Qand QIII Qonly
Mrs. QRidgeway Qenrolled Qin QOriginal QMedicare Qand QMedigap Qcoverage Qfollowing Qher
Qretirements Qseveral Qyears Qago. QFour Qmonths Qago, QMrs. QRidgeway Qdropped Qher QMedigap
Qpolicy Qto Qenroll Qin Qa QMedicare QAdvantage Q(MA) Qplan Qfor Qthe Qfirst Qtime. QUnfortunately,
QMrs. QRidgeway Qhas Qfound Qthat Qmany Qof Qher Qproviders Qare Qnot Qin Qthe QMA Qplan's Qnetwork.
QShe Qhas Qcome Qto Qyou Qfor Qadvice? QWhat Qshould Qyou Qtell Qher? Q- Q RIGHT QANS:>>>She
Qqualifies Qfor Qa Qspecial Qenrollment Qperiod Q(SEP) Qthat Qwill Qallow Qher Qto Qmake Qa Qone-time
Qelection Qto Qreturn Qto QOriginal QMedicare Qand Qshe Qalso Qhas Qa Qguaranteed Qeligibility Qperiod Qto
Qrejoin Qher QMedigap Qplan.
Mrs. QKendrick Qis Qin Qgood Qhealth, Qhas Qworked Qfor Qmany Qyears Qand Qis Qsix Qmonths Qaway Qfrom
Qturning
65. QShe Qwants Qto Qknow Qwhat Qshe Qwill Qhave Qto Qdo Qto Qenroll Qin Qa QMedicare QAdvantage
Q(MA) Qplan Qas Qsoon Qas Qpossible. QWhat Qcould Qyou Qtell Qher? Q- Q RIGHT QANS:>>>She Qmay
Qenroll Qin Qan QMA Qplan Qbeginning Qthree Qmonths Qimmediately Qbefore Qher Qfirst Qentitlement Qto
Qboth QMedicare QPart QA Qand QPart QB.
Mr. QRockwell, Qage Q67, Qis Qenrolled Qin QMedicare QPart QA, Qbut Qbecause Qhe Qcontinues Qto Qwork
Qand Qis Qcovered Qby Qan Qemployer Qhealth Qplan, Qhe Qhas Qnot Qenrolled Qin QPart QB Qor QPart QD. QHe
Qreceives Qa Qnotice Qon QJune Q1 Qthat Qhis Qemployer Qis Qcutting Qback Qon Qprescription Qdrug
Qbenefits Qand Qthat Qas Qof QJuly Q1 Qhis Qcoverage Qwill Qno Qlonger Qbe Qcreditable. QHe Qhas Qcome
Qto Qyou Qfor Qadvice. QWhat Qadvice Qwould Qyou Qgive QMr. QRockwell Qabout Qspecial Qelection
Qperiods Q(SEPs)? Q- Q RIGHT QANS:>>>Mr.
Rockwell Qis Qeligible Qfor Qa QSEP Qdue Qto Qhis Qinvoluntary Qloss Qof Qcreditable Qdrug Qcoverage;
Qthe QSEP Qbegins Qin QJune Qand Qends Qon QSeptember Q1- Qtwo Qmonths Qafter Qthe Qloss Qof
Qcreditable Qcoverage.
Mr. QChen Qis Qenrolled Qin Qhis Qemployer's Qgroup Qhealth Qplan Qand Qwill Qbe Qretiring Qsoon. QHe
Qwould Qlike Qto Qknow Qhis Qoptions Qsince Qhe Qhas Qdecided Qto Qdrop Qhis Qretiree Qcoverage Qand Qis
Qeligible Qfor QMedicare. QWhat Qshould Qyou Qtell Qhim? Q- Q RIGHT QANS:>>>Mr. QChen Qcan
Qdisenroll Qfrom Qhis
, employer-sponsored Qcoverage Qto Qelect Qa QMedicare QAdvantage Qor QPart QD Qplan Qwithin Q2
Qmonths Qof Qhis Qdisenrollment.
Mrs. QKumar Qwould Qlike Qher Qdaughter, Qwho Qlives Qin Qanother Qstate, Qto Qmeet Qwith Qyou Qduring
Qthe QAnnual QElection QPeriod Qto Qhelp Qher Qcomplete Qher Qenrollment Qin Qa QPart QD Qplan. QShe
Qasked Qyou Qwhen Qshe Qshould Qhave Qher Qdaughter Qplan Qto Qvisit. QWhat Qcould Qyou Qtell Qher? Q-
Q RIGHT QANS:>>>Her Qdaughter Qshould Qcome Qin QNovember.
Mr. QGarrett Qhas Qjust Qentered Qhis QMA QInitial QCoverage QElection QPeriod Q(ICEP). QWhat Qaction
Qcould Qyou Qhelp Qhim Qtake Qduring Qthis Qtime? Q- Q RIGHT QANS:>>>He Qwill Qhave Qone
Qopportunity Qto Qenroll Qin Qa QMedicare QAdvantage Qplan.
Mrs. QMargolis Qcontacts Qyou Qin QAugust Qbecause Qshe Qwill Qbecome Qeligible Qfor QMedicare Qfor
Qthe Qfirst Qtime Qin QNovember. QShe Qwould Qlike Qto Qmeet Qand Qdiscuss Qplan Qchoices Qwith Qyou.
QWhat Qadvice Qshould Qyou Qgive Qher? Q- Q RIGHT QANS:>>>Tell Qher Qto Qwait Quntil QOctober Qto
Qdiscuss Qplan Qchoices Qwith Qyou Qso Qthat Qyou Qcan Qshare Qplan Qbenefits Qfor Qthe Qcurrent Q year
Qas Qwell Qas Qany Qchanges Qfor Qthe Qfollowing Qyear Qthat Qmay Qimpact Qher Qchoice.
Mrs. QYoung Qis Qcurrently Qenrolled Qin QOriginal QMedicare Q(Parts QA Qand QB), Qbut Qshe Qhas Qbeen
Qworking Qwith QAgent QNeil QAdams Qin Qthe Qselection Qof Qa QMedicare QAdvantage Q(MA) Qplan.
QIt Qis Qmid- QSeptember, Qand QMrs. QYoung Qis Qgoing Qon Qvacation. QAgent QAdams Qis Qconsidering
Qsuggesting Qthat Qhe Qand QMrs. QYoung Qcomplete Qthe Qapplication Qtogether Qbefore Qshe Qleaves.
QHe Qwill Qthen Qsubmit Qthe Qpaper Qapplication Qbefore Qthe Qstart Qof Qthe Qannual Qenrollment
Qperiod Q(AEP). QWhat Qwould Qyou Qsay QIf Q you Qwere Qadvising QAgent QAdams? Q- Q RIGHT
QANS:>>>This Qis Qa Qbad Qidea. QAgents Qare Qgenerally Qprohibited Qfrom Qsoliciting Qor Qaccepting
Qan Qenrollment Qform Qbefore Qthe Qstart Qof Qthe QAEP.
Mr. Qand QMrs. QNunez Qattended Qone Qof Qyour Qsales Qpresentations. QThey've Qasked Qyou Qto Qcome
Qto Qtheir Qhome Qto Qclear Qup Qa Qfew Qquestions. QDuring Qthe Qpresentation, QMrs. QNunez Qfeels
Qtired Qand Qtells Qyou Qthat Qher Qhusband Qcan Qfinish Qthings Qup. QShe Qgoes Qto Qbed. QAt Qthe Qend
Qof Qyour Qdiscussion, QMr. QNunez Qsays Qthat Qhe Qwants Qto Qenroll Qboth Qhimself Qand Qhis Qwife.
QWhat Qshould Qyou Qdo? Q- Q RIGHT QANS:>>>As Qlong Qas Qshe Qcan Qdo Qso, Qonly QMrs. QNunez
Qcan Qsign Qher Qenrollment Qform. QMrs. QNunez Qwill Qhave Qto Qwake Qup Qto Qsign Qher Qform Qor Qdo
Qso Qat Qanother Qtime.
Mr. QJohannsen Qis Qentitled Qto QMedicare QPart QA Qand QPart QB. QHe Qgains Qthe QPart QD Qlow-
income Qsubsidy. QHow Qdoes Qthat Qaffect Qhis Qability Qto Qenroll Qor Qdisenroll Qin Qa QPart QD Qplan?
Q- Q RIGHT QANS:>>>He Qqualifies Qfor Qa Qspecial Qelection Qperiod Qand Qcan Qenroll Qin Qor
Qdisenroll Qfrom Qa QPart QD Qplan Qonce Qduring Qthat Qperiod.
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 QD Qcoverage Qis Qavailable Qonly Qduring Qenrollment Qperiods Qunder Qthe QPart QD Qprogram, Qand
QCost Qplans Qmust Qaccept Qenrollments Qduring Qthese Qperiods.
Mr. QFord Qenrolled Qin Qan QMA-only Qplan Qin Qmid-November Qduring Qthe QAnnual QElection
QPeriod Q(AEP). QOn QDecember Q1, Qhe Qcalls Qyou Qup Qand Qsays Qthat Qhe Qhas Qchanged Qhis Qmind
Qand Qwould Qlike Qto Qenroll Qinto Qa QMA-PD Qplan. QWhat Qenrollment Qrules Qwould Qapply Qin Qthis
Qcase? Q- Q RIGHT QANS:>>>He Qcan Qmake Qas Qmany Qenrollment Qchanges Qas Qhe Qlikes Qduring
Qthe QAnnual QElection QPeriod Qand Qthe Qlast Qchoice Qmade Qprior Qto Qthe Qend Qof Qthe Qperiod Qwill
Qbe Qthe Qeffective Qone Qas Qof QJanuary Q1.
Which Qof Qthe Qfollowing Qindividuals Qis Qmost Qlikely Qto Qbe Qeligible Qto Qenroll Qin Qa QMedicare
QAdvantage Q(MA) Qor QPart QD QPlan? Q- Q RIGHT QANS:>>>Jose, Qa Qgrandfather Qwho Qwas
Qgranted Qasylum Qand Qhas Qworked Qin Qthe QUnited QStates Qfor Qmany Q years.
Which Qof Qthe Qfollowing Qindividuals Qare Qlikely Qto Qqualify Qfor Qa Qspecial Qenrollment Qperiod
Q(SEP) Qfor Qeither Qa QMA Qand/or QPart QD Qdue Qto Qa Qchange Qof Qresidence?
I. Edward Q(enrolled Qin QMA Qand QPart QD) Qmoves Qto Qa Qnew Qhome Qwithin Qthe Qsame
Qneighborhood Qin Qhis Qexisting Qplan's Qservice Qarea.II. QFiona Q(enrolled Qin QMA Qand QPart QD)
Qmoves Qcross-country Qto Qan Qarea Qoutside Qher Qexisting Qplan's Qservice Qarea.III. QGilbert
Qmoves Qinto Qa Qplan Qservice Qarea Qwhere Qthere Qis Qnow Qa QPart QD Qplan Qavailable Qto Qhim
Qfrom Qa Qservice Qarea Qwhere Qno QPart QD Qplan Qwas Qavailable.IV. QHenry Qmakes Qa Qpermanent
Qmove Qto Qa Qnew Qstate Qproviding Qhim Qwith Qnew QMA Qand QPart QD Qoptions. Q- Q RIGHT
QANS:>>>II, Q III, Qand QIV Qonly
Mr. QKelly Qwants Qto Qknow Qwhether Qhe Qis Qeligible Qto Qsign Qup Qfor Qa QPrivate Qfee-for-service
Q(PFFS) Qplan. QWhat Qquestions Qwould Qyou Qneed Qto Qask Qto Qdetermine Qhis Qeligibility? Q-
Q RIGHT QANS:>>>You Qwould Qneed Qto Qask QMr. QKelly Qif Qhe Qis Qentitled Qto QPart QA, Qenrolled
Qin QPart QB, Qand Qif Qhe Qlives Qin Qthe QPFFS Qplan's Qservice Qarea.
Mrs. QSchneider Qhas QOriginal QMedicare QParts QA Qand QB Qand Qhas Qjust Qqualified Qfor Qher
Qstate's QMedicaid Qprogram, Qso Qthe Qstate Qis Qnow Qpaying Qher QPart QB Qpremium Qand Qshe Qis
Qconsidered Qa Qdual Qeligible. QWill Qgaining Qeligibility Qfor Qthis Qprogram Qaffect Qher Qability Qto
Qenroll Qin Qa QMedicare QAdvantage Qor QMedicare QPrescription QDrug Qplan? Q- Q RIGHT
QANS:>>>Yes. QQualifying Qfor Qthis Qstate Qprogram Qgives QMrs. QSchneider Qaccess Qto Qa
QSpecial QEnrollment QPeriod Qthat Qallows Qher Qto Qmake Qchanges Qto Qher QMA Qand/or QPart QD
Qenrollment Qduring Qthe Qfirst Q9 Qmonths Qof Qeach Qcalendar Q year.
,Phiona Qworks Qin Qthe QIT QDepartment Qof QBestCare QHealth QPlan. QPhiona Qis Qplaced Qin Qcharge
Qof QBestCare's Qefforts Qto Qfacilitate Qelectronic Qenrollment Qin Qits QMedicare QAdvantage Qplans.
QIn Qsetting Qup Qthe Qenrollment Qsite, Qwhich Qof Qthe Qfollowing Qmust QPhiona Qconsider?
I. If Qa Qlegal Qrepresentative Qis Qcompleting Qan Qelectronic Qenrollment Qrequest, Qhe Qor Qshe
Qmust Qfirst Qupload Qproof Qof Qhis Qor Qher Qauthority.
II. All Qdata Qelements Qrequired Qto Qcomplete Qan Qenrollment Qrequest Qmust Qbe Qcaptured.
III. The Qmechanism Qmust Qadvise Qeach Qindividual Qat Qthe Qbeginning Qof Qthe Qprocess Qthat Qhe
Qor Qshe Qis Qcompleting Qan Qactual Qenrollment Qrequest.
IV. The Qmechanism Qmust Qcapture Qan Qaccurate Qtime Qand Qdate Qstamp Qat Qthe Qtime Qthe
Qapplicant Qenters Qthe Qonline Qsite. Q- Q RIGHT QANS:>>>II Qand QIII Qonly
Mrs. QRidgeway Qenrolled Qin QOriginal QMedicare Qand QMedigap Qcoverage Qfollowing Qher
Qretirements Qseveral Qyears Qago. QFour Qmonths Qago, QMrs. QRidgeway Qdropped Qher QMedigap
Qpolicy Qto Qenroll Qin Qa QMedicare QAdvantage Q(MA) Qplan Qfor Qthe Qfirst Qtime. QUnfortunately,
QMrs. QRidgeway Qhas Qfound Qthat Qmany Qof Qher Qproviders Qare Qnot Qin Qthe QMA Qplan's Qnetwork.
QShe Qhas Qcome Qto Qyou Qfor Qadvice? QWhat Qshould Qyou Qtell Qher? Q- Q RIGHT QANS:>>>She
Qqualifies Qfor Qa Qspecial Qenrollment Qperiod Q(SEP) Qthat Qwill Qallow Qher Qto Qmake Qa Qone-time
Qelection Qto Qreturn Qto QOriginal QMedicare Qand Qshe Qalso Qhas Qa Qguaranteed Qeligibility Qperiod Qto
Qrejoin Qher QMedigap Qplan.
Mrs. QKendrick Qis Qin Qgood Qhealth, Qhas Qworked Qfor Qmany Qyears Qand Qis Qsix Qmonths Qaway Qfrom
Qturning
65. QShe Qwants Qto Qknow Qwhat Qshe Qwill Qhave Qto Qdo Qto Qenroll Qin Qa QMedicare QAdvantage
Q(MA) Qplan Qas Qsoon Qas Qpossible. QWhat Qcould Qyou Qtell Qher? Q- Q RIGHT QANS:>>>She Qmay
Qenroll Qin Qan QMA Qplan Qbeginning Qthree Qmonths Qimmediately Qbefore Qher Qfirst Qentitlement Qto
Qboth QMedicare QPart QA Qand QPart QB.
Mr. QRockwell, Qage Q67, Qis Qenrolled Qin QMedicare QPart QA, Qbut Qbecause Qhe Qcontinues Qto Qwork
Qand Qis Qcovered Qby Qan Qemployer Qhealth Qplan, Qhe Qhas Qnot Qenrolled Qin QPart QB Qor QPart QD. QHe
Qreceives Qa Qnotice Qon QJune Q1 Qthat Qhis Qemployer Qis Qcutting Qback Qon Qprescription Qdrug
Qbenefits Qand Qthat Qas Qof QJuly Q1 Qhis Qcoverage Qwill Qno Qlonger Qbe Qcreditable. QHe Qhas Qcome
Qto Qyou Qfor Qadvice. QWhat Qadvice Qwould Qyou Qgive QMr. QRockwell Qabout Qspecial Qelection
Qperiods Q(SEPs)? Q- Q RIGHT QANS:>>>Mr.
Rockwell Qis Qeligible Qfor Qa QSEP Qdue Qto Qhis Qinvoluntary Qloss Qof Qcreditable Qdrug Qcoverage;
Qthe QSEP Qbegins Qin QJune Qand Qends Qon QSeptember Q1- Qtwo Qmonths Qafter Qthe Qloss Qof
Qcreditable Qcoverage.
Mr. QChen Qis Qenrolled Qin Qhis Qemployer's Qgroup Qhealth Qplan Qand Qwill Qbe Qretiring Qsoon. QHe
Qwould Qlike Qto Qknow Qhis Qoptions Qsince Qhe Qhas Qdecided Qto Qdrop Qhis Qretiree Qcoverage Qand Qis
Qeligible Qfor QMedicare. QWhat Qshould Qyou Qtell Qhim? Q- Q RIGHT QANS:>>>Mr. QChen Qcan
Qdisenroll Qfrom Qhis
, employer-sponsored Qcoverage Qto Qelect Qa QMedicare QAdvantage Qor QPart QD Qplan Qwithin Q2
Qmonths Qof Qhis Qdisenrollment.
Mrs. QKumar Qwould Qlike Qher Qdaughter, Qwho Qlives Qin Qanother Qstate, Qto Qmeet Qwith Qyou Qduring
Qthe QAnnual QElection QPeriod Qto Qhelp Qher Qcomplete Qher Qenrollment Qin Qa QPart QD Qplan. QShe
Qasked Qyou Qwhen Qshe Qshould Qhave Qher Qdaughter Qplan Qto Qvisit. QWhat Qcould Qyou Qtell Qher? Q-
Q RIGHT QANS:>>>Her Qdaughter Qshould Qcome Qin QNovember.
Mr. QGarrett Qhas Qjust Qentered Qhis QMA QInitial QCoverage QElection QPeriod Q(ICEP). QWhat Qaction
Qcould Qyou Qhelp Qhim Qtake Qduring Qthis Qtime? Q- Q RIGHT QANS:>>>He Qwill Qhave Qone
Qopportunity Qto Qenroll Qin Qa QMedicare QAdvantage Qplan.
Mrs. QMargolis Qcontacts Qyou Qin QAugust Qbecause Qshe Qwill Qbecome Qeligible Qfor QMedicare Qfor
Qthe Qfirst Qtime Qin QNovember. QShe Qwould Qlike Qto Qmeet Qand Qdiscuss Qplan Qchoices Qwith Qyou.
QWhat Qadvice Qshould Qyou Qgive Qher? Q- Q RIGHT QANS:>>>Tell Qher Qto Qwait Quntil QOctober Qto
Qdiscuss Qplan Qchoices Qwith Qyou Qso Qthat Qyou Qcan Qshare Qplan Qbenefits Qfor Qthe Qcurrent Q year
Qas Qwell Qas Qany Qchanges Qfor Qthe Qfollowing Qyear Qthat Qmay Qimpact Qher Qchoice.
Mrs. QYoung Qis Qcurrently Qenrolled Qin QOriginal QMedicare Q(Parts QA Qand QB), Qbut Qshe Qhas Qbeen
Qworking Qwith QAgent QNeil QAdams Qin Qthe Qselection Qof Qa QMedicare QAdvantage Q(MA) Qplan.
QIt Qis Qmid- QSeptember, Qand QMrs. QYoung Qis Qgoing Qon Qvacation. QAgent QAdams Qis Qconsidering
Qsuggesting Qthat Qhe Qand QMrs. QYoung Qcomplete Qthe Qapplication Qtogether Qbefore Qshe Qleaves.
QHe Qwill Qthen Qsubmit Qthe Qpaper Qapplication Qbefore Qthe Qstart Qof Qthe Qannual Qenrollment
Qperiod Q(AEP). QWhat Qwould Qyou Qsay QIf Q you Qwere Qadvising QAgent QAdams? Q- Q RIGHT
QANS:>>>This Qis Qa Qbad Qidea. QAgents Qare Qgenerally Qprohibited Qfrom Qsoliciting Qor Qaccepting
Qan Qenrollment Qform Qbefore Qthe Qstart Qof Qthe QAEP.
Mr. Qand QMrs. QNunez Qattended Qone Qof Qyour Qsales Qpresentations. QThey've Qasked Qyou Qto Qcome
Qto Qtheir Qhome Qto Qclear Qup Qa Qfew Qquestions. QDuring Qthe Qpresentation, QMrs. QNunez Qfeels
Qtired Qand Qtells Qyou Qthat Qher Qhusband Qcan Qfinish Qthings Qup. QShe Qgoes Qto Qbed. QAt Qthe Qend
Qof Qyour Qdiscussion, QMr. QNunez Qsays Qthat Qhe Qwants Qto Qenroll Qboth Qhimself Qand Qhis Qwife.
QWhat Qshould Qyou Qdo? Q- Q RIGHT QANS:>>>As Qlong Qas Qshe Qcan Qdo Qso, Qonly QMrs. QNunez
Qcan Qsign Qher Qenrollment Qform. QMrs. QNunez Qwill Qhave Qto Qwake Qup Qto Qsign Qher Qform Qor Qdo
Qso Qat Qanother Qtime.
Mr. QJohannsen Qis Qentitled Qto QMedicare QPart QA Qand QPart QB. QHe Qgains Qthe QPart QD Qlow-
income Qsubsidy. QHow Qdoes Qthat Qaffect Qhis Qability Qto Qenroll Qor Qdisenroll Qin Qa QPart QD Qplan?
Q- Q RIGHT QANS:>>>He Qqualifies Qfor Qa Qspecial Qelection Qperiod Qand Qcan Qenroll Qin Qor
Qdisenroll Qfrom Qa QPart QD Qplan Qonce Qduring Qthat Qperiod.
