AHIP Final Exam 2
1. Mr. Wendt 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. Wendt has heard certain MA plans might
provide him with more specialized coverage for his diabetes and wants to know if hemust wait
until the next annual open enrollment period (AEP) before enrollingin such a plan. What should
you tell him?
Answer: If there is a special needs plan (SNP)in Mr. Wendt'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)
2. Agent Chan is conducting a sales presentation on senior issues where he hopes to enroll
some attendees in the Medicare Advantage (MA) plans herepresents. What action(s) may
Agent Chan take during the event?
Answer: Discuss plan specific information such as premiums and benefits.
3. Mr. Landry is approaching his 65th birthday. He has signed up for MedicarePart A, but he
did not enroll in Part B because he has employer-sponsored coverage and intends to keep
working for several more years. But he is considering enrolling in Part D prescription drug
coverage because he believes it is superior to his employer plan. How would you advise him?
Answer: Mr. Landry iseligible for Part D since he has Part A, and his initial enrollment period
(IEP) for PartD will continue for three months after his 65th birthday.
4. Mrs. Paterson is concerned about the deductibles and co-payments associated with Original
Medicare. What can you tell her about Medigap as an option to address this concern?
Answer: Medigap plans help beneficiaries cover OriginalMedicare benefits, but they
coordinate with Original Medicare coverage.
5. Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original Medicare
Part A and Part B. She would also like to enroll in a MedicareSupplement (Medigap) plan.
Anita's older neighbor Mel has told her about theMedigap Plan F in which he is enrolled. It not
only provides foreign travel emergency benefits but also covers his Medicare Part B
deductible. Anita comes to you for advice. What should you tell her?
Answer: You are sorry to disappointAnita, but a Medigap F plan is no longer available to
those who turn age 65 after January 1, 2020. Anita might instead consider other Medigap plans
that offer foreigntravel benefits but do not cover the Part B deductible.
6. What impact, if any, have recent regulatory changes had on Medigap plans?-
Answer: b.
The Part B deductible is no longer covered for individuals newly eligible for Medicarestarting
January 1, 2020.
1. Mr. Wendt 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. Wendt has heard certain MA plans might
provide him with more specialized coverage for his diabetes and wants to know if hemust wait
until the next annual open enrollment period (AEP) before enrollingin such a plan. What should
you tell him?
Answer: If there is a special needs plan (SNP)in Mr. Wendt'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)
2. Agent Chan is conducting a sales presentation on senior issues where he hopes to enroll
some attendees in the Medicare Advantage (MA) plans herepresents. What action(s) may
Agent Chan take during the event?
Answer: Discuss plan specific information such as premiums and benefits.
3. Mr. Landry is approaching his 65th birthday. He has signed up for MedicarePart A, but he
did not enroll in Part B because he has employer-sponsored coverage and intends to keep
working for several more years. But he is considering enrolling in Part D prescription drug
coverage because he believes it is superior to his employer plan. How would you advise him?
Answer: Mr. Landry iseligible for Part D since he has Part A, and his initial enrollment period
(IEP) for PartD will continue for three months after his 65th birthday.
4. Mrs. Paterson is concerned about the deductibles and co-payments associated with Original
Medicare. What can you tell her about Medigap as an option to address this concern?
Answer: Medigap plans help beneficiaries cover OriginalMedicare benefits, but they
coordinate with Original Medicare coverage.
5. Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original Medicare
Part A and Part B. She would also like to enroll in a MedicareSupplement (Medigap) plan.
Anita's older neighbor Mel has told her about theMedigap Plan F in which he is enrolled. It not
only provides foreign travel emergency benefits but also covers his Medicare Part B
deductible. Anita comes to you for advice. What should you tell her?
Answer: You are sorry to disappointAnita, but a Medigap F plan is no longer available to
those who turn age 65 after January 1, 2020. Anita might instead consider other Medigap plans
that offer foreigntravel benefits but do not cover the Part B deductible.
6. What impact, if any, have recent regulatory changes had on Medigap plans?-
Answer: b.
The Part B deductible is no longer covered for individuals newly eligible for Medicarestarting
January 1, 2020.
