AHIP MODULE 5 QUESTIONS AND ANSWERS 2022/2023

You are meeting with Mrs. BERLIN and she has completed an enrollment form for a MA-PD plan you represent. You notice that her handwriting is illegible and as a result, the spelling of her street looks incorrect. She asks you to fill in the corrected street name. What should you do? Correct Answer: You MAY correct this information as long as you add your initials and date next to the correction. 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. Correct 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. Correct 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. Correct 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? Correct Answer: He will have one opportunity to enroll in a MA plan.