AHIP - 5 ACTUAL EXAM WITH CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+||UPDATED 2024!

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?
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.
Ms. Claggett is sixty-six (66) years old. She has been covered under Original Medicare for the last
six years due to her disability and has never been enrolled in a Medicare Advantage or a Part D
plan before. She wants to enroll in a Part D plan. She knows that there is such a thing as the "Part
D Initial Enrollment Period" (IEP) 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?
Ms. Claggett has had two IEPs and missed them both. The first occurred three months before and
three months after the month when she was first entitled to Part A OR enrolled in Part B. Because
she was eligible for Medicare before age 65, Ms. Claggett had a second IEP based on turning age 65,
which has also expired.
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?
Mary may make an unlimited number of MA enrollment requests and may disenroll from her current
MA plan.
Mrs. Pierce would like to enroll in a Medicare Cost plan that offers Part D prescription drug
coverage. She comes to you for advice about when she can enroll in a plan you have previously
discussed. What should you tell her?
Enrollment in Cost plans offering Part D coverage is available only during enrollment periods under
the Part D program, and Cost plans must accept enrollments during these periods.
Mr. Ford enrolled in an MA-only plan in mid-November during the Annual Election Period (AEP).
On December 1, he calls you up and says that he has changed his mind and would like to enroll
into a MA-PD plan. What enrollment rules would apply in