.
UNDERSTANDING MEDICARE ENROLLMENT: KEY df df df
SCENARIOS & SOLUTIONS/ AHIP FINAL df df df df df
EXAMINATION TEST BANK| 3 VERSIONS WITH 50
df df df df df df df
QUESTIONS EACH/EADY GRADED /BRAND NEW
df df df df df df
Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part D during the
df df df df df df df df df df df df df df df df
Annual Enrollment Period (AEP). At the beginning of January, her neighbor told her about the
df df df df df df df df df df df df df df df
Medicare Advantage (MA) plan he selected. He also told her there was an open enrollment period
df df df df df df df df df df df df df df df df
that she might be able to use to enroll in a MA plan. Ms. Gonzales comes to you for advice shortly
df df df df df df df df df df df df df df df df df df df df df
after speaking to her neighbor. What should you tell her? - RIGHT ANS:>>>There is a MA Open
df df df df df df df df df df df d f df df df df df
Enrollment Period (OEP) that takes place between January 1 and March 31, but Ms. Gonzales
df df df df df df df df df df df df df df df
cannot use it because eligibility to use the OEP is available only to MA enrollees.
df df df df df df df df df df df df df df df
Ms. Claggett is sixty-six (66) years old. She has been covered under Original Medicare for the last
df df df df df df df df df df df df df df df df
six years due to her disability and has never been enrolled in a Medicare Advantage or a Part D plan
df df df df df df df df df df df df df df df df df df df df
before. She wants to enroll in a Part D plan. She knows that there is such a thing as the "Part D
df df df df df df df df df df df df df df df df df df df df df df
Initial Enrollment Period" (IEP) and has concluded that, since she has never enrolled in such a plan
df df df df df df df df df df df df df df df df df
before, she should be eligible to enroll under this period. What should you tell her about how the
df df df df df df df df df df df df df df df df df df
Part D Initial Enrollment Period applies to her situation? - RIGHT ANS:>>>Ms. Claggett has had
df df df df df df df df df df d f df df df df
two IEPs and missed them both. The first occurred three months before and three months after the
df df df df df df df df df df df df df df df df df
month when she was first entitled to Part A OR enrolled in Part B. Because she was eligible for
df df df df df df df df df df df df df df df df df df df
Medicare before age 65, Ms. Claggett had a second IEP based on turning age 65, which has also
df df df df df df df df df df df df df df df df df df
expired.
df
Mary Samuels recently suffered a stroke while visiting her daughter and grandchildren. As a result,
df df df df df df df df df df df df df df
Mary has been admitted to a rehabilitation hospital where she is expected to reside for several
df df df df df df df df df df df df df df df df
months. The rehabilitation hospital is located outside the geographic area served by her current
df df df df df df df df df df df df df df
Medicare Advantage (MA) plan. What options are available to Mary regarding her health plan
df df df df df df df df df df df df df df
coverage? - RIGHT ANS:>>>Mary may make an unlimited number of MA enrollment requests
df df d f df df df df df df df df df df
and may disenroll from her current MA plan.
df df df df df df df df
Mrs. Pierce would like to enroll in a Medicare Cost plan that offers Part D prescription drug
df df df df df df df df df df df df df df df df
coverage. She comes to you for advice about when she can enroll in a plan you have previously
df df df df df df df df df df df df df df df df df df
discussed. What should you tell her? - RIGHT ANS:>>>Enrollment in Cost plans offering
df df df df df df df d f df df df df df
,Part D coverage is available only during enrollment periods under the Part D program, and Cost plans
df df df df df df df df df df df df df df df df
must accept enrollments during these periods.
df df df df df df
Mr. Ford enrolled in an MA-only plan in mid-November during the Annual Election Period (AEP).
df df df df df df df df df df df df df df
On December 1, he calls you up and says that he has changed his mind and would like to enroll into a
df df df df df df df df df df df df df df df df df df df df df df
MA-PD plan. What enrollment rules would apply in this case? - RIGHT ANS:>>>He can make
df df df df df df df df df df df d f df df df
as many enrollment changes as he likes during the Annual Election Period and the last choice
df df df df df df df df df df df df df df df df
made prior to the end of the period will be the effective one as of January 1.
df df df df df df df df df df df df df df df df df
Which of the following individuals is most likely to be eligible to enroll in a Medicare Advantage
df df df df df df df df df df df df df df df df
(MA) or Part D Plan? - RIGHT ANS:>>>Jose, a grandfather who was granted asylum and has
df df df df df df d f df df df df df df df df df
worked in the United States for many years.
df df df df df df df df
Which of the following individuals are likely to qualify for a special enrollment period (SEP) for
df df df df df df df df df df df df df df df
either a MA and/or Part D due to a change of residence?
df df df df df df df df df df df df
I. Edward (enrolled in MA and Part D) moves to a new home within the same neighborhood in his
df df df df df df df df df df df df df df df df df
existing plan's service area.II. Fiona (enrolled in MA and Part D) moves cross-country to an area
df df df df df df df df df df df df df df df df
outside her existing plan's service area.III. Gilbert moves into a plan service area where there is
df df df df df df df df df df df df df df df df
now a Part D plan available to him from a service area where no Part D plan was available.IV.
df df df df df df df df df df df df df df df df df df df
Henry makes a permanent move to a new state providing him with new MA and Part D options. -
df df df df df df df df df df df df df df df df df df df
d RIGHT ANS:>>>II, III, and IV only
f df df df df df
Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-for-service (PFFS)
df df df df df df df df df df df df df df df df
plan. What questions would you need to ask to determine his eligibility? - RIGHT ANS:>>>You
df df df df df df df df df df df df df d f df
would need to ask Mr. Kelly if he is entitled to Part A, enrolled in Part B, and if he lives in the PFFS
df df df df df df df df df df df df df df df df df df df df df df df df
plan's service area.
df df df
Mrs. Schneider has Original Medicare Parts A and B and has just qualified for her state's Medicaid
df df df df df df df df df df df df df df df df
program, so the state is now paying her Part B premium and she is considered a dual eligible. Will
df df df df df df df df df df df df df df df df df df df
gaining eligibility for this program affect her ability to enroll in a Medicare Advantage or
df df df df df df df df df df df df df df df
Medicare Prescription Drug plan? - RIGHT ANS:>>>Yes. Qualifying for this state program
df df df df df d f df df df df df df
gives Mrs. Schneider access to a Special Enrollment Period that allows her to make changes to her
df df df df df df df df df df df df df df df df df
MA and/or Part D enrollment during the first 9 months of each calendar year.
df df df df df df df df df df df df df df
,Phiona works in the IT Department of BestCare Health Plan. Phiona is placed in charge of
df df df df df df df df df df df df df df df
BestCare's efforts to facilitate electronic enrollment in its Medicare Advantage plans. In setting up
df df df df df df df df df df df df df df
the enrollment site, which of the following must Phiona consider?
df df df df df df df df df df
I. If a legal representative is completing an electronic enrollment request, he or she must first
df df df df df df df df df df df df df df
upload proof of his or her authority.
df df df df df df df
II. All data elements required to complete an enrollment request must be captured.
df df df df df df df df df df df
III. The mechanism must advise each individual at the beginning of the process that he or she is
df df df df df df df df df df df df df df df df
completing an actual enrollment request.
df df df df df
IV. The mechanism must capture an accurate time and date stamp at the time the applicant enters the
df df df df df df df df df df df df df df df df
online site. - RIGHT ANS:>>>II and III only
df df df d f df df df df
Mrs. Ridgeway enrolled in Original Medicare and Medigap coverage following her retirements
df df df df df df df df df df df
several years ago. Four months ago, Mrs. Ridgeway dropped her Medigap policy to enroll in a
df df df df df df df df df df df df df df df df
Medicare Advantage (MA) plan for the first time. Unfortunately, Mrs. Ridgeway has found that
df df df df df df df df df df df df df df
many of her providers are not in the MA plan's network. She has come to you for advice? What
df df df df df df df df df df df df df df df df df df df
should you tell her? - RIGHT ANS:>>>She qualifies for a special enrollment period (SEP) that will
df df df df df d f df df df df df df df df df df
allow her to make a one-time election to return to Original Medicare and she also has a guaranteed
df df df df df df df df df df df df df df df df df df
eligibility period to rejoin her Medigap plan.
df df df df df df df
Mrs. Kendrick is in good health, has worked for many years and is six months away from turning
df df df df df df df df df df df df df df df df df
65. She wants to know what she will have to do to enroll in a Medicare Advantage (MA) plan as soon
df df df df df df df df df df df df df df df df df df df df
as possible. What could you tell her? - RIGHT ANS:>>>She may enroll in an MA plan beginning
df df df df df df df df d f df df df df df df df df
three months immediately before her first entitlement to both Medicare Part A and Part B.
df df df df df df df df df df df df df df df
Mr. Rockwell, age 67, is enrolled in Medicare Part A, but because he continues to work and is
df df df df df df df df df df df df df df df df df
covered by an employer health plan, he has not enrolled in Part B or Part D. He receives a notice on
df df df df df df df df df df df df df df df df df df df df df
June 1 that his employer is cutting back on prescription drug benefits and that as of July 1 his
df df df df df df df df df df df df df df df df df df df
coverage will no longer be creditable. He has come to you for advice. What advice would you give
df df df df df df df df df df df df df df df df df df
Mr. Rockwell about special election periods (SEPs)? - RIGHT ANS:>>>Mr.
df df df df df df df df d f df
Rockwell is eligible for a SEP due to his involuntary loss of creditable drug coverage; the SEP begins
df df df df df df df df df df df df df df df df df
in June and ends on September 1- two months after the loss of creditable coverage.
df df df df df df df df df df df df df df df
Mr. Chen is enrolled in his employer's group health plan and will be retiring soon. He would like to
df df df df df df df df df df df df df df df df df df
know his options since he has decided to drop his retiree coverage and is eligible for Medicare.
df df df df df df df df df df df df df df df df df
What should you tell him? - RIGHT ANS:>>>Mr. Chen can disenroll from his
df df df df df df d f df df df df df df
, employer-sponsored coverage to elect a Medicare Advantage or Part D plan within 2 months of his df df df df df df df df df df df df df df df
disenrollment.
df
Mrs. Kumar would like her daughter, who lives in another state, to meet with you during the Annual
df df df df df df df df df df df df df df df df df
Election Period to help her complete her enrollment in a Part D plan. She asked you when she
df df df df df df df df df df df df df df df df df df
should have her daughter plan to visit. What could you tell her? - RIGHT ANS:>>>Her daughter
df df df df df df df df df df df df df d f df df
should come in November.
df df df df
Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP). What action could you
df df df df df df df df df df df df df df df
help him take during this time? - RIGHT ANS:>>>He will have one opportunity to enroll in a
df df df df df df df d f df df df df df df df df df
Medicare Advantage plan.
df df df
Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first
df df df df df df df df df df df df df df df
time in November. She would like to meet and discuss plan choices with you. What advice should
df df df df df df df df df df df df df df df df df
you give her? - RIGHT ANS:>>>Tell her to wait until October to discuss plan choices with you
df df df df d f df df df df df df df df df df df df
so that you can share plan benefits for the current year as well as any changes for the following year
df df df df df df df df df df df df df df df df df df df df
that may impact her choice.
df df df df df
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she has been working
df df df df df df df df df df df df df df df df
with Agent Neil Adams in the selection of a Medicare Advantage (MA) plan. It is mid- September,
df df df df df df df df df df df df df df df df df
and Mrs. Young is going on vacation. Agent Adams is considering suggesting that he and Mrs.
df df df df df df df df df df df df df df df df
Young complete the application together before she leaves. He will then submit the paper
df df df df df df df df df df df df df df
application before the start of the annual enrollment period (AEP). What would you say If you
df df df df df df df df df df df df df df df df
were advising Agent Adams? - RIGHT ANS:>>>This is a bad idea. Agents are generally
df df df df df d f df df df df df df df df
prohibited from soliciting or accepting an enrollment form before the start of the AEP.
df df df df df df df df df df df df df df
Mr. and Mrs. Nunez attended one of your sales presentations. They've asked you to come to their
df df df df df df df df df df df df df df df df
home to clear up a few questions. During the presentation, Mrs. Nunez feels tired and tells you that
df df df df df df df df df df df df df df df df df df
her husband can finish things up. She goes to bed. At the end of your discussion, Mr. Nunez says
df df df df df df df df df df df df df df df df df df df
that he wants to enroll both himself and his wife. What should you do? - RIGHT ANS:>>>As
df df df df df df df df df df df df df df df d f df
long as she can do so, only Mrs. Nunez can sign her enrollment form. Mrs. Nunez will have to
df df df df df df df df df df df df df df df df df df df
wake up to sign her form or do so at another time.
df df df df df df df df df df df df
Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-income subsidy.
df df df df df df df df df df df df df df df df df
How does that affect his ability to enroll or disenroll in a Part D plan? - RIGHT ANS:>>>He
df df df df df df df df df df df df df df df df d f df
qualifies for a special election period and can enroll in or disenroll from a Part D plan once during
df df df df df df df df df df df df df df df df df df df
that period.
df df
UNDERSTANDING MEDICARE ENROLLMENT: KEY df df df
SCENARIOS & SOLUTIONS/ AHIP FINAL df df df df df
EXAMINATION TEST BANK| 3 VERSIONS WITH 50
df df df df df df df
QUESTIONS EACH/EADY GRADED /BRAND NEW
df df df df df df
Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part D during the
df df df df df df df df df df df df df df df df
Annual Enrollment Period (AEP). At the beginning of January, her neighbor told her about the
df df df df df df df df df df df df df df df
Medicare Advantage (MA) plan he selected. He also told her there was an open enrollment period
df df df df df df df df df df df df df df df df
that she might be able to use to enroll in a MA plan. Ms. Gonzales comes to you for advice shortly
df df df df df df df df df df df df df df df df df df df df df
after speaking to her neighbor. What should you tell her? - RIGHT ANS:>>>There is a MA Open
df df df df df df df df df df df d f df df df df df
Enrollment Period (OEP) that takes place between January 1 and March 31, but Ms. Gonzales
df df df df df df df df df df df df df df df
cannot use it because eligibility to use the OEP is available only to MA enrollees.
df df df df df df df df df df df df df df df
Ms. Claggett is sixty-six (66) years old. She has been covered under Original Medicare for the last
df df df df df df df df df df df df df df df df
six years due to her disability and has never been enrolled in a Medicare Advantage or a Part D plan
df df df df df df df df df df df df df df df df df df df df
before. She wants to enroll in a Part D plan. She knows that there is such a thing as the "Part D
df df df df df df df df df df df df df df df df df df df df df df
Initial Enrollment Period" (IEP) and has concluded that, since she has never enrolled in such a plan
df df df df df df df df df df df df df df df df df
before, she should be eligible to enroll under this period. What should you tell her about how the
df df df df df df df df df df df df df df df df df df
Part D Initial Enrollment Period applies to her situation? - RIGHT ANS:>>>Ms. Claggett has had
df df df df df df df df df df d f df df df df
two IEPs and missed them both. The first occurred three months before and three months after the
df df df df df df df df df df df df df df df df df
month when she was first entitled to Part A OR enrolled in Part B. Because she was eligible for
df df df df df df df df df df df df df df df df df df df
Medicare before age 65, Ms. Claggett had a second IEP based on turning age 65, which has also
df df df df df df df df df df df df df df df df df df
expired.
df
Mary Samuels recently suffered a stroke while visiting her daughter and grandchildren. As a result,
df df df df df df df df df df df df df df
Mary has been admitted to a rehabilitation hospital where she is expected to reside for several
df df df df df df df df df df df df df df df df
months. The rehabilitation hospital is located outside the geographic area served by her current
df df df df df df df df df df df df df df
Medicare Advantage (MA) plan. What options are available to Mary regarding her health plan
df df df df df df df df df df df df df df
coverage? - RIGHT ANS:>>>Mary may make an unlimited number of MA enrollment requests
df df d f df df df df df df df df df df
and may disenroll from her current MA plan.
df df df df df df df df
Mrs. Pierce would like to enroll in a Medicare Cost plan that offers Part D prescription drug
df df df df df df df df df df df df df df df df
coverage. She comes to you for advice about when she can enroll in a plan you have previously
df df df df df df df df df df df df df df df df df df
discussed. What should you tell her? - RIGHT ANS:>>>Enrollment in Cost plans offering
df df df df df df df d f df df df df df
,Part D coverage is available only during enrollment periods under the Part D program, and Cost plans
df df df df df df df df df df df df df df df df
must accept enrollments during these periods.
df df df df df df
Mr. Ford enrolled in an MA-only plan in mid-November during the Annual Election Period (AEP).
df df df df df df df df df df df df df df
On December 1, he calls you up and says that he has changed his mind and would like to enroll into a
df df df df df df df df df df df df df df df df df df df df df df
MA-PD plan. What enrollment rules would apply in this case? - RIGHT ANS:>>>He can make
df df df df df df df df df df df d f df df df
as many enrollment changes as he likes during the Annual Election Period and the last choice
df df df df df df df df df df df df df df df df
made prior to the end of the period will be the effective one as of January 1.
df df df df df df df df df df df df df df df df df
Which of the following individuals is most likely to be eligible to enroll in a Medicare Advantage
df df df df df df df df df df df df df df df df
(MA) or Part D Plan? - RIGHT ANS:>>>Jose, a grandfather who was granted asylum and has
df df df df df df d f df df df df df df df df df
worked in the United States for many years.
df df df df df df df df
Which of the following individuals are likely to qualify for a special enrollment period (SEP) for
df df df df df df df df df df df df df df df
either a MA and/or Part D due to a change of residence?
df df df df df df df df df df df df
I. Edward (enrolled in MA and Part D) moves to a new home within the same neighborhood in his
df df df df df df df df df df df df df df df df df
existing plan's service area.II. Fiona (enrolled in MA and Part D) moves cross-country to an area
df df df df df df df df df df df df df df df df
outside her existing plan's service area.III. Gilbert moves into a plan service area where there is
df df df df df df df df df df df df df df df df
now a Part D plan available to him from a service area where no Part D plan was available.IV.
df df df df df df df df df df df df df df df df df df df
Henry makes a permanent move to a new state providing him with new MA and Part D options. -
df df df df df df df df df df df df df df df df df df df
d RIGHT ANS:>>>II, III, and IV only
f df df df df df
Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-for-service (PFFS)
df df df df df df df df df df df df df df df df
plan. What questions would you need to ask to determine his eligibility? - RIGHT ANS:>>>You
df df df df df df df df df df df df df d f df
would need to ask Mr. Kelly if he is entitled to Part A, enrolled in Part B, and if he lives in the PFFS
df df df df df df df df df df df df df df df df df df df df df df df df
plan's service area.
df df df
Mrs. Schneider has Original Medicare Parts A and B and has just qualified for her state's Medicaid
df df df df df df df df df df df df df df df df
program, so the state is now paying her Part B premium and she is considered a dual eligible. Will
df df df df df df df df df df df df df df df df df df df
gaining eligibility for this program affect her ability to enroll in a Medicare Advantage or
df df df df df df df df df df df df df df df
Medicare Prescription Drug plan? - RIGHT ANS:>>>Yes. Qualifying for this state program
df df df df df d f df df df df df df
gives Mrs. Schneider access to a Special Enrollment Period that allows her to make changes to her
df df df df df df df df df df df df df df df df df
MA and/or Part D enrollment during the first 9 months of each calendar year.
df df df df df df df df df df df df df df
,Phiona works in the IT Department of BestCare Health Plan. Phiona is placed in charge of
df df df df df df df df df df df df df df df
BestCare's efforts to facilitate electronic enrollment in its Medicare Advantage plans. In setting up
df df df df df df df df df df df df df df
the enrollment site, which of the following must Phiona consider?
df df df df df df df df df df
I. If a legal representative is completing an electronic enrollment request, he or she must first
df df df df df df df df df df df df df df
upload proof of his or her authority.
df df df df df df df
II. All data elements required to complete an enrollment request must be captured.
df df df df df df df df df df df
III. The mechanism must advise each individual at the beginning of the process that he or she is
df df df df df df df df df df df df df df df df
completing an actual enrollment request.
df df df df df
IV. The mechanism must capture an accurate time and date stamp at the time the applicant enters the
df df df df df df df df df df df df df df df df
online site. - RIGHT ANS:>>>II and III only
df df df d f df df df df
Mrs. Ridgeway enrolled in Original Medicare and Medigap coverage following her retirements
df df df df df df df df df df df
several years ago. Four months ago, Mrs. Ridgeway dropped her Medigap policy to enroll in a
df df df df df df df df df df df df df df df df
Medicare Advantage (MA) plan for the first time. Unfortunately, Mrs. Ridgeway has found that
df df df df df df df df df df df df df df
many of her providers are not in the MA plan's network. She has come to you for advice? What
df df df df df df df df df df df df df df df df df df df
should you tell her? - RIGHT ANS:>>>She qualifies for a special enrollment period (SEP) that will
df df df df df d f df df df df df df df df df df
allow her to make a one-time election to return to Original Medicare and she also has a guaranteed
df df df df df df df df df df df df df df df df df df
eligibility period to rejoin her Medigap plan.
df df df df df df df
Mrs. Kendrick is in good health, has worked for many years and is six months away from turning
df df df df df df df df df df df df df df df df df
65. She wants to know what she will have to do to enroll in a Medicare Advantage (MA) plan as soon
df df df df df df df df df df df df df df df df df df df df
as possible. What could you tell her? - RIGHT ANS:>>>She may enroll in an MA plan beginning
df df df df df df df df d f df df df df df df df df
three months immediately before her first entitlement to both Medicare Part A and Part B.
df df df df df df df df df df df df df df df
Mr. Rockwell, age 67, is enrolled in Medicare Part A, but because he continues to work and is
df df df df df df df df df df df df df df df df df
covered by an employer health plan, he has not enrolled in Part B or Part D. He receives a notice on
df df df df df df df df df df df df df df df df df df df df df
June 1 that his employer is cutting back on prescription drug benefits and that as of July 1 his
df df df df df df df df df df df df df df df df df df df
coverage will no longer be creditable. He has come to you for advice. What advice would you give
df df df df df df df df df df df df df df df df df df
Mr. Rockwell about special election periods (SEPs)? - RIGHT ANS:>>>Mr.
df df df df df df df df d f df
Rockwell is eligible for a SEP due to his involuntary loss of creditable drug coverage; the SEP begins
df df df df df df df df df df df df df df df df df
in June and ends on September 1- two months after the loss of creditable coverage.
df df df df df df df df df df df df df df df
Mr. Chen is enrolled in his employer's group health plan and will be retiring soon. He would like to
df df df df df df df df df df df df df df df df df df
know his options since he has decided to drop his retiree coverage and is eligible for Medicare.
df df df df df df df df df df df df df df df df df
What should you tell him? - RIGHT ANS:>>>Mr. Chen can disenroll from his
df df df df df df d f df df df df df df
, employer-sponsored coverage to elect a Medicare Advantage or Part D plan within 2 months of his df df df df df df df df df df df df df df df
disenrollment.
df
Mrs. Kumar would like her daughter, who lives in another state, to meet with you during the Annual
df df df df df df df df df df df df df df df df df
Election Period to help her complete her enrollment in a Part D plan. She asked you when she
df df df df df df df df df df df df df df df df df df
should have her daughter plan to visit. What could you tell her? - RIGHT ANS:>>>Her daughter
df df df df df df df df df df df df df d f df df
should come in November.
df df df df
Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP). What action could you
df df df df df df df df df df df df df df df
help him take during this time? - RIGHT ANS:>>>He will have one opportunity to enroll in a
df df df df df df df d f df df df df df df df df df
Medicare Advantage plan.
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Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first
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time in November. She would like to meet and discuss plan choices with you. What advice should
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you give her? - RIGHT ANS:>>>Tell her to wait until October to discuss plan choices with you
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so that you can share plan benefits for the current year as well as any changes for the following year
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that may impact her choice.
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Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she has been working
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with Agent Neil Adams in the selection of a Medicare Advantage (MA) plan. It is mid- September,
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and Mrs. Young is going on vacation. Agent Adams is considering suggesting that he and Mrs.
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Young complete the application together before she leaves. He will then submit the paper
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application before the start of the annual enrollment period (AEP). What would you say If you
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were advising Agent Adams? - RIGHT ANS:>>>This is a bad idea. Agents are generally
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prohibited from soliciting or accepting an enrollment form before the start of the AEP.
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Mr. and Mrs. Nunez attended one of your sales presentations. They've asked you to come to their
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home to clear up a few questions. During the presentation, Mrs. Nunez feels tired and tells you that
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her husband can finish things up. She goes to bed. At the end of your discussion, Mr. Nunez says
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that he wants to enroll both himself and his wife. What should you do? - RIGHT ANS:>>>As
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long as she can do so, only Mrs. Nunez can sign her enrollment form. Mrs. Nunez will have to
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wake up to sign her form or do so at another time.
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Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-income subsidy.
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How does that affect his ability to enroll or disenroll in a Part D plan? - RIGHT ANS:>>>He
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qualifies for a special election period and can enroll in or disenroll from a Part D plan once during
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that period.
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