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2024/2025 LATEST AHIP MODULE 5 QUESTIONS WITH 100% ACCURATE ANSWERS ALREADY RATED A+, Quizzes of Insurance Economics

"You are doing a sales presentation for Mrs. Pearson. You know that 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."" "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 about her options. What advice would you give her? - CORRECT 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."

Typology: Quizzes

2024/2025

Available from 01/30/2025

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2024/2025 LATEST AHIP MODULE 5 QUESTIONS WITH
100% ACCURATE ANSWERS ALREADY RATED A+
GUARANTEED PASS!
"You are doing a sales presentation for Mrs. Pearson. You know that 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.""
"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 about her options. What advice would you give her? - CORRECT 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."
"Torie Jones is a new marketing representative. Torie asks you for advice as to what topics must be
discussed with a Medicare beneficiary prior to enrollment in a Medicare Advantage (MA-PD) plan. What
should you say? - CORRECT ANSWER=> Torie, there are many required questions and topics regarding
beneficiary needs to be discussed prior to enrollment in an MA plan. These include information
regarding primary care providers and specialists whether they are in the plan network, whether or not a
beneficiary's current prescriptions are covered as well as premiums, benefits, and costs of health care
services."
"You are visiting with Mr. Tully and his daughter at her request. He has advanced Alzheimer's and is
incapable of understanding the implications of choosing a Medicare Advantage or prescription drug plan.
Can his daughter fill out the enrollment form and sign it for him? - CORRECT ANSWER=> Mr. Tully's
daughter can do so only, if she is authorized under state law as a court-appointed legal guardian, has a
durable power of attorney for health care decisions, or is authorized under state surrogate consent laws
to make health decisions."
"Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP). What action could you help
him take during this time? - CORRECT ANSWER=> He will have one opportunity to enroll in a Medicare
Advantage plan."
"You have come to Mrs. Midler's home for a sales presentation. At the beginning of the presentation,
Mrs. Midler tells you that she has a copy of her medical records 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. What should you do? - CORRECT
ANSWER=> You can only ask Mrs. Midler questions about conditions that affect eligibility, specifically,
whether she has one of the conditions that would qualify her for a special needs plan."
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Download 2024/2025 LATEST AHIP MODULE 5 QUESTIONS WITH 100% ACCURATE ANSWERS ALREADY RATED A+ and more Quizzes Insurance Economics in PDF only on Docsity!

2024/2025 LATEST AHIP MODULE 5 QUESTIONS WITH

100% ACCURATE ANSWERS ALREADY RATED A+

GUARANTEED PASS!

"You are doing a sales presentation for Mrs. Pearson. You know that 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."" "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 about her options. What advice would you give her? - CORRECT 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." "Torie Jones is a new marketing representative. Torie asks you for advice as to what topics must be discussed with a Medicare beneficiary prior to enrollment in a Medicare Advantage (MA-PD) plan. What

should you say? - CORRECT ANSWER=> Torie, there are many required questions and topics regarding

beneficiary needs to be discussed prior to enrollment in an MA plan. These include information regarding primary care providers and specialists whether they are in the plan network, whether or not a beneficiary's current prescriptions are covered as well as premiums, benefits, and costs of health care services." "You are visiting with Mr. Tully and his daughter at her request. He has advanced Alzheimer's and is incapable of understanding the implications of choosing a Medicare Advantage or prescription drug plan.

Can his daughter fill out the enrollment form and sign it for him? - CORRECT ANSWER=> Mr. Tully's

daughter can do so only, if she is authorized under state law as a court-appointed legal guardian, has a durable power of attorney for health care decisions, or is authorized under state surrogate consent laws to make health decisions." "Mr. Garrett has just entered his MA Initial Coverage Election Period (ICEP). What action could you help

him take during this time? - CORRECT ANSWER=> He will have one opportunity to enroll in a Medicare

Advantage plan." "You have come to Mrs. Midler's home for a sales presentation. At the beginning of the presentation, Mrs. Midler tells you that she has a copy of her medical records 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. What should you do? - CORRECT

ANSWER=> You can only ask Mrs. Midler questions about conditions that affect eligibility, specifically,

whether she has one of the conditions that would qualify her for a special needs plan."

"Mrs. Reeves is newly eligible to enroll in a Medicare Advantage plan and her MA Initial Coverage Election Period (ICEP) has just begun. Which of the following can she not do during the ICEP? -

CORRECT ANSWER=> She can enroll in a Medigap plan to supplement the benefits of the MA plan that

she's also enrolling in." "Mr. White has Medicare Parts A and B with a Part D plan. Last year, he received a notice that his plan sponsor identified him as a "potential at-risk" beneficiary. This month, he started receiving assistance from Medicaid. He wants to find a different Part D plan that's more suitable to his current prescription drug needs. He believes he's entitled to a SEP since he is now a dual eligible. Is he able to change to a

different Part D plan during a SEP for dual eligible individuals? - CORRECT ANSWER=> No. Once he is

identified by the plan sponsor as a "potential at-risk" beneficiary, he cannot use the dual eligible SEP to change plans while this designation is in place." "Ms. Gonzales decided to remain in Original Medicare (Parts A and B) and Part D during the Annual Enrollment Period (AEP). At the beginning of January, her neighbor told her about the Medicare Advantage (MA) plan he selected. He also told her there was an open enrollment period that she might be able to use to enroll in a MA plan. Ms. Gonzales comes to you for advice shortly after speaking to her

neighbor. What should you tell her? - CORRECT ANSWER=> There is a MA Open Enrollment Period

(OEP) that takes place between January 1 and March 31, but Ms. Gonzales cannot use it because eligibility to use the OEP is available only to MA enrollees." "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? - CORRECT 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." "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. - CORRECT ANSWER=> II and III only"

"Mr. Rockwell, age 67, is enrolled in Medicare Part A, but because he continues to work and is covered by an employer health plan, he has not enrolled in Part B or Part D. He receives a notice on June 1 that his employer is cutting back on prescription drug benefits and that as of July 1 his coverage will no longer be creditable. He has come to you for advice. What advice would you give Mr. Rockwell about special

election periods (SEPs)? - CORRECT ANSWER=> Mr. Rockwell is eligible for a SEP due to his involuntary

CORRECT ANSWER=> Tell her to wait until October to discuss plan choices with you so that you can

share plan benefits for the current year as well as any changes for the following year that may impact her choice." "Mr. Johannsen is entitled to Medicare Part A and Part B. He gains the Part D low-income subsidy. How

does that affect his ability to enroll or disenroll in a Part D plan? - CORRECT ANSWER=> He qualifies for

a special election period and can enroll in or disenroll from a Part D plan once during that period." "Mary Samuels recently suffered a stroke while visiting her daughter and grandchildren. As a result, Mary has been admitted to a rehabilitation hospital where she is expected to reside for several months. The rehabilitation hospital is located outside the geographic area served by her current Medicare Advantage (MA) plan. What options are available to Mary regarding her health plan coverage? -

CORRECT ANSWER=> Mary may make an unlimited number of MA enrollment requests and may

disenroll from her current MA plan."