AHIP MODULE 2 ACTUAL EXAM COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+ Latest Update
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Course
AHIP
Institution
AHIP
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?
a. They a...
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AHIP MODULE 2 ACTUAL EXAM 2024-
2025 COMPLETE 80 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
Latest Update
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?
✓ a. 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?
✓ b. 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?
✓ d. 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
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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?
✓ d. 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?
✓ b. 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?
✓ a. 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
Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which
providers she can go to for her health care. What should you tell her?
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