1|Page
CAHIMS Final Actual Exam Newest 2025/2026
Complete Exam Questions And Correct Answers
(Verified Answers) |Already Graded A+
The client turned 65 before 2020, and has a GI
enrollment period due to involuntary loss of coverage.
What sup plans can they sign up for? - .....ANSWER
...✔✔ Medigap Supplement Plans ABCFKL
Always Be Caring For KayLa
What type of MA-Only plan can be paired with a PDP
plan? - .....ANSWER ...✔✔ PFFS
If Mary is over 65 and has lost her coverage due to a
move. She is interested in a sup plan. Does she have an
enrollment period and if so, what kind? - .....ANSWER
...✔✔ Yes, Guaranteed Issue NOT Open Enrollment
Mary is over 65 and has lost coverage due to her move.
How much time does she have to sign up for a MAPD
plan? - .....ANSWER ...✔✔ She can enroll during the
month of the move plus two more months
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Mary is over 65 and has lost her MAPD plan due to a
move. How long does she have to get a Medicare Sup
Plan? - .....ANSWER ...✔✔ She can apply 60 days prior
to the loss of coverage and 63 days following the loss
of coverage.
T/F: All Medicare beneficiaries are Guaranteed Issue for
Medigap Sup coverage following any move. -
.....ANSWER ...✔✔ FALSE
What are some important points to make in a Value
Proposition? - .....ANSWER ...✔✔ Highlight features,
advantages and benefits
Relevancy to Client's situation
Highlights company's points of difference over
competitors
What are the features of SelectQuote Senior? -
.....ANSWER ...✔✔ One of the nation's largest
insurance advisory firms
A+ rating with the Better Business Bureau
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T/F: Medicare Advantage Plans supplement Original
Medicare. - .....ANSWER ...✔✔ FALSE
T/F: You only have 2 months to enroll into Part B after
your creditable coverage ends. - .....ANSWER ...✔✔
FALSE
T/F: Medicare will penalize you later if you did not sign
up for your Part B coverage when you were first
eligible and did not have other creditable coverage in its
place. - .....ANSWER ...✔✔ TRUE
T/F: Medicare Part B is an 80/20 split and there is a
maximum out-of-pocket of $1408. - .....ANSWER ...✔✔
FALSE
T/F: D-SNPs do NOT cover prescription drugs. -
.....ANSWER ...✔✔ FALSE
The amount you must pay for health care before
Medicare begins to pay. These amounts can change
every year. - .....ANSWER ...✔✔ Deductible
In order to get a D-SNP a client must have what? -
.....ANSWER ...✔✔ Medicare and Medicaid
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T/F: Edward Johnston only has Original Medicare and a
PDP plan. It is Jan. 31. He can use OEP to get an MAPD.
- .....ANSWER ...✔✔ FALSE
T/F: If a client has Medicaid and a D-SNP HMO, they can
continue to see all doctors that accept Medicaid
regardless of whether the doctor is in-network. -
.....ANSWER ...✔✔ FALSE
T/F: Chris Taggart only has Original Medicare and
receives VA benefits. Chris qualifies for a 1 time SEP to
get an MA plan anytime during the year. - .....ANSWER
...✔✔ FALSE
T/F: D-SNPs allow the client to see doctors in the plan's
network whether or not they accept Medicaid. -
.....ANSWER ...✔✔ TRUE
Amy uses the GEP to enroll in Part B on January 1st.
She wants to also enroll in a Humana MAPD plan. When
can the agent enroll Amy in the Humana MAPD? -
.....ANSWER ...✔✔ APRIL 1
CAHIMS Final Actual Exam Newest 2025/2026
Complete Exam Questions And Correct Answers
(Verified Answers) |Already Graded A+
The client turned 65 before 2020, and has a GI
enrollment period due to involuntary loss of coverage.
What sup plans can they sign up for? - .....ANSWER
...✔✔ Medigap Supplement Plans ABCFKL
Always Be Caring For KayLa
What type of MA-Only plan can be paired with a PDP
plan? - .....ANSWER ...✔✔ PFFS
If Mary is over 65 and has lost her coverage due to a
move. She is interested in a sup plan. Does she have an
enrollment period and if so, what kind? - .....ANSWER
...✔✔ Yes, Guaranteed Issue NOT Open Enrollment
Mary is over 65 and has lost coverage due to her move.
How much time does she have to sign up for a MAPD
plan? - .....ANSWER ...✔✔ She can enroll during the
month of the move plus two more months
,2|Page
Mary is over 65 and has lost her MAPD plan due to a
move. How long does she have to get a Medicare Sup
Plan? - .....ANSWER ...✔✔ She can apply 60 days prior
to the loss of coverage and 63 days following the loss
of coverage.
T/F: All Medicare beneficiaries are Guaranteed Issue for
Medigap Sup coverage following any move. -
.....ANSWER ...✔✔ FALSE
What are some important points to make in a Value
Proposition? - .....ANSWER ...✔✔ Highlight features,
advantages and benefits
Relevancy to Client's situation
Highlights company's points of difference over
competitors
What are the features of SelectQuote Senior? -
.....ANSWER ...✔✔ One of the nation's largest
insurance advisory firms
A+ rating with the Better Business Bureau
,3|Page
T/F: Medicare Advantage Plans supplement Original
Medicare. - .....ANSWER ...✔✔ FALSE
T/F: You only have 2 months to enroll into Part B after
your creditable coverage ends. - .....ANSWER ...✔✔
FALSE
T/F: Medicare will penalize you later if you did not sign
up for your Part B coverage when you were first
eligible and did not have other creditable coverage in its
place. - .....ANSWER ...✔✔ TRUE
T/F: Medicare Part B is an 80/20 split and there is a
maximum out-of-pocket of $1408. - .....ANSWER ...✔✔
FALSE
T/F: D-SNPs do NOT cover prescription drugs. -
.....ANSWER ...✔✔ FALSE
The amount you must pay for health care before
Medicare begins to pay. These amounts can change
every year. - .....ANSWER ...✔✔ Deductible
In order to get a D-SNP a client must have what? -
.....ANSWER ...✔✔ Medicare and Medicaid
, 4|Page
T/F: Edward Johnston only has Original Medicare and a
PDP plan. It is Jan. 31. He can use OEP to get an MAPD.
- .....ANSWER ...✔✔ FALSE
T/F: If a client has Medicaid and a D-SNP HMO, they can
continue to see all doctors that accept Medicaid
regardless of whether the doctor is in-network. -
.....ANSWER ...✔✔ FALSE
T/F: Chris Taggart only has Original Medicare and
receives VA benefits. Chris qualifies for a 1 time SEP to
get an MA plan anytime during the year. - .....ANSWER
...✔✔ FALSE
T/F: D-SNPs allow the client to see doctors in the plan's
network whether or not they accept Medicaid. -
.....ANSWER ...✔✔ TRUE
Amy uses the GEP to enroll in Part B on January 1st.
She wants to also enroll in a Humana MAPD plan. When
can the agent enroll Amy in the Humana MAPD? -
.....ANSWER ...✔✔ APRIL 1
