AHIP 2025 Final Exam: Latest Updates on Questions and Guaranteed Accurate Answers
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Course
AHIP 2025
Institution
AHIP 2025
AHIP 2025 Final Exam: Latest
Updates on Questions and
Guaranteed Accurate Answers
Mrs. Kelly, age 65, is entitled to Part A but has not yet enrolled in
Part B. She is considering enrollment in a Medicare Advantage
plan (Part C). What should you advise her to do before she can
e...
AHIP Final Exam 2025 QUESTIONS
AND CORRECT DETAILED
ANSWERS || GRADED A+
Mr. Anderson is a very organized individual and has filled out and
brought to you an enrollment form on October 10 for a new plan
available on January 1 next year. He is currently enrolled in
Original Medicare. What should you do? - ANSWER ✔ Tell Mr.
Anderson that you cannot accept any enrollment forms until the
annual election period begins.
Mr. Ford enrolled in an MA-only plan in mid-November during the
Annual Election Period (AEP). On December 1, he calls you up
and says that he has changed his mind and would like to enroll in
a MA-PD plan. What enrollment rules would apply in this case? -
ANSWER ✔ He can make as many enrollment changes as he
likes during the Annual Election Period and the last choice made
before the end of the period will be the effective one as of January
1.
Mr. Chen is enrolled in his employer's group health plan and will
be retiring soon. He would like to know his options since he has
decided to drop his retiree coverage and is eligible for Medicare.
What should you tell him? - ANSWER ✔ Mr. Chen can disenroll
from his employer-sponsored coverage to elect a Medicare
Advantage or Part D plan within 2 months of his disenrollment.
, Mr. Liu turns 65 on June 19. He has never previously qualified for
Medicare so his first Medicare eligibility date will be June 1. Mr.
Liu's ICEP and Part D IEP begin on March 1 and end on
September 30. He wants prescription drug coverage with his Part
A and Part B benefits. What advice can you provide him? -
ANSWER ✔ He can enroll in a MA-PD as long as he enrolls in
Part B and is entitled to Part A.
Which of the following individuals are likely to qualify for a special
election period (SEP) for either a MA and/or Part D due to a
change of residence?
I. Edward (enrolled in MA and Part D) moves to a new home
within the same neighborhood in his existing plan's service area.
II. Fiona (enrolled in MA and Part D) moves cross-country to an
area outside her existing plan's service area.
III. Gilbert moves into a plan service area where there is now a
Part D plan available to him from a service area where no Part D
plan was available.
IV. Henry makes a permanent move to a new state providing him
with new MA and Part D options. - ANSWER ✔ II, III, and IV only.
Mrs. Pierce would like to enroll in a Medicare Cost plan that
offers Part D prescription drug coverage. She comes to you for
advice about when she can enroll in a plan you have previously
discussed. What should you tell her? - ANSWER ✔ Enrollment in
Cost plans offering Part D coverage is available only during
enrollment periods under the Part D program, and Cost plans
must accept enrollments during these periods.
, Mr. Block is currently enrolled in a Medicare Advantage plan that
includes drug coverage. He found a stand-alone Medicare
prescription drug plan in his area that offers better coverage than
that available through his MA-PD plan and in addition, has a low
premium. It won't cost him much more and, because he has the
means to do so, he wishes to enroll in the stand-alone
prescription drug plan in addition to his MA-PD plan. What should
you tell him? - ANSWER ✔ If Mr. Block enrolls in the stand-alone
Medicare prescription drug plan, he will be disenrolled from the
Medicare Advantage plan.
Mrs. Schmidt is moving and a friend told her she might qualify for
a "special election period" to enroll in a new Medicare Advantage
plan. She contacted you to ask what a special election period is.
What could you tell her? - ANSWER ✔ It is a single period from
January 1 - March 31, created by statute, when any Medicare
beneficiary who has moved out of the area of their Medicare
Advantage or Part D plan can add, drop, or change their Medicare
prescription drug coverage.
Ms. Lee is enrolled in an MA-PD plan but will be moving out of
the plan's service area next month. She is worried that she will
not be able to enroll in another plan available in her new
residence until the Annual Election Period. What should you tell
her? - ANSWER ✔ She is eligible for a special election period
(SEP) that begins either the month before her permanent move, if
the plan is notified in advance, or the month she provides notice
of the move, and this period typically lasts an additional two
months.
Mrs. Tanner is enrolled in a Medicare Advantage HMO that offers
a point of service option. This allows Mrs. Tanner to do which of
the following? - ANSWER ✔ Mrs. Tanner can go to non-plan
doctors for certain services without receiving prior approval.
, Scot Fitzwilliam is a Medicare beneficiary who currently takes
several prescription drugs daily. He does not suffer, however,
from diabetes. He is currently considering enrolling in the PDP
you represent. Mr. Fitzwilliam enjoys a comfortable income and
therefore is unlikely to qualify for a low-income subsidy. He is
careful with his money and asks you about his likely out-of-pocket
costs under a standard benefits PDP plan. What do you say? -
ANSWER ✔ Mr. Fitzwilliam is likely to be responsible for a
deductible of $590 (PY 2025) after which he will be responsible
for 25 percent of his prescription drug costs during the initial
coverage phase - that is, between the deductible and the initial
coverage limit of $2,000 (PY 2025).
Richard is a licensed agent who represents Spartan Health Plan
and its Medicare Advantage (MA) plans. Richard has several
clients who have recently come to him for help who are in their
initial coverage election period (ICEP) and are interested in
enrolling in one of Spartan Health Plan's MA plans. Alice will soon
turn 65 and retire. Alice has coverage through Spartan Health
Plan offered by her employer. Bob had health coverage through
Spartan but dropped the coverage when he retired early to travel
overseas. Bob, who has just turned age 65, is now back in the
United States. Charlotte, who will turn 65 next month, has
coverage through Athena Health plan - a company Richard also
represents. Who qualifies for the opt-in simplified enrollment
mechanism? - ANSWER ✔ Alice and Charlotte because each of
them currently have health coverage and is in their initial
coverage election period (ICEP).
Mr. Lopez, who is fairly well-off financially, would like to enroll in
a Medicare prescription drug plan you represent and simply give
you a check to cover his premiums for the entire year. What
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