AHIP

Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through acupuncture. She is concerned about whether or not Medicare will cover these items and services. What should you tell her? - ANSWERMedicare does not cover acupuncture, or, in general, glasses or dent...

Edward IP suffered from serious kidney disease. As a result. Edward became eligible for Medicare coverage due to end-stage renal disease (ESRD). A close relative donated their kidney and Edward successfully underwent transplant surgery 12 months ago. Edward is now age 50 and asks you if his Medicare...

Types of Medicare Advantage Plans - ANSWERPPO, HMO, MSA, Cost Plan, PFFS Medicare-Medicaid plans - ANSWERServe both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles Medicare Cost Plan - ANSWERType of Medicare health plan. Have Part...

Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan's formulary. What could you tell him to do? - ANSWERMr. Zachow has a right to request a formulary exception to ob...

Mrs. Margolis contacts you in August because she will become eligible for Medicare for the first time in November. She would like to meet and discuss plan choices with you. What advice should you give her? - ANSWERTell her to wait until October to discuss plan choices with you so that you can share ...

Linda Sanchez is conducting a previously agreed upon appointment with client, Maria Gomez about a MA-Part D plan she represents. Before an enrollment form is completed, Linda needs to provide Maria with information about ____ - ANSWERI, II, and III only Your client, Alexis Jones, calls you on Dec...