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AHIP Module 5

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AHIP Module 5 Private Fee-for-Service (PFFS) Plan Eligibility To determine Mr. Kelly's eligibility for a PFFS plan, what questions would you ask? Answer: I would ask if Mr. Kelly is enrolled in Part A and Part B and if he lives in the PFFS plan's service area. Annual Election Period Wha...

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  • July 19, 2024
  • 3
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers

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AHIP Module 5


Private Fee-for-Service (PFFS) Plan Eligibility



To determine Mr. Kelly's eligibility for a PFFS plan, what questions would you ask?



Answer: I would ask if Mr. Kelly is enrolled in Part A and Part B and if he lives in the PFFS plan's service
area.



Annual Election Period



What should Mrs. Kumar tell her daughter to do during the Annual Election Period?



Answer: Her daughter should come in November.



Part D Initial Enrollment Period



Can Ms. Claggett enroll in a Part D plan now?



Answer: No, she cannot use the Part D Initial Enrollment Period since she's not eligible for Part B yet.



Prohibited Activity



What would be considered prohibited activity by Willard?



Answer: Implying that only seniors can enroll in a Medicare Advantage plan when meeting with Mr.
Hernandez, who is 58 but qualifies for Medicare due to disability.



Medicare Prescription Drug Coverage

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