AHIP (America’s Health Insurance Plans) Newest
2025/2026 Final Exam Test Bank /Questions with 100%
detailed Answers
Mr. 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. What could you tell him? - ANSWER-
He is currently in the Part D Initial Enrollment Period (IEP)
and, during this time, he may make one Part D enrollment
choice, including enrollment in a stand-alone Part D plan
or an MA-PD plan.
Ms. Claggett is sixty-six (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 Medicare Advantage or a Part D plan before.
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She wants to enroll in a Part D plan. She knows that there
is such a thing as the "Part D Initial Enrollment Period"
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
Initial Enrollment Period 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.
When Myra first became eligible for Medicare, she
enrolled in Original Medicare (Parts A and B). She is now
67 and will turn 68 on July 1. She would now like to enroll
in a Medicare Advantage (MA) plan and approaches you
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about her options. What advice would you give her? -
ANSWER-She should remain in Original Medicare until
the annual election period running from October 15 to
December 7, during which she can select an MA plan
Mr. Ford enrolled in an MA-only plan in mid November. On
December 1, he calls you up and says that he has
changed his mind and would like to enroll into an MA-PD
plan. What enrollment rules would apply in this case? -
ANSWER-He can make as many enrollment changes as
he likes during the Annual Election Period and the last
choice made prior to the end of the period will be the
effective one as of January 1.
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Mrs. Kumar would like her daughter, who lives in another
state, to meet with you during the Annual Election Period
to help her complete her enrollment in a Part D plan. She
asked you when she should have her daughter plan to
visit. What could you tell her? - ANSWER-Her daughter
should come in November.
Mr. Anderson is a very organized individual and has filled
out and brought to you an enrollment form on October 10
for a new plan available January 1 next year. What should
you do? - ANSWER-Tell Mr. Anderson that you cannot
accept any enrollment forms until the annual election
period begins.