AHIP Module 5 Verified Solutions
Medicare Enrollment
Can Mrs. Walters enroll in a Medicare prescription drug plan since she has medical coverage without
drug coverage through an employer retiree plan? No, she must be entitled to Part A or enrolled in Part B
to be eligible for coverage under...
Can Mrs. Walters enroll in a Medicare prescription drug plan since she has medical coverage without
drug coverage through an employer retiree plan? No, she must be entitled to Part A or enrolled in Part B
to be eligible for coverage under the Medicare prescription drug program.
Medicare Advantage Enrollment
Can Mr. Sanchez enroll in a Medicare Advantage plan since he is entitled to Part A but has not enrolled
in Part B? No, he will have to enroll in Part B prior to enrolling in a Medicare Advantage plan.
Private Fee-for-Service (PFFS) Plan Eligibility
To determine Mr. Kelly's eligibility for a PFFS plan, you would need to ask him if he is enrolled in Part A
and Part B and if he lives in the PFFS plan's service area.
What will Mr. Gonzalez have to do if he wants to enroll in a PFFS plan since he is entitled to Part A but
has not yet enrolled in Part B? He will have to enroll in Part B prior to enrolling in the PFFS plan.
Medicare Advantage and Prescription Drug Plans
Under what circumstances can Mrs. Berkowitz enroll in a Medicare Advantage plan that does not
include drug coverage and also enroll in a stand-alone Medicare prescription drug plan? If the Medicare
Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical
Savings Account.
Private Fee-for-Service (PFFS) Plan Options
What options could Mrs. Roberts consider before selecting a PFFS plan as an Original Medicare
beneficiary? She could consider a Medicare Advantage Prescription Drug (MA-PD) PFFS plan, a PFFS plan
offering only medical benefits, or a PFFS plan in combination with a stand-alone prescription drug plan.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller bestscores1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.26. You're not tied to anything after your purchase.
