Exam (elaborations)
AHIP 2022 Module 2 Questions And Answers Latest Quiz
- Course
- Institution
AHIP 2022 Module 2 Questions And Answers Latest Quiz
[Show more]
Seller
Follow
Nipsey
Reviews received
Content preview
AHIP 2022 Module 2 Questions And AnswersLatest Quiz
Mr. Greco is in excellent health, lives in his own home, and has a sizeable income from his
investments. He has a friend enrolled in a Medicare Advantage Special Needs Plan (SNP). His friend
has mentioned that the SNP charges very low cost-sharing amounts and Mr. Greco would like to join
that plan. What should you tell him? Correct Answer: SNPs limit enrollment to certain subpopulations
of beneficiaries. Given his current situation, he is unlikely to qualify and would not be able to enroll in
the SNP.
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income level. She wishes to
enroll in a MA MSA plan that she heard about from her neighbor. She also wants to have prescription
drug coverage since her doctor recently prescribed several expensive medications. Currently, she is
enrolled in Original Medicare and a standalone Part D plan. How would you advise Mrs. Chi? Correct
Answer: Mrs. Chi may enroll in a MA MSA plan and remain in her current standalone Part D
prescription drug plan.MA MSA plans are prohibited from offering prescription drug coverage. If an
MSA member wants prescription drug coverage, the member must enroll in a standalone PDP.
Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years ago. In mid-
February of 2021, her doctor confirms a diagnosis of end-stage renal disease (ESRD). What options
will Mrs. Davenport have regarding her MA plan during the next open enrollment season? Correct
Answer: Mrs. Davenport has three clear choices: (1) remain in the ABC MA plan, (2) enroll in another
MA plan in her service area, or (3) enroll in a Special Needs Plan (SPN) for persons suffering from
ESRD if one is available in her area.
Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage.
What should you tell her? Correct Answer: To be eligible to enroll in Medicare Advantage, an
individual must be entitled (not enrolled) to Part A and enrolled in Part B.
Mr. Gomez notes that a Private Fee-for-Service (PFFS) plan available in his area has an attractive
premium. He wants to know if he must use doctors in a network as his current HMO plan requires him
to do. What should you tell him? Correct Answer: Mr. Gomez may receive health care services from
any doctor allowed to bill Medicare, provided he shows the doctor the plan's identification card, and
the doctor accepts the PFFS's payment terms and conditions. These terms may include balance
billing up to 15% of the Medicare rate.
Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and
conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan
charge? Correct Answer: Dr. Brennan cannot charge any PFFS plan enrollee more than the cost-
sharing specified in that PFFS plan's terms and conditions.
Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B because he
has coverage through an employer plan. If he wants to enroll in a Medicare Advantage plan, what will
he have to do? Correct Answer: He will have to enroll in Part B
Mrs. Andrews asked how a Private Fee-for-Service (PFFS) plan might affect her access to services
since she receives some assistance for her health care costs from the State. What should you tell
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Nipsey. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78677 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now