AHIP -Module 2
AHIP – Module 2 Study Guide Exam
(Multi Choice Options) Questions with
Definitive Solutions 2024-2025.
Mr. Wells is trying to understand the difference between Original Medicare and
Medicare Advantage. What would be the correct description? - Answer: Medicare
Advantage is a way of covering all the Original Medicare benefits through private
health insurance companies.
Mr. Lopez has heard that he can sign up for a product called "Medicare
Advantage" but is not sure about what type of plan designs are available through
this program. What should you tell him about the types of health plans that are
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, AHIP -Module 2
available through the Medicare Advantage program? - Answer: They are Medicare
health plans such as HMOs, PPOs, PFFS, and MSAs.
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his
ability to access providers. What should you tell him? - Answer: In most Medicare
Advantage HMOs, Mr. Kumar must generally obtain his services only from
providers who have a contractual relationship with the plan (except in an
emergency or where care is unavailable within the network).
Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but has
recently stopped paying his Part B premium. Mr. Castillo is still covered by Part A.
He would like to enroll in a Medicare Advantage (MA) plan and is still covered by
Part A. What should you tell him? - Answer: He is not eligible to enroll in a
Medicare Advantage plan until he re-enrolls in Medicare Part B.
Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare.
What should she be aware of when considering enrollment in a Medicare
Advantage (MA) plan? - Answer: She cannot enroll in an MA Medical Savings
Account (MSA) plan.
Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting
him at severe risk for pneumonia. Otherwise, he has no problems functioning.
Which type of SNP is likely to be most appropriate for him? - Answer: C-SNP
2|Page
AHIP – Module 2 Study Guide Exam
(Multi Choice Options) Questions with
Definitive Solutions 2024-2025.
Mr. Wells is trying to understand the difference between Original Medicare and
Medicare Advantage. What would be the correct description? - Answer: Medicare
Advantage is a way of covering all the Original Medicare benefits through private
health insurance companies.
Mr. Lopez has heard that he can sign up for a product called "Medicare
Advantage" but is not sure about what type of plan designs are available through
this program. What should you tell him about the types of health plans that are
1|Page
, AHIP -Module 2
available through the Medicare Advantage program? - Answer: They are Medicare
health plans such as HMOs, PPOs, PFFS, and MSAs.
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his
ability to access providers. What should you tell him? - Answer: In most Medicare
Advantage HMOs, Mr. Kumar must generally obtain his services only from
providers who have a contractual relationship with the plan (except in an
emergency or where care is unavailable within the network).
Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but has
recently stopped paying his Part B premium. Mr. Castillo is still covered by Part A.
He would like to enroll in a Medicare Advantage (MA) plan and is still covered by
Part A. What should you tell him? - Answer: He is not eligible to enroll in a
Medicare Advantage plan until he re-enrolls in Medicare Part B.
Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare.
What should she be aware of when considering enrollment in a Medicare
Advantage (MA) plan? - Answer: She cannot enroll in an MA Medical Savings
Account (MSA) plan.
Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting
him at severe risk for pneumonia. Otherwise, he has no problems functioning.
Which type of SNP is likely to be most appropriate for him? - Answer: C-SNP
2|Page
