AHIP 2023 Module 5 | with 100% Correct Answers
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 ==II and
III only
Ms. Thomas has worked for many years and is turning 68 in June. She is eligible for
Medicare Part A and did not enroll for Part B when first eligible because she has
insurance through her employer - Coffee Brew, Inc. She also did not enroll in Part D
because she had creditable coverage. She would like to retire in June and enroll in a
Medicare Advantage plan. She has been informed that her group coverage will end on
her retirement effective date. How would you advise Ms. Thomas? - ANSWER ==Ms.
Thomas can enroll in Part B without a late penalty at any time she is still covered by her
employer group and 8 months after her last month of employer group coverage without
a penalty. However, because she wants to enroll in a MA plan after retirement, she
should make sure her Part B coverage is effective in time to use the Medicare
Advantage/Part D special election period for individuals changing from employer group
coverage to enroll in a MA plan or MA-PD. The SEP begins while she has employer
group coverage and will last until 2 months after the month after the month her
employer coverage ends. If she wants Part D coverage she should enroll in an MA-PD
or a PDP (depending on how she decides to receive her Part A and B benefits) during
this time.
You work for Caring Health, a Medicare Advantage (MA) plan sponsor. Recently, Mrs.
Garcia has completed an enrollment application for a plan offered by Caring Health,
which is waiting for a reply from CMS indicating whether or not Mrs. Garcia's enrollment
has been accepted. Once CMS replies, how long does Caring Health have to notify Mrs.
Garcia that her enrollment has been accepted and in what format? - ANSWER ==The
plan has 10 calendar days to notify Mrs. Garcia in writing.
Mr. Liu turns 65 on June 19. He has never previously qualified for Medicare so his first
Medicare eligibility date will be by June 1. Mr. Liu's ICEP and Part D IEP begin March 1
and end on September 30. He wants prescription drug coverage with his Part A and
Part B benefits. What advice can you provide him? - ANSWER ==He can enroll in a
MA-PD as long as he enrolls in Part B and is entitled to Part A.
Mrs. Kendrick is in good health, has worked for many years and is six months away
from turning 65. She wants to know what she will have to do to enroll in a Medicare
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 ==II and
III only
Ms. Thomas has worked for many years and is turning 68 in June. She is eligible for
Medicare Part A and did not enroll for Part B when first eligible because she has
insurance through her employer - Coffee Brew, Inc. She also did not enroll in Part D
because she had creditable coverage. She would like to retire in June and enroll in a
Medicare Advantage plan. She has been informed that her group coverage will end on
her retirement effective date. How would you advise Ms. Thomas? - ANSWER ==Ms.
Thomas can enroll in Part B without a late penalty at any time she is still covered by her
employer group and 8 months after her last month of employer group coverage without
a penalty. However, because she wants to enroll in a MA plan after retirement, she
should make sure her Part B coverage is effective in time to use the Medicare
Advantage/Part D special election period for individuals changing from employer group
coverage to enroll in a MA plan or MA-PD. The SEP begins while she has employer
group coverage and will last until 2 months after the month after the month her
employer coverage ends. If she wants Part D coverage she should enroll in an MA-PD
or a PDP (depending on how she decides to receive her Part A and B benefits) during
this time.
You work for Caring Health, a Medicare Advantage (MA) plan sponsor. Recently, Mrs.
Garcia has completed an enrollment application for a plan offered by Caring Health,
which is waiting for a reply from CMS indicating whether or not Mrs. Garcia's enrollment
has been accepted. Once CMS replies, how long does Caring Health have to notify Mrs.
Garcia that her enrollment has been accepted and in what format? - ANSWER ==The
plan has 10 calendar days to notify Mrs. Garcia in writing.
Mr. Liu turns 65 on June 19. He has never previously qualified for Medicare so his first
Medicare eligibility date will be by June 1. Mr. Liu's ICEP and Part D IEP begin March 1
and end on September 30. He wants prescription drug coverage with his Part A and
Part B benefits. What advice can you provide him? - ANSWER ==He can enroll in a
MA-PD as long as he enrolls in Part B and is entitled to Part A.
Mrs. Kendrick is in good health, has worked for many years and is six months away
from turning 65. She wants to know what she will have to do to enroll in a Medicare
