AHIP – 2027 EXAM (Latest
Updates) Questions & Answers 100%
Correct {Grade A}
Mr. Gardner 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? - correct answer Tell Mr.
Gardner that you cannot accept any enrollment forms until the annual election period
begins.
You are visiting Mr. Connor and his daughter at her request. He has advanced
Alzheimer's and is incapable of understanding the implications of choosing a Medicare
Advantage or prescription drug plan. Can his daughter fill out the enrollment form and
sign it for him? - correct answer Mr. Connor's daughter can do so only if she is
authorized under state law as a court-appointed legal guardian, has a durable power
of attorney for health care decisions, or is authorized under state surrogate consent
laws to make health decisions.
,Ms. Sutton is enrolled in an MA-PD plan but will be moving out of the plan's service
area next month. She is worried that she will not be able to enroll in another plan
available in her new residence until the Annual Election Period. What should you tell
her? - correct answer She is eligible for a special election period (SEP) that begins
either the month before her permanent move, if the plan is notified in advance, or the
month she provides notice of the move, and this period typically lasts an additional two
months.
Which of the following individuals are likely to qualify for a special election period
(SEP) for either an MA or Part D due to a change of residence? - correct answer 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
,Mr. and Mrs. Orozco 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. Orozco
feels tired and tells you that her husband can finish things up. She goes to bed. At the
end of your discussion, Mr. Orozco says that he wants to enroll both himself and his
wife. What should you do? - correct answer If she can do so, only Mrs. Orozco can sign
her enrollment form. Mrs. Orozco will have to wake up to sign her form or do so at
another time.
Jenny Lind is a Medicare beneficiary who switched from Original Medicare to a MA
MSA (medical savings account) plan. During the past year, Jenny has become
dissatisfied with the MA MSA plan and now wants to disenroll and enroll in an MA PPO
plan during the Annual Election Period. How can Jenny disenroll from the MA MSA
plan? - correct answer Jenny must write to the MA MSA plan indicating her
disenrollment.
Which of the following individuals has enrolled in a plan based on a fixed enrollment
period? - correct answer Tran enrolls in a Medicare Advantage plan during the
Medicare Advantage Open Enrollment Period (MA OEP).
, Mr. Chambers suffers from diabetes which has gotten progressively worse during the
last year. He is currently enrolled in Original Medicare (Parts A and B) and a Part D
prescription drug plan and did not enroll in a Medicare Advantage (MA) plan during the
last annual open enrollment period (AEP) which has just closed. Mr. Chambers has
heard certain MA plans might provide him with more specialized coverage for his
diabetes and wants to know if he must wait until the next annual open enrollment
period (AEP) before enrolling in such a plan. What should you tell him? - correct
answer If there is a special needs plan (SNP) in Mr. Chambers's area that specializes
in caring for individuals with diabetes, he may enroll in the SNP at any time under a
special election period (SEP).
Mrs. Delgado is currently enrolled in Original Medicare (Parts A and B), but she has
been working with Agent Hudson in the selection of a Medicare Advantage (MA) plan. It
is mid-September, and Mrs. Delgado is going on vacation. Agent Hudson is considering
suggesting that he and Mrs. Delgado complete the application together before she
leaves. He will then submit the paper application before the start of the annual
enrollment period (AEP). What would you say If you were advising Agent Hudson? -
Updates) Questions & Answers 100%
Correct {Grade A}
Mr. Gardner 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? - correct answer Tell Mr.
Gardner that you cannot accept any enrollment forms until the annual election period
begins.
You are visiting Mr. Connor and his daughter at her request. He has advanced
Alzheimer's and is incapable of understanding the implications of choosing a Medicare
Advantage or prescription drug plan. Can his daughter fill out the enrollment form and
sign it for him? - correct answer Mr. Connor's daughter can do so only if she is
authorized under state law as a court-appointed legal guardian, has a durable power
of attorney for health care decisions, or is authorized under state surrogate consent
laws to make health decisions.
,Ms. Sutton is enrolled in an MA-PD plan but will be moving out of the plan's service
area next month. She is worried that she will not be able to enroll in another plan
available in her new residence until the Annual Election Period. What should you tell
her? - correct answer She is eligible for a special election period (SEP) that begins
either the month before her permanent move, if the plan is notified in advance, or the
month she provides notice of the move, and this period typically lasts an additional two
months.
Which of the following individuals are likely to qualify for a special election period
(SEP) for either an MA or Part D due to a change of residence? - correct answer 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
,Mr. and Mrs. Orozco 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. Orozco
feels tired and tells you that her husband can finish things up. She goes to bed. At the
end of your discussion, Mr. Orozco says that he wants to enroll both himself and his
wife. What should you do? - correct answer If she can do so, only Mrs. Orozco can sign
her enrollment form. Mrs. Orozco will have to wake up to sign her form or do so at
another time.
Jenny Lind is a Medicare beneficiary who switched from Original Medicare to a MA
MSA (medical savings account) plan. During the past year, Jenny has become
dissatisfied with the MA MSA plan and now wants to disenroll and enroll in an MA PPO
plan during the Annual Election Period. How can Jenny disenroll from the MA MSA
plan? - correct answer Jenny must write to the MA MSA plan indicating her
disenrollment.
Which of the following individuals has enrolled in a plan based on a fixed enrollment
period? - correct answer Tran enrolls in a Medicare Advantage plan during the
Medicare Advantage Open Enrollment Period (MA OEP).
, Mr. Chambers suffers from diabetes which has gotten progressively worse during the
last year. He is currently enrolled in Original Medicare (Parts A and B) and a Part D
prescription drug plan and did not enroll in a Medicare Advantage (MA) plan during the
last annual open enrollment period (AEP) which has just closed. Mr. Chambers has
heard certain MA plans might provide him with more specialized coverage for his
diabetes and wants to know if he must wait until the next annual open enrollment
period (AEP) before enrolling in such a plan. What should you tell him? - correct
answer If there is a special needs plan (SNP) in Mr. Chambers's area that specializes
in caring for individuals with diabetes, he may enroll in the SNP at any time under a
special election period (SEP).
Mrs. Delgado is currently enrolled in Original Medicare (Parts A and B), but she has
been working with Agent Hudson in the selection of a Medicare Advantage (MA) plan. It
is mid-September, and Mrs. Delgado is going on vacation. Agent Hudson is considering
suggesting that he and Mrs. Delgado complete the application together before she
leaves. He will then submit the paper application before the start of the annual
enrollment period (AEP). What would you say If you were advising Agent Hudson? -
