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2024 AHIP Module 5 Complete Questions Answers Solved 100 Correct
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2024 AHIP Module 5 Complete Questions & Answers (Solved) 100% Correct
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2024 AHIP Module 5 Complete Questions &Answers (Solved) 100% Correct
1). Mrs. margolis contacts you in august because she will become eligible for medicare for the
first time in november. she would like to meet and discuss plan choices with you. what
advice should you give her?
Ans: Tell her to wait until October to discuss plan choices with you so that you can
share plan benefits for the current year as well as any changes for the following year that
may impact her choice.
2). 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?
Ans: He qualifies for a special election period and can enroll in or disenroll from a Part
D plan once during that period.
3). Mary samuels recently suffered a stroke while visiting her daughter and grandchildren. as a
result, mary has been admitted to a rehabilitation hospital where she is expected to reside
for several months. the rehabilitation hospital is located outside the geographic area served
by her current medicare advantage (ma) plan. what options are available to mary regarding
her health plan coverage?
Ans: Mary may make an unlimited number of MA enrollment requests and may
disenroll from her current MA plan.
4). Mr. garrett has just entered his ma initial coverage election period (icep). what action could
you help him take during this time?
Ans: He will have one opportunity to enroll in a Medicare Advantage plan.
5). You have come to mrs. midler's home for a sales presentation. at the beginning of the
presentation, mrs. midler tells you that she has a copy of her medical records available
because she thinks this will help you understand her needs. she suggests that you will know
which questions to ask her about her health status in order to best assist her in selecting a
plan. what should you do?
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, Ans: You can only ask Mrs. Midler questions about conditions that affect eligibility,
specifically, whether she has one of the conditions that would qualify her for a special
needs plan.
6). Mrs. reeves is newly eligible to enroll in a medicare advantage plan and her ma initial
coverage election period (icep) has just begun. which of the following can she not do during
the icep?
Ans: She can enroll in a Medigap plan to supplement the benefits of the MA plan that
she's also enrolling in.
7). Mr. white has medicare parts a and b with a part d plan. last year, he received a notice that
his plan sponsor identified him as a "potential at-risk" beneficiary. this month, he started
receiving assistance from medicaid. he wants to find a different part d plan that's more
suitable to his current prescription drug needs. he believes he's entitled to a sep since he is
now a dual eligible. is he able to change to a different part d plan during a sep for dual
eligible individuals?
Ans: No. Once he is identified by the plan sponsor as a "potential at-risk" beneficiary, he
cannot use the dual eligible SEP to change plans while this designation is in place.
8). Ms. gonzales decided to remain in original medicare (parts a and b) and part d during the
annual enrollment period (aep). at the beginning of january, her neighbor told her about the
medicare advantage (ma) plan he selected. he also told her there was an open enrollment
period that she might be able to use to enroll in a ma plan. ms. gonzales comes to you for
advice shortly after speaking to her neighbor. what should you tell her?
Ans: There is a MA Open Enrollment Period (OEP) that takes place between January 1
and March 31, but Ms. Gonzales cannot use it because eligibility to use the OEP is
available only to MA enrollees.
9). Mr. ziegler is turning 65 next month and has asked you what he can do, and when he must
do it, with respect to enrolling in part d. what could you tell him?
Ans: He is currently in the Part D Initial Enrollment Period (IEP) and, during this time, he
may make one Part D enrollment choice, including enrollment in a stand-alone Part D plan
or an MA-PD plan.
10). Mrs. parker likes to handle most of her business matters through telephone calls. she
currently is enrolled in original medicare parts a and b but has heard about a medicare
advantage plan offered by senior health from a neighbor. mrs. parker asks you whether she
can enroll in senior health's ma plan over the telephone. what can you tell her?
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