Page 1 of 78
AHIP Exam BUNDLE (Latest 2025) 100% Correct &
Verified.
Mr. Wendt suffers from diabetes which has gotten progressively
worse during the last year. He is currently enrolled in Original
Medicare (Parts A and B) and a Part D prescription drug plan
and did not enroll in a Medicare Advantage (MA) plan during
the last annual open enrollment period (AEP) which has just
closed. Mr. Wendt has heard that there are certain MA plans
that might provide him with more specialized coverage for his
diabetes and wants to know if he must wait until the next annual
open enrollment period (AEP) before enrolling in such a plan.
What should you tell him? .....ANSWER.....d. If there is a special
needs plan (SNP) in Mr. Wendt's area that specializes in caring
for individuals with diabetes, he may enroll in the SNP at any
time under a special enrollment period (SEP). Correct
,Page 2 of 78
Agent John Miller is meeting with Jerry Smith, a new prospect.
Jerry is currently enrolled in Medicare Parts A and B. Jerry has
also purchased a Medicare Supplement (Medigap) plan which he
has had for several years. However, the plan does not provide
drug benefits. How would you advise Agent John Miller to
proceed? .....ANSWER.....d. Tell prospect Jerry Smith that he
should consider adding a standalone Part D prescription drug
coverage policy to his present coverage.
Anita Magri will turn age 65 in August 2020. Anita intends to
enroll in Original Medicare Part A and Part B. She would also
like to enroll in a Medicare Supplement (Medigap) plan. Anita's
older neighbor Mel has told her about the Medigap Part F plan
in which he is enrolled. It not only provides foreign travel
emergency benefits but also covers his Medicare Part B
deductible. Anita comes to you for advice. What should you tell
her? .....ANSWER.....a. You are sorry to disappoint Anita but a
,Page 3 of 78
Medigap Part F plan is no longer available to those who turn
age 65 after January 1,2020. Anita might instead consider other
Medigap plans that offer foreign travel benefits but do not
cover the Part B deductible.
Juan Perez, who is turning age 65 next month, intends to work
for several more years at Smallcap, Incorporated. Smallcap has
a workforce of 15 employees and offers employer-sponsored
healthcare coverage. Juan is a naturalized citizen and has
contributed to the Medicare system for over 20 years. Juan asks
you if he will be entitled to Medicare and if he enrolls how that
will impact his employer-sponsored healthcare coverage. How
would you respond? .....ANSWER.....d. Juan is likely to be eligible
for Medicare once he turns age 65 and if he enrolls Medicare
would become the primary payor of his healthcare claims and
Smallcap does not have to continue to offer him coverage
, Page 4 of 78
comparable to those under age 65 under its employer-
sponsored group health plan.
Madeline Martinez was widowed several years ago. Her
husband worked for many years and contributed into the
Medicare system. He also left a substantial estate which provides
Madeline with an annual income of approximately $130,000.
Madeline, who has only worked part-time for the last three
years, will soon turn age 65 and hopes to enroll in Original
Medicare. She comes to you for advice. What should you tell
her? .....ANSWER.....b. You should tell Madeline that she will be
able to enroll in Medicare Part A without paying monthly
premiums due to her husband's long work record and
participation in the Medicare system. You should also tell
Madeline that she will pay Part B premiums at more than the
standard lowest rate but less than the highest rate due her
substantial income.
AHIP Exam BUNDLE (Latest 2025) 100% Correct &
Verified.
Mr. Wendt suffers from diabetes which has gotten progressively
worse during the last year. He is currently enrolled in Original
Medicare (Parts A and B) and a Part D prescription drug plan
and did not enroll in a Medicare Advantage (MA) plan during
the last annual open enrollment period (AEP) which has just
closed. Mr. Wendt has heard that there are certain MA plans
that might provide him with more specialized coverage for his
diabetes and wants to know if he must wait until the next annual
open enrollment period (AEP) before enrolling in such a plan.
What should you tell him? .....ANSWER.....d. If there is a special
needs plan (SNP) in Mr. Wendt's area that specializes in caring
for individuals with diabetes, he may enroll in the SNP at any
time under a special enrollment period (SEP). Correct
,Page 2 of 78
Agent John Miller is meeting with Jerry Smith, a new prospect.
Jerry is currently enrolled in Medicare Parts A and B. Jerry has
also purchased a Medicare Supplement (Medigap) plan which he
has had for several years. However, the plan does not provide
drug benefits. How would you advise Agent John Miller to
proceed? .....ANSWER.....d. Tell prospect Jerry Smith that he
should consider adding a standalone Part D prescription drug
coverage policy to his present coverage.
Anita Magri will turn age 65 in August 2020. Anita intends to
enroll in Original Medicare Part A and Part B. She would also
like to enroll in a Medicare Supplement (Medigap) plan. Anita's
older neighbor Mel has told her about the Medigap Part F plan
in which he is enrolled. It not only provides foreign travel
emergency benefits but also covers his Medicare Part B
deductible. Anita comes to you for advice. What should you tell
her? .....ANSWER.....a. You are sorry to disappoint Anita but a
,Page 3 of 78
Medigap Part F plan is no longer available to those who turn
age 65 after January 1,2020. Anita might instead consider other
Medigap plans that offer foreign travel benefits but do not
cover the Part B deductible.
Juan Perez, who is turning age 65 next month, intends to work
for several more years at Smallcap, Incorporated. Smallcap has
a workforce of 15 employees and offers employer-sponsored
healthcare coverage. Juan is a naturalized citizen and has
contributed to the Medicare system for over 20 years. Juan asks
you if he will be entitled to Medicare and if he enrolls how that
will impact his employer-sponsored healthcare coverage. How
would you respond? .....ANSWER.....d. Juan is likely to be eligible
for Medicare once he turns age 65 and if he enrolls Medicare
would become the primary payor of his healthcare claims and
Smallcap does not have to continue to offer him coverage
, Page 4 of 78
comparable to those under age 65 under its employer-
sponsored group health plan.
Madeline Martinez was widowed several years ago. Her
husband worked for many years and contributed into the
Medicare system. He also left a substantial estate which provides
Madeline with an annual income of approximately $130,000.
Madeline, who has only worked part-time for the last three
years, will soon turn age 65 and hopes to enroll in Original
Medicare. She comes to you for advice. What should you tell
her? .....ANSWER.....b. You should tell Madeline that she will be
able to enroll in Medicare Part A without paying monthly
premiums due to her husband's long work record and
participation in the Medicare system. You should also tell
Madeline that she will pay Part B premiums at more than the
standard lowest rate but less than the highest rate due her
substantial income.
