AHIP ELITE REVIEW ACTUAL EXAM PAPER
VERIFIED ANSWERS 100 PERCENT
CORRECT
◉ BLOCK is currently enrolled in a MA plan that includes drug
coverage. He found a stand-alone Medicare Rx 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 Rx plan
in addition to his MA-PD plan. ANSWER: If Mr. Block enrolls in the
stand-alone Medicare Rx plan, he will be dis-enrolled from the MA plan.
◉ You are doing a sales presentation for Mrs. PECK. You know
that the Medicare marketing guidelines prohibit certain types of
statements. Apply those guidelines to the following statements and
identify which would be prohibited. ANSWER: "If you're not in very
good health, you will probably do better with a different product."
PROHIBITED STATEMENT
◉ You have come to Mrs. BROWN's home for a sales
presentation. At the beginning of the presentation, Mrs. Brown tells you
that she has a copy of her medical record 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. ANSWER: You can only ask Mrs. Brown
questions about conditions that affect eligibility, specifically, whether
she has end stage renal disease or one of the conditions that would
qualify her for a special needs plan.
, ◉ GRANT has just entered his MA ICEP. What action could you
help him take during this time? ANSWER: He will have one opportunity
to enroll in a MA plan.
◉ KENNY is six months away from turning 65. She wants to
know what she will have to do to enroll in a MA plan as soon as
possible. What could you tell her? ANSWER: She may enroll in an MA
plan beginning three months immediately before her first entitlement to
both Medicare Part A and B.
◉ 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.
ANSWER: He is currently in the Part D IEP and, during this time, he
may make one Part D enrollment choice, including enrollment in a
stand-alone Part D plan or a MA-PD plan.
◉ CLAGGETT is 66 years old. She has been covered under both
Parts A and B of Original Medicare for the last six years due to her
disability, has never been enrolled in a MA or Part D plan before. She
wants to enroll in a Part D plan. She knows that there is such a thing as
the Part D IEP and has concluded that, since she has never enrolled in
such a plan before, she should be eligible to enroll under this period.
What should you tell her about how the Part D IEP applies to her
situation? ANSWER: It occurs three months before and three months
after the month when a beneficiary meets the eligibility requirements for
Part B, so she will NOT be able to use it as a justification for enrolling in
a Part D plan now.
VERIFIED ANSWERS 100 PERCENT
CORRECT
◉ BLOCK is currently enrolled in a MA plan that includes drug
coverage. He found a stand-alone Medicare Rx 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 Rx plan
in addition to his MA-PD plan. ANSWER: If Mr. Block enrolls in the
stand-alone Medicare Rx plan, he will be dis-enrolled from the MA plan.
◉ You are doing a sales presentation for Mrs. PECK. You know
that the Medicare marketing guidelines prohibit certain types of
statements. Apply those guidelines to the following statements and
identify which would be prohibited. ANSWER: "If you're not in very
good health, you will probably do better with a different product."
PROHIBITED STATEMENT
◉ You have come to Mrs. BROWN's home for a sales
presentation. At the beginning of the presentation, Mrs. Brown tells you
that she has a copy of her medical record 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. ANSWER: You can only ask Mrs. Brown
questions about conditions that affect eligibility, specifically, whether
she has end stage renal disease or one of the conditions that would
qualify her for a special needs plan.
, ◉ GRANT has just entered his MA ICEP. What action could you
help him take during this time? ANSWER: He will have one opportunity
to enroll in a MA plan.
◉ KENNY is six months away from turning 65. She wants to
know what she will have to do to enroll in a MA plan as soon as
possible. What could you tell her? ANSWER: She may enroll in an MA
plan beginning three months immediately before her first entitlement to
both Medicare Part A and B.
◉ 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.
ANSWER: He is currently in the Part D IEP and, during this time, he
may make one Part D enrollment choice, including enrollment in a
stand-alone Part D plan or a MA-PD plan.
◉ CLAGGETT is 66 years old. She has been covered under both
Parts A and B of Original Medicare for the last six years due to her
disability, has never been enrolled in a MA or Part D plan before. She
wants to enroll in a Part D plan. She knows that there is such a thing as
the Part D IEP and has concluded that, since she has never enrolled in
such a plan before, she should be eligible to enroll under this period.
What should you tell her about how the Part D IEP applies to her
situation? ANSWER: It occurs three months before and three months
after the month when a beneficiary meets the eligibility requirements for
Part B, so she will NOT be able to use it as a justification for enrolling in
a Part D plan now.
