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AHIP Module 2 Final Review
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AHIP Module 2 Final Review
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Module 2 FinalReview - Attempt 2
1
Marks: 1
Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he would
have certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD
coverage has been very good. However, when he received the bill, he was surprised to see large charges
in excess of his maximum out-of-pocket limit that included a number of services and items he thought
would be fully covered. He called you to ask what he could do? What could you tell him?
Choose You could remind him that he cannot do anything until the next Annual Election
one Period when he will have an opportunity to change plans.
answer. You could reassure him that such charges are typical, but if he needs assistance in
paying, he should apply to the state for Medicaid assistance.
You could suggest he call the doctor who performed the surgery to complain about
the costs and ask for a discount on the charges.
You can offer to review the plans appeal process to help him ask the plan to review
the coverage decision.
2
Marks: 1
Mr. Wells is trying to understand the difference between Original Medicare and Medicare Advantage. What would
Choose one answer. Medicare Advantage is a way of covering all the Original Medicare benefits through private h
Medicare Advantage is designed to pick up where Original Medicare leaves off, covering thos
Medicare Advantage is a new name for the Original Medicare program.
d. Medicare Advantage is a health insurance program operated jointly by the states with the
3
Marks: 1
Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage. What should yo
Choose one answer. Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in Medicare Advantag
Mrs. Radford must apply to the Medicare Advantage plan, which will include a medical review
Mrs. Radford must be enrolled in both Medigap and Part A to enroll in a Medicare Advantage
Mrs. Radford can enroll in any Medicare Advantage plan that operates within the United Stat
4
Marks: 1
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