Comprehensive Practice 2026;2024 AHIP Module 5 2024 AHIP Module 5 2024 AHIP Module 5.pdf
2024 AHIP Module 5
Tell her to wait until October to discuss plan choices with you so that you can share plan benefits for the
current year as well as any changes for the following year that may impact her choice.
Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in
November. She would like to meet and discuss plan choices with you. What advice should you give her?
He qualifies for a special election period and can enroll in or disenroll from a Part D plan once during
that period.
Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-income subsidy. How
does that affect his ability to enroll or disenroll in a Part D plan?
Mary may make an unlimited number of MA enrollment requests and may disenroll from her current
MA plan.
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?
He will have one opportunity to enroll in a Medicare Advantage plan.
Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP). What action could you help
him take during this time?
2024 AHIP Module 5 Page 1 of 6 2/1/2026
, Comprehensive Practice 2026;2024 AHIP Module 5 2024 AHIP Module 5 2024 AHIP Module 5.pdf
You can only ask Mrs. Midler questions about conditions that affect eligibility, specifically, whether she
has one of the conditions that would qualify her for a special needs plan.
You have come to Mrs. Midler's home for a sales presentation. At the beginning of the presentation,
Mrs. Midler tells you that she has a copy of her medical records available because she thinks this will
help you understand her needs. She suggests that you will know which questions to ask her about her
health status in order to best assist her in selecting a plan. What should you do?
She can enroll in a Medigap plan to supplement the benefits of the MA plan that she's also enrolling in.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA Initial Coverage
Election Period (ICEP) has just begun. Which of the following can she not do during the ICEP?
No. Once he is identified by the plan sponsor as a "potential at-risk" beneficiary, he cannot use the dual
eligible SEP to change plans while this designation is in place.
Mr. White has Medicare Parts A and B with a Part D plan. Last year, he received a notice that his plan
sponsor identified him as a "potential at-risk" beneficiary. This month, he started receiving assistance
from Medicaid. He wants to find a different Part D plan that's more suitable to his current prescription
drug needs. He believes he's entitled to a SEP since he is now a dual eligible. Is he able to change to a
different Part D plan during a SEP for dual eligible individuals?
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. 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?
2024 AHIP Module 5 Page 2 of 6 2/1/2026
2024 AHIP Module 5
Tell her to wait until October to discuss plan choices with you so that you can share plan benefits for the
current year as well as any changes for the following year that may impact her choice.
Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in
November. She would like to meet and discuss plan choices with you. What advice should you give her?
He qualifies for a special election period and can enroll in or disenroll from a Part D plan once during
that period.
Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-income subsidy. How
does that affect his ability to enroll or disenroll in a Part D plan?
Mary may make an unlimited number of MA enrollment requests and may disenroll from her current
MA plan.
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?
He will have one opportunity to enroll in a Medicare Advantage plan.
Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP). What action could you help
him take during this time?
2024 AHIP Module 5 Page 1 of 6 2/1/2026
, Comprehensive Practice 2026;2024 AHIP Module 5 2024 AHIP Module 5 2024 AHIP Module 5.pdf
You can only ask Mrs. Midler questions about conditions that affect eligibility, specifically, whether she
has one of the conditions that would qualify her for a special needs plan.
You have come to Mrs. Midler's home for a sales presentation. At the beginning of the presentation,
Mrs. Midler tells you that she has a copy of her medical records available because she thinks this will
help you understand her needs. She suggests that you will know which questions to ask her about her
health status in order to best assist her in selecting a plan. What should you do?
She can enroll in a Medigap plan to supplement the benefits of the MA plan that she's also enrolling in.
Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA Initial Coverage
Election Period (ICEP) has just begun. Which of the following can she not do during the ICEP?
No. Once he is identified by the plan sponsor as a "potential at-risk" beneficiary, he cannot use the dual
eligible SEP to change plans while this designation is in place.
Mr. White has Medicare Parts A and B with a Part D plan. Last year, he received a notice that his plan
sponsor identified him as a "potential at-risk" beneficiary. This month, he started receiving assistance
from Medicaid. He wants to find a different Part D plan that's more suitable to his current prescription
drug needs. He believes he's entitled to a SEP since he is now a dual eligible. Is he able to change to a
different Part D plan during a SEP for dual eligible individuals?
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. 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?
2024 AHIP Module 5 Page 2 of 6 2/1/2026
