AHIP 2024 -M5 Exam Study Guide Review with
Correct Definitions Latest.
A client wants to give you an enrollment application on October 1 before the
beginning of the Annual Election Period because he is leaving on vacation for two
weeks and does not want to forget about turning it in. What should you tell him? -
Exact Answer You must tell him you are not permitted to take the form. If he
sends the form directly to the plan, the plan will process the enrollment on the
day the Annual Election Period begins.
Correct. If a beneficiary sends an unsolicited AEP paper enrollment request to the
plan on or after October 1 but before the Annual Election Period begins, the plan
will process the application beginning on the first day of the election period
(October 15).
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? - Exact Answer He qualifies for a special election period and can enroll in or
disenroll from a Part D plan once during that period.
Correct. Because he is entitled to Medicare Part A and Part B and has a change in
his low income subsidy status, he is eligible for a special election period. During
the SEP, he can enroll in or disenroll from a Part D plan once.
, AHIP 2024 -M5 Exam Study Guide Review with
Correct Definitions Latest.
You are visiting with Mr. Tully 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? - Exact Answer Mr. Tully'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.
Correct: CMS will permit someone to sign on behalf of a beneficiary if they are a
legal representative or individual authorized under state law, such as a court-
appointed legal guardian, someone with a durable power of attorney for health
care decisions, or someone authorized to make health care decisions under state
surrogate consent laws.
Torie Jones is a new marketing representative. Torie asks you for advice as to what
topics must be discussed with a Medicare beneficiary prior to enrollment in a
Medicare Advantage (MA-PD) plan. What should you say? - Exact Answer Torie,
there are many required questions and topics regarding beneficiary needs to be
discussed prior to enrollment in an MA plan. These include information regarding
primary care providers and specialists whether they are in the plan network,
whether or not a beneficiary's current prescriptions are covered as well as
premiums, benefits, and costs of health care services.
Correct Definitions Latest.
A client wants to give you an enrollment application on October 1 before the
beginning of the Annual Election Period because he is leaving on vacation for two
weeks and does not want to forget about turning it in. What should you tell him? -
Exact Answer You must tell him you are not permitted to take the form. If he
sends the form directly to the plan, the plan will process the enrollment on the
day the Annual Election Period begins.
Correct. If a beneficiary sends an unsolicited AEP paper enrollment request to the
plan on or after October 1 but before the Annual Election Period begins, the plan
will process the application beginning on the first day of the election period
(October 15).
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? - Exact Answer He qualifies for a special election period and can enroll in or
disenroll from a Part D plan once during that period.
Correct. Because he is entitled to Medicare Part A and Part B and has a change in
his low income subsidy status, he is eligible for a special election period. During
the SEP, he can enroll in or disenroll from a Part D plan once.
, AHIP 2024 -M5 Exam Study Guide Review with
Correct Definitions Latest.
You are visiting with Mr. Tully 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? - Exact Answer Mr. Tully'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.
Correct: CMS will permit someone to sign on behalf of a beneficiary if they are a
legal representative or individual authorized under state law, such as a court-
appointed legal guardian, someone with a durable power of attorney for health
care decisions, or someone authorized to make health care decisions under state
surrogate consent laws.
Torie Jones is a new marketing representative. Torie asks you for advice as to what
topics must be discussed with a Medicare beneficiary prior to enrollment in a
Medicare Advantage (MA-PD) plan. What should you say? - Exact Answer Torie,
there are many required questions and topics regarding beneficiary needs to be
discussed prior to enrollment in an MA plan. These include information regarding
primary care providers and specialists whether they are in the plan network,
whether or not a beneficiary's current prescriptions are covered as well as
premiums, benefits, and costs of health care services.
