2025 AHIP Module 5
1. Mr. And Mrs. Nunez attended considered one of your sales displays. They've asked you
to come to their domestic to remedy some questions. During the presentation, Mrs.
Nunez feels tired and tells you that her husband can finish matters up. She goes to
mattress. At the end of your discussion, Mr. Nunez says that he wants to enroll each
himself and his wife. What need to you do?
2.
3. A. Legal spouses can sign enrollment paperwork for each other underneath federal
regulation. You may additionally sign up both Mr. And Mrs. Nunez, as long as her
husband signs and symptoms on her behalf.
4.
5. B. You should signal the form for Mrs. Nunez your self, due to the fact that she informed
you, as the plan's consultant, that she wanted to enroll.
6.
7. C. As lengthy as she can achieve this, handiest Mrs. Nunez can signal her enrollment
shape. Mrs. Nunez will should awaken to sign her shape or accomplish that at over
again.
8.
9. D. You can countersign Mrs. Nunez's application, at the side of her husband, indicating
that she authorised this choice v - ANS-c
10. Mr. Anderson is a very prepared man or woman and has crammed out and brought to
you an enrollment form on October 10 for a new plan available on January 1 next yr. He
is presently enrolled in Original Medicare. What ought to you do?
11.
12. A. Accept the shape and wait till the Annual Election Period begins to send it to the plan
for processing.
13.
14. B. Tell Mr. Anderson that you can't receive any enrollment paperwork till the annual
election length starts.
15.
16. C. Tell Mr. Anderson that you can not take delivery of an enrollment shape for coverage
to begin on January 1 of subsequent year before December 15.
17.
18. D. Accept the shape and straight away ship it to the plan for processing. - ANS-b
19. Mr. Block is currently enrolled in a Medicare Advantage plan that includes drug
coverage. He located a stand-alone Medicare prescription drug plan in his vicinity that
gives better insurance than that available through his MA-PD plan and in addition, has a
low top rate. It might not fee him lots greater and, because he has the method to achieve
this, he desires to sign up inside the stand-alone prescription drug plan further to his
MA-PD plan. What have to you tell him?
, 20.
21. A. If Mr. Block enrolls inside the stand-on my own Medicare prescription drug plan, he
will be disenrolled from the Medicare Advantage plan.
22.
23. B. Mr. Block will need to wait until the once a year election duration, starting October 15,
and then he can upload the stand-by myself insurance to the MA-PD.
24.
25. C. If Mr. Block wants to enroll in each a MA-PD and a stand-alone PDP, he may
additionally buy the greater coverage with none damaging impact.
26.
27. D. If Mr. Block enrolls in a stand-on my own Medicare prescription drug - ANS-a
28. Mr. Chen is enrolled in his enterprise's group fitness plan and can be retiring quickly. He
would really like to know his options on the grounds that he has decided to drop his
retiree insurance and is eligible for Medicare. What need to you inform him?
29.
30. A. Mr. Chen can disenroll from his enterprise-backed insurance to go with a Medicare
Advantage or Part D plan, but he must wait till the next Annual Election Period.
31.
32. B. Mr. Chen ought to convert his present day insurance to organization-sponsored
retiree insurance and wait one year earlier than enrolling in a MA or Part D plan.
33.
34. C. Mr. Chen can disenroll from the business enterprise-sponsored plan and his handiest
choice is to pick out a Medigap plan.
35.
36. D. Mr. Chen can disenroll from his enterprise-sponsored coverage to choose a Medicare
Advantage or Part D plan inside 2 months of his disenrollment. - ANS-d
37. Mr. Ford enrolled in an MA-simplest plan in mid-November for the duration of the Annual
Election Period (AEP). On December 1, he calls you up and says that he has modified
his mind and would really like to enroll in a MA-PD plan. What enrollment guidelines
could apply in this example?
38.
39. A. He have to go back to Original Medicare however need to then sign up in a Part D
plan if he desires prescription drug insurance via Medicare.
40.
41. B. He ought to wait for as a minimum six months into the plan yr to make sure that he
wants to make the trade. If he still wants to do so, he could make any kind of trade he
likes at that point.
42.
43. C. He can simplest make a unmarried enrollment trade at some stage in the Annual
Election Period, so he will not be able to change his enrollment.
44.
45. D. He can make as many enrollment changes as he likes all through the Annual Election
Period and the closing desire made before the give up of the period can be the powerful
one as of January 1. - ANS-d
1. Mr. And Mrs. Nunez attended considered one of your sales displays. They've asked you
to come to their domestic to remedy some questions. During the presentation, Mrs.
Nunez feels tired and tells you that her husband can finish matters up. She goes to
mattress. At the end of your discussion, Mr. Nunez says that he wants to enroll each
himself and his wife. What need to you do?
2.
3. A. Legal spouses can sign enrollment paperwork for each other underneath federal
regulation. You may additionally sign up both Mr. And Mrs. Nunez, as long as her
husband signs and symptoms on her behalf.
4.
5. B. You should signal the form for Mrs. Nunez your self, due to the fact that she informed
you, as the plan's consultant, that she wanted to enroll.
6.
7. C. As lengthy as she can achieve this, handiest Mrs. Nunez can signal her enrollment
shape. Mrs. Nunez will should awaken to sign her shape or accomplish that at over
again.
8.
9. D. You can countersign Mrs. Nunez's application, at the side of her husband, indicating
that she authorised this choice v - ANS-c
10. Mr. Anderson is a very prepared man or woman and has crammed out and brought to
you an enrollment form on October 10 for a new plan available on January 1 next yr. He
is presently enrolled in Original Medicare. What ought to you do?
11.
12. A. Accept the shape and wait till the Annual Election Period begins to send it to the plan
for processing.
13.
14. B. Tell Mr. Anderson that you can't receive any enrollment paperwork till the annual
election length starts.
15.
16. C. Tell Mr. Anderson that you can not take delivery of an enrollment shape for coverage
to begin on January 1 of subsequent year before December 15.
17.
18. D. Accept the shape and straight away ship it to the plan for processing. - ANS-b
19. Mr. Block is currently enrolled in a Medicare Advantage plan that includes drug
coverage. He located a stand-alone Medicare prescription drug plan in his vicinity that
gives better insurance than that available through his MA-PD plan and in addition, has a
low top rate. It might not fee him lots greater and, because he has the method to achieve
this, he desires to sign up inside the stand-alone prescription drug plan further to his
MA-PD plan. What have to you tell him?
, 20.
21. A. If Mr. Block enrolls inside the stand-on my own Medicare prescription drug plan, he
will be disenrolled from the Medicare Advantage plan.
22.
23. B. Mr. Block will need to wait until the once a year election duration, starting October 15,
and then he can upload the stand-by myself insurance to the MA-PD.
24.
25. C. If Mr. Block wants to enroll in each a MA-PD and a stand-alone PDP, he may
additionally buy the greater coverage with none damaging impact.
26.
27. D. If Mr. Block enrolls in a stand-on my own Medicare prescription drug - ANS-a
28. Mr. Chen is enrolled in his enterprise's group fitness plan and can be retiring quickly. He
would really like to know his options on the grounds that he has decided to drop his
retiree insurance and is eligible for Medicare. What need to you inform him?
29.
30. A. Mr. Chen can disenroll from his enterprise-backed insurance to go with a Medicare
Advantage or Part D plan, but he must wait till the next Annual Election Period.
31.
32. B. Mr. Chen ought to convert his present day insurance to organization-sponsored
retiree insurance and wait one year earlier than enrolling in a MA or Part D plan.
33.
34. C. Mr. Chen can disenroll from the business enterprise-sponsored plan and his handiest
choice is to pick out a Medigap plan.
35.
36. D. Mr. Chen can disenroll from his enterprise-sponsored coverage to choose a Medicare
Advantage or Part D plan inside 2 months of his disenrollment. - ANS-d
37. Mr. Ford enrolled in an MA-simplest plan in mid-November for the duration of the Annual
Election Period (AEP). On December 1, he calls you up and says that he has modified
his mind and would really like to enroll in a MA-PD plan. What enrollment guidelines
could apply in this example?
38.
39. A. He have to go back to Original Medicare however need to then sign up in a Part D
plan if he desires prescription drug insurance via Medicare.
40.
41. B. He ought to wait for as a minimum six months into the plan yr to make sure that he
wants to make the trade. If he still wants to do so, he could make any kind of trade he
likes at that point.
42.
43. C. He can simplest make a unmarried enrollment trade at some stage in the Annual
Election Period, so he will not be able to change his enrollment.
44.
45. D. He can make as many enrollment changes as he likes all through the Annual Election
Period and the closing desire made before the give up of the period can be the powerful
one as of January 1. - ANS-d
