AHIP Practice Exam

If Alice, after moving, wants to continue her MA-PD coverage, what can she expect regarding a special enrollment period (SEP)?

1. She will not qualify for a SEP due to the move

2. She can choose an effective date after her enrollment form is received

3. Her effective date is on the day of her move

4. She has to wait for the next open enrollment period

The correct answer is: She can choose an effective date after her enrollment form is received

Alice can expect that she has the option to choose an effective date after her enrollment form is received due to her move. This is part of the special enrollment period (SEP) that allows individuals to maintain or switch their Medicare Advantage plan with prescription drug coverage (MA-PD) after experiencing qualifying life events, such as a change in residence. When someone moves, they may find themselves in a different service area, which can affect their current plan's availability. Therefore, the SEP permits them to enroll in a new plan or continue their existing coverage, giving them flexibility in selecting the coverage that best meets their new circumstances. By allowing Alice to select an effective date that suits her needs, the SEP ensures she has continuity of coverage without undue disruption. In contrast, the other options do not align with the provisions regarding special enrollment periods. For instance, option A incorrectly states that she will not qualify for a SEP due to the move, which is not the case, as moves are legitimate triggers for SEPs. Option C incorrectly implies that the effective date is automatically the day of her move, whereas her choice of an effective date adds versatility in her planning. Lastly, option D suggests she must wait for the next open enrollment period, which is inaccurate because SE