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AHIP 2021 – Module 5: Medicare Compliance & Fraud, Waste, and Abuse (FWA) Verified Questions and Answers | A+ Grade

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This course provides a comprehensive review of AHIP 2021 Module 5, focusing on Medicare Compliance and Fraud, Waste, and Abuse (FWA) requirements. It is designed to help insurance agents, brokers, and healthcare professionals fully understand CMS regulations and successfully complete the AHIP certification.

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AHIP 2021 (Module 5) questions and answers
A+ Grade

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?



a.He can enroll in a different plan or disenroll from his current plan during the next Annual Election
Period.



b.He qualifies for a special election period and can enroll in or disenroll from a Part D plan once during
that period.



c.He can only enroll in or disenroll from an MA-PD plan.



d.He can apply the subsidy amount to his existing plan imm

ediately, but he cannot enroll in a different plan.
- correct answer He qualifies for a special election period and can enroll in or disenroll from a Part D plan
once during that period. AHIP 2021 (Module 5)



Mr. Yoo's employer has recently dropped comprehensive creditable prescription drug coverage that was
offered to company retirees. The company told Mr. Yoo that, because he was affected by this change,
he would qualify for a Special election period. Mr. Yoo contacted you to find out more about what this
means. What can you tell him?



a.It means that he will have a one time opportunity to enroll in a Medigap policy with drug coverage.



b.It means that he will be able to enroll in a state-funded pharmacy assistance program for retirees that
will cover 80 percent of his drug costs.

, c.It means that he qualifies for a one-time opportunity to enroll in an MA-PD or Part D prescription drug
plan.



d.It means that he will be able to purchase continued drug coverage from the insurer that had provided
it to the company retirees, but that he will not have to pay the entire premium himself.
- correct answer It means that he qualifies for a one-time opportunity to enroll in an MA-PD or Part D
prescription drug plan. AHIP 2021 (Module 5)



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?



a.She should wait until the new year to disenroll from Original Medicare and select an MA plan between
January 1 and March 31.



b.She could enroll in an MA plan during the period including the three months before, the month of, and
up to three months after turning 68.



c.She could immediately enroll in MA plan based on the one-time special election period available to
those 70 and younger.



d.

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.
- correct 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. AHIP 2021 (Module 5)



Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP). What action could you help
him take during this time?



a.He will have one opportunity to enroll in a Medicare Advantage plan.



b.He may change or drop MA plans, but may not drop drug coverage.

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AHIP 2021

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Geüpload op
31 januari 2026
Aantal pagina's
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Geschreven in
2025/2026
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