2024 AHIP MODULE 2 EXAM WITH
VALID ANSWERS
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 some
services and items he thought would be fully covered. He called you to ask
what he could do? What could you tell him? - CORRECT-ANSWERSYou can
offer to review the plans appeal process to help him ask the plan to review
the coverage decision.
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income
level. She wishes to enroll in a MA MSA plan that she heard about from her
neighbor. She also wants to have prescription drug coverage since her
doctor recently prescribed several expensive medications. Currently, she is
enrolled in Original Medicare and a standalone Part D plan. How would you
advise Mrs. Chi? - CORRECT-ANSWERSMrs. Chi may enroll in a MA MSA plan
and remain in her current standalone Part D prescription drug plan.
Mr. Romero is 64, retiring soon, and considering enrollment in his employer-
sponsored retiree group health plan that includes drug coverage with
nominal copays. He heard about a neighbor's MA-PD plan that you represent
and because he takes numerous prescription drugs, he is considering signing
up for it. What should you tell him? - CORRECT-ANSWERSHe should compare
the benefits in his employer-sponsored retiree group health plan with the
benefits in his neighbor's MA-PD plan to determine which one will provide
sufficient coverage for his prescription needs.
Hank's Fish Store, Inc. is a small company with just 15 employees located in
Florida. Hank, the store owner, has provided excellent health benefits to the
store's workforce. William, one of the store's long-time employees, will soon
be reaching age 65 and eligible for Medicare. William is in good health. He
intends to remain an active full-time employee, working several years after
becoming eligible for Medicare. What type(s) of retiree health benefit will
Hank's Fish Store be able to offer William? - CORRECT-ANSWERSHank's can
continue to offer William the same employee health benefit plan, or, if
William enrolls in Medicare Part B, it can enroll him in a Medicare Advantage
plan that is offered to the public.
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