AHIP MEDICARE MODULE 5 QUIZ
QUESTIONS AND ANSWERS
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? - Answer-She can enroll in a Medigap plan to supplement the benefits
of the MA plan that she's also enrolling in.
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? - Answer-Mary may make an unlimited
number of MA enrollment requests and may disenroll from her current MA plan.
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? - Answer-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.
When Myra first became eligible for Medicare, she enrolled in Original Medicare (Parts
A and B). She is now 67 and will turn 68 on July 1. She would now like to enroll in a
Medicare Advantage (MA) plan and approaches you about her options. What advice
would you give her? - Answer-She should remain in Original Medicare until the annual
election period running from October 15 to December 7, during which she can select an
MA plan.
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?
I. Enrollment requests can only be made in face-to-face interviews or by mail.
II. Telephone enrollment request calls must be recorded.
III. Telephonic enrollments must include all required elements necessary to complete an
enrollment.
IV. The signature element must be completed via certified mail. - Answer-I & III only
You are doing a sales presentation for Mrs. Pearson. You know that Medicare
marketing guidelines prohibit certain types of statements. Apply those guidelines to the
following statements and identify which would be prohibited."
a. If you're not in very good health, you will probably do better with a different product."
b."A Private Fee-for-Service plan is not the same as a Medigap supplemental policy."
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