AHIP Certification Module 2 Exam Questions With Correct Answers
5 views 0 purchase
Course
AHIP
Institution
AHIP
AHIP Certification Module 2 Exam
Questions With Correct Answers
Which of the following statement(s) is/are correct about a Medicare Savings Account (MSA)
Plans? - answerMSAs may have either a partial network, full network, or no network of
providers. MSA plans cover Part A and Part B benefits b...
AHIP Certification Module 2 Exam
Questions With Correct Answers
Which of the following statement(s) is/are correct about a Medicare Savings Account (MSA)
Plans? - answer✔✔MSAs may have either a partial network, full network, or no network of
providers. MSA plans cover Part A and Part B benefits but not Part D prescription drug benefits.
Non-network providers must accept the same amount that Original Medicare would pay them as
payment in full.
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? - answer✔✔Mrs. Chi may enroll in a MA MSA plan and remain in her current
standalone Part D prescription drug plan.
Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms
and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr.
Brennan charge? - answer✔✔Dr. Brennan can charge Mary Rogers no more than the cost
sharing specified in the PFFS plan's terms and condition of payment which may include balance
billing up to 15%of the Medicare rate.
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to
access providers. What should you tell him? - answer✔✔In most Medicare Advantage HMOs,
Mr. Kumar must generally obtain his services only from providers within the plan's network
(except in an emergency or where care is unavailable within the network).
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? - answer✔✔An individual cannot be
covered under two different Medicare Advantage plans, so he would have to decide whether to
enroll in the employer plan or his neighbor's MA-PD. Also, MA-PD plans do not serve as
supplemental coverage for another Medicare Advantage plan.
Mr. Greco is in excellent health, lives in his own home, and has a sizeable income from his
investments. He has a friend enrolled in a Medicare Advantage Special Needs Plan (SNP). His
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 Brightstars. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
