AHIP MODULE 5 ACTUAL EXAM 2024-2025
COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|
ALREADY GRADED A+
Mrs. Walters is entitled to Part A and has medical coverage
without drug coverage through an employer retiree plan. She is
not enrolled in Part B. Since the employer plan does not cover
prescription drugs, she wants to enroll in a Medicare prescription
drug plan. Will she be able to? - correct answers✅✅d. Yes. Mrs.
Walters must be entitled to Part A or enrolled in Part B to be
eligible for coverage under the Medicare prescription drug
program. Correct
Mr. Sanchez is entitled to Part A, but has not enrolled in Part B
because he has coverage through an employer plan. If he wants
to enroll in a Medicare Advantage plan, what will he have to do? -
correct answers✅✅b. He will have to enroll in Part B. Correct
Mr. Kelly wants to know whether he is eligible to sign up for a
Private fee-for-service (PFFS) plan. What questions would you
need to ask to determine his eligibility? - correct answers✅✅c.
You would need to ask Mr. Kelly if he is enrolled in Part A and Part
B and if he lives in the PFFS plan's service area. Correct
Mr. Gonzalez is entitled to Part A, but has not yet enrolled in Part
B. If he wants to enroll in a Private Fee-for-Service (PFFS) plan,
what will he have to do? - correct answers✅✅c. He will have to
enroll in Part B prior to enrolling in the PFFS plan. Correct
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that
does not include drug coverage and also enroll in a stand-alone
,AHIP MODULE 5 ACTUAL EXAM 2024-2025
COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|
ALREADY GRADED A+
Medicare prescription drug plan. Under what circumstances can
she do this? - correct answers✅✅b. If the Medicare Advantage
plan is a Private Fee-for-Service (PFFS) plan that does not offer
drug coverage or a Medical Savings Account, Mrs. Berkowitz can
do this. Correct
Mrs. Roberts has Original Medicare and would like to enroll in a
Private Fee-for-Service (PFFS) plan. All types of PFFS plans are
available in her area. Which options could Mrs. Roberts consider
before selecting a PFFS plan? - correct answers✅✅c. A
Medicare Advantage Prescription Drug (MA-PD) PFFS plan that
combines medical benefits and Part D prescription drug coverage,
a PFFS plan offering only medical benefits, or a PFFS plan in
combination with a stand-alone prescription drug plan. Correct
Which of the following individuals is most likely to be eligible to
enroll in a Medicare Advantage or Part D Plan? - correct
answers✅✅d. Jose, a grandfather who was granted asylum and
has worked in the United States for many years. Correct
Mr. and Mrs. Nunez 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. Nunez feels tired and
tells you that her husband can finish things up. She goes to bed.
At the end of your discussion, Mr. Nunez says that he wants to
enroll both himself and his wife. What should you do? - correct
answers✅✅a. As long as she is able to do so, only Mrs. Nunez
, AHIP MODULE 5 ACTUAL EXAM 2024-2025
COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|
ALREADY GRADED A+
can sign her enrollment form. Mrs. Nunez will have to wake up to
sign her form or do so at another time. Correct
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? - correct answers✅✅d. Mr. Tully's daughter can do so
only, if she is authorized under state law as a court-appointed
legal guardian, has durable power of attorney for health care
decisions, or is authorized under state surrogate consent laws to
make health decisions. Correct
You are meeting with Ms. Berlin and she has completed an
enrollment form for a MA-PD plan you represent. You notice that
her handwriting is illegible and as a result, the spelling of her
street looks incorrect. She asks you to fill in the corrected street
name. What should you do? - correct answers✅✅c. You may
correct this information as long as you add your initials and date
next to the correction Correct
Phiona works in the IT Department of BestCare Health Plan.
Phiona is placed in charge of BestCare's efforts to facilitate
electronic enrollment in its Medicare Advantage plans. In setting
up the enrollment site, which of the following must Phiona
consider?
COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|
ALREADY GRADED A+
Mrs. Walters is entitled to Part A and has medical coverage
without drug coverage through an employer retiree plan. She is
not enrolled in Part B. Since the employer plan does not cover
prescription drugs, she wants to enroll in a Medicare prescription
drug plan. Will she be able to? - correct answers✅✅d. Yes. Mrs.
Walters must be entitled to Part A or enrolled in Part B to be
eligible for coverage under the Medicare prescription drug
program. Correct
Mr. Sanchez is entitled to Part A, but has not enrolled in Part B
because he has coverage through an employer plan. If he wants
to enroll in a Medicare Advantage plan, what will he have to do? -
correct answers✅✅b. He will have to enroll in Part B. Correct
Mr. Kelly wants to know whether he is eligible to sign up for a
Private fee-for-service (PFFS) plan. What questions would you
need to ask to determine his eligibility? - correct answers✅✅c.
You would need to ask Mr. Kelly if he is enrolled in Part A and Part
B and if he lives in the PFFS plan's service area. Correct
Mr. Gonzalez is entitled to Part A, but has not yet enrolled in Part
B. If he wants to enroll in a Private Fee-for-Service (PFFS) plan,
what will he have to do? - correct answers✅✅c. He will have to
enroll in Part B prior to enrolling in the PFFS plan. Correct
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that
does not include drug coverage and also enroll in a stand-alone
,AHIP MODULE 5 ACTUAL EXAM 2024-2025
COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|
ALREADY GRADED A+
Medicare prescription drug plan. Under what circumstances can
she do this? - correct answers✅✅b. If the Medicare Advantage
plan is a Private Fee-for-Service (PFFS) plan that does not offer
drug coverage or a Medical Savings Account, Mrs. Berkowitz can
do this. Correct
Mrs. Roberts has Original Medicare and would like to enroll in a
Private Fee-for-Service (PFFS) plan. All types of PFFS plans are
available in her area. Which options could Mrs. Roberts consider
before selecting a PFFS plan? - correct answers✅✅c. A
Medicare Advantage Prescription Drug (MA-PD) PFFS plan that
combines medical benefits and Part D prescription drug coverage,
a PFFS plan offering only medical benefits, or a PFFS plan in
combination with a stand-alone prescription drug plan. Correct
Which of the following individuals is most likely to be eligible to
enroll in a Medicare Advantage or Part D Plan? - correct
answers✅✅d. Jose, a grandfather who was granted asylum and
has worked in the United States for many years. Correct
Mr. and Mrs. Nunez 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. Nunez feels tired and
tells you that her husband can finish things up. She goes to bed.
At the end of your discussion, Mr. Nunez says that he wants to
enroll both himself and his wife. What should you do? - correct
answers✅✅a. As long as she is able to do so, only Mrs. Nunez
, AHIP MODULE 5 ACTUAL EXAM 2024-2025
COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|
ALREADY GRADED A+
can sign her enrollment form. Mrs. Nunez will have to wake up to
sign her form or do so at another time. Correct
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? - correct answers✅✅d. Mr. Tully's daughter can do so
only, if she is authorized under state law as a court-appointed
legal guardian, has durable power of attorney for health care
decisions, or is authorized under state surrogate consent laws to
make health decisions. Correct
You are meeting with Ms. Berlin and she has completed an
enrollment form for a MA-PD plan you represent. You notice that
her handwriting is illegible and as a result, the spelling of her
street looks incorrect. She asks you to fill in the corrected street
name. What should you do? - correct answers✅✅c. You may
correct this information as long as you add your initials and date
next to the correction Correct
Phiona works in the IT Department of BestCare Health Plan.
Phiona is placed in charge of BestCare's efforts to facilitate
electronic enrollment in its Medicare Advantage plans. In setting
up the enrollment site, which of the following must Phiona
consider?
