AHIP Module 2 Exam Questions And Answers
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 available through the M...
ahip module 2 exam questions and answers 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
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AHIP Module 2 Exam Questions And
Answers
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
available through the Medicare Advantage program?
c. They are Medicare health plans such as HMOs, PPOs, PFFS, and MSAs. Correct
Mr. Wells is trying to understand the difference between Original Medicare and
Medicare Advantage. What would be a correct description?
a. Medicare Advantage is a way of covering all the Original Medicare benefits through
private health insurance companies. Correct
Mrs. Radford asks whether there are any special eligibility requirements for
Medicare Advantage. What should you tell her?
b. Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in Medicare
Advantage. Correct
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?
a. He is not eligible to enroll in a Medicare Advantage plan until he re-enrolls in
Medicare Part B. Correct
Mrs. Billings enrolled in the ABC Medicare Advantage (MA) plan several years
ago. Her doctor recently confirmed a diagnosis of end-stage renal disease
(ESRD). What options does Mrs. Billings have in regard to her MA plan during the
next open enrollment season?
a. She may remain in her ABC MA plan or enroll in a Special Needs Plan (SNP) for
individuals suffering from ESRD if one is available in her area. Correct
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?
a. C-SNP Correct
Mr. Kumar is considering a Medicare Advantage HMO and has questions about
his ability to access providers. What should you tell him?
d. In most Medicare Advantage HMOs, Mr. Kumar must obtain his services only from
providers who have a contractual relationship with the plan (except in an emergency).
Correct
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