AHIP module 5 Exam Questions with
Verified Answers 2022/2023
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage
through an employer retiree plan. She is not enrolled in Part B. Since the employer plan
does not cover prescription drugs, she wants to enroll in a Medicare prescription drug
plan. Will she be able to? - correct answers--d. Yes. Mrs. Walters must be entitled to
Part A or enrolled in Part B to be eligible for coverage under the Medicare prescription
drug program. Correct
, Mr. Sanchez is entitled to Part A, but has not enrolled in Part B because he has
coverage through an employer plan. If he wants to enroll in a Medicare Advantage plan,
what will he have to do? - correct answers--b. He will have to enroll in Part B. Correct
Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-for-service
(PFFS) plan. What questions would you need to ask to determine his eligibility? -
correct answers--c. You would need to ask Mr. Kelly if he is enrolled in Part A and Part
B and if he lives in the PFFS plan's service area. Correct
Mr. Gonzalez is entitled to Part A, but has not yet enrolled in Part B. If he wants to enroll
in a Private Fee-for-Service (PFFS) plan, what will he have to do? - correct answers--c.
He will have to enroll in Part B prior to enrolling in the PFFS plan. Correct
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug
coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what
circumstances can she do this? - correct answers--b. If the Medicare Advantage plan is
a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical
Savings Account, Mrs. Berkowitz can do this. Correct
Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-for-Service
(PFFS) plan. All types of PFFS plans are available in her area. Which options could
Mrs. Roberts consider before selecting a PFFS plan? - correct answers--c. A Medicare
Advantage Prescription Drug (MA-PD) PFFS plan that combines medical benefits and
Part D prescription drug coverage, a PFFS plan offering only medical benefits, or a
PFFS plan in combination with a stand-alone prescription drug plan. Correct
Which of the following individuals is most likely to be eligible to enroll in a Medicare
Advantage or Part D Plan? - correct answers--d. Jose, a grandfather who was granted
asylum and has worked in the United States for many years. Correct
Mr. and Mrs. Nunez attended one of your sales presentations. They've asked you to
come to their home to clear up a few questions. During the presentation, Mrs. Nunez
feels tired and tells you that her husband can finish things up. She goes to bed. At the
end of your discussion, Mr. Nunez says that he wants to enroll both himself and his
wife. What should you do? - correct answers--a. As long as she is able to do so, only
Mrs. Nunez can sign her enrollment form. Mrs. Nunez will have to wake up to sign her
form or do so at another time. Correct
You are visiting with Mr. Tully and his daughter at her request. He has advanced
Alzheimer's and is incapable of understanding the implications of choosing a Medicare
Advantage or prescription drug plan. Can his daughter fill out the enrollment form and
sign it for him? - correct answers--d. Mr. Tully's daughter can do so only, if she is
authorized under state law as a court-appointed legal guardian, has durable power of
attorney for health care decisions, or is authorized under state surrogate consent laws
to make health decisions. Correct
Verified Answers 2022/2023
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage
through an employer retiree plan. She is not enrolled in Part B. Since the employer plan
does not cover prescription drugs, she wants to enroll in a Medicare prescription drug
plan. Will she be able to? - correct answers--d. Yes. Mrs. Walters must be entitled to
Part A or enrolled in Part B to be eligible for coverage under the Medicare prescription
drug program. Correct
, Mr. Sanchez is entitled to Part A, but has not enrolled in Part B because he has
coverage through an employer plan. If he wants to enroll in a Medicare Advantage plan,
what will he have to do? - correct answers--b. He will have to enroll in Part B. Correct
Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-for-service
(PFFS) plan. What questions would you need to ask to determine his eligibility? -
correct answers--c. You would need to ask Mr. Kelly if he is enrolled in Part A and Part
B and if he lives in the PFFS plan's service area. Correct
Mr. Gonzalez is entitled to Part A, but has not yet enrolled in Part B. If he wants to enroll
in a Private Fee-for-Service (PFFS) plan, what will he have to do? - correct answers--c.
He will have to enroll in Part B prior to enrolling in the PFFS plan. Correct
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug
coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what
circumstances can she do this? - correct answers--b. If the Medicare Advantage plan is
a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical
Savings Account, Mrs. Berkowitz can do this. Correct
Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-for-Service
(PFFS) plan. All types of PFFS plans are available in her area. Which options could
Mrs. Roberts consider before selecting a PFFS plan? - correct answers--c. A Medicare
Advantage Prescription Drug (MA-PD) PFFS plan that combines medical benefits and
Part D prescription drug coverage, a PFFS plan offering only medical benefits, or a
PFFS plan in combination with a stand-alone prescription drug plan. Correct
Which of the following individuals is most likely to be eligible to enroll in a Medicare
Advantage or Part D Plan? - correct answers--d. Jose, a grandfather who was granted
asylum and has worked in the United States for many years. Correct
Mr. and Mrs. Nunez attended one of your sales presentations. They've asked you to
come to their home to clear up a few questions. During the presentation, Mrs. Nunez
feels tired and tells you that her husband can finish things up. She goes to bed. At the
end of your discussion, Mr. Nunez says that he wants to enroll both himself and his
wife. What should you do? - correct answers--a. As long as she is able to do so, only
Mrs. Nunez can sign her enrollment form. Mrs. Nunez will have to wake up to sign her
form or do so at another time. Correct
You are visiting with Mr. Tully and his daughter at her request. He has advanced
Alzheimer's and is incapable of understanding the implications of choosing a Medicare
Advantage or prescription drug plan. Can his daughter fill out the enrollment form and
sign it for him? - correct answers--d. Mr. Tully's daughter can do so only, if she is
authorized under state law as a court-appointed legal guardian, has durable power of
attorney for health care decisions, or is authorized under state surrogate consent laws
to make health decisions. Correct
