2022 AHIP UNIT 5 ENROLLMENT GUIDANCE MA
AND PART DQUESTION 1
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she has been working with
Agent Neil Adams in the selection of a Medicare Advantage (MA) plan. It is mid-September, and Mrs.
Young is going on vacation. Agent Adams is considering suggesting that he and Mrs. Young complete the
application together before she leaves. He will then submit the paper application before the start of the
annual enrollment period (AEP). What would you say If you were advising Agent Adams?
a.This is a bad idea. Mrs. Young should complete an online application now so that Agent Adams will be
given immediate credit for his work once the AEP begins.
B.This is a good idea. This locks Mrs. Young into a plan and protects Agent Adams’ commission.
c.This is a bad idea. Agents are generally prohibited from soliciting or accepting an enrollment form
before the start of the AEP.
d.This is a good idea. The plan will retain Mrs. Young’s application and process it when the AEP begins.
Source: Part 5, Slide – Enrollment Periods - Annual Election Period and Slide – Enrollment Periods Annual
Election Period, Timeframe for Submitting Enrollment Forms
Question 2
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?
a.During her ICEP, she can make an enrollment choice and change that choice during her MA Open
Enrollment Period (MA OEP) that follows her election.
b.She can compare various MA plan options and select one to enroll in.
c.She can enroll in a Medigap plan to supplement the benefits of the MA plan that she’s also enrolling
in.
d.She can choose to enroll in a MA-PD plan, provided that her Part D initial election period and MA ICEP
occur at the same time.
, Source: Part 5, Enrollment Periods MA ICEP, continued.
Question 3
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?
a. If Mr. Block enrolls in the stand-alone Medicare prescription drug plan, he will be disenrolled from
the Medicare Advantage plan.
b. If Mr. Block wants to enroll in both a MA-PD and a stand-alone PDP, he may buy the extra coverage
without any adverse effect.
c. Mr. Block will have to wait until the annual election period, beginning October 15, and then he can add
the stand-alone coverage to the MA-PD.
d. If Mr. Block enrolls in a stand-alone Medicare prescription drug plan, he can request that his Medicare
Advantage plan remove the drug benefit from the package they offer and reduce his premium
accordingly.
Source: Part 5, Slide – Beneficiary Acknowledgements when Enrolling.
Question 4
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 qualifies for a one-time opportunity to enroll in an MA-PD or Part D prescription
drug plan.
b. 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.
Incorrect. The special election period (SEP) he would qualify for is because of an involuntary loss of
creditable drug coverage. The SEP begins the month he was advised of the loss of coverage, and it ends 2
months after the loss of creditable coverage. The SEP does not mean that he’ll be able to purchase
continued drug coverage from the insurer that the company had provided to its retirees.
c. It means that he will have a one time opportunity to enroll in a Medigap policy with drug coverage.
d. 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.
Source: Part 5, Slide – Typical SEPs – Involuntary Loss of Creditable Drug Coverage and Slide – Enrollment
Periods – SEPs, Limitations
AND PART DQUESTION 1
Mrs. Young is currently enrolled in Original Medicare (Parts A and B), but she has been working with
Agent Neil Adams in the selection of a Medicare Advantage (MA) plan. It is mid-September, and Mrs.
Young is going on vacation. Agent Adams is considering suggesting that he and Mrs. Young complete the
application together before she leaves. He will then submit the paper application before the start of the
annual enrollment period (AEP). What would you say If you were advising Agent Adams?
a.This is a bad idea. Mrs. Young should complete an online application now so that Agent Adams will be
given immediate credit for his work once the AEP begins.
B.This is a good idea. This locks Mrs. Young into a plan and protects Agent Adams’ commission.
c.This is a bad idea. Agents are generally prohibited from soliciting or accepting an enrollment form
before the start of the AEP.
d.This is a good idea. The plan will retain Mrs. Young’s application and process it when the AEP begins.
Source: Part 5, Slide – Enrollment Periods - Annual Election Period and Slide – Enrollment Periods Annual
Election Period, Timeframe for Submitting Enrollment Forms
Question 2
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?
a.During her ICEP, she can make an enrollment choice and change that choice during her MA Open
Enrollment Period (MA OEP) that follows her election.
b.She can compare various MA plan options and select one to enroll in.
c.She can enroll in a Medigap plan to supplement the benefits of the MA plan that she’s also enrolling
in.
d.She can choose to enroll in a MA-PD plan, provided that her Part D initial election period and MA ICEP
occur at the same time.
, Source: Part 5, Enrollment Periods MA ICEP, continued.
Question 3
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?
a. If Mr. Block enrolls in the stand-alone Medicare prescription drug plan, he will be disenrolled from
the Medicare Advantage plan.
b. If Mr. Block wants to enroll in both a MA-PD and a stand-alone PDP, he may buy the extra coverage
without any adverse effect.
c. Mr. Block will have to wait until the annual election period, beginning October 15, and then he can add
the stand-alone coverage to the MA-PD.
d. If Mr. Block enrolls in a stand-alone Medicare prescription drug plan, he can request that his Medicare
Advantage plan remove the drug benefit from the package they offer and reduce his premium
accordingly.
Source: Part 5, Slide – Beneficiary Acknowledgements when Enrolling.
Question 4
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 qualifies for a one-time opportunity to enroll in an MA-PD or Part D prescription
drug plan.
b. 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.
Incorrect. The special election period (SEP) he would qualify for is because of an involuntary loss of
creditable drug coverage. The SEP begins the month he was advised of the loss of coverage, and it ends 2
months after the loss of creditable coverage. The SEP does not mean that he’ll be able to purchase
continued drug coverage from the insurer that the company had provided to its retirees.
c. It means that he will have a one time opportunity to enroll in a Medigap policy with drug coverage.
d. 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.
Source: Part 5, Slide – Typical SEPs – Involuntary Loss of Creditable Drug Coverage and Slide – Enrollment
Periods – SEPs, Limitations
