2024 MEDICARE AHIP MODULE 2
EXAM WITH CORRECT ANSWERS
Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-PD
plan and was disappointed with the service she received from her primary
care physician because she was told she would have to wait five weeks to
get an appointment when she was feeling ill. She called you to ask what she
could do so she would not have to put up with such poor access to care.
What could you tell her? - CORRECT-ANSWERSShe could file a grievance with
her plan to complain about the lack of timeliness in getting an appointment.
Mr. Wells is trying to understand the difference between Original Medicare
and Medicare Advantage. What would be the correct description? -
CORRECT-ANSWERSMedicare Advantage is a way of covering Original
Medicare, Part A and Part B benefits, through private health insurance plans
Juan Hernandez is turning 65 next month, Juan legally entered the United
States over twenty years ago but is not a citizen. Since his entry into the
country, Juan has worked at Smallcap Incorporated and contributed to the
Medicare system. Juan suffers from diabetes. He will soon retire and asks you
if he can enroll in a Medicare Advantage plan that you represent. How would
you respond? - CORRECT-ANSWERSJuan is eligible to enroll in a Medicare
Advantage as long as he is entitled to Part A and enrolled in Part B. Juan
should go to the Social Security website to enroll in Medicare Part A and B if
he has not done so already. Once he is enrolled, he can choose a Medicare
Advantage plan.
Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-for-
service (PFFS) plan. What questions would you need to ask to determine his
eligibility? - CORRECT-ANSWERSYou would need to ask Mr. Kelly if he is
entitled to Part A, enrolled in Part B, and if he lives in the PFFS plan's service
area.
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? - CORRECT-ANSWERSHe is
not eligible to enroll in a Medicare Advantage plan until he re-enrolls in
Medicare Part B.
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