AHIP MODULE 2 2026 QUESTIONS WITH
VERIFIED ANSWERS
Ms. Gibson recently lost her employer group health and drug coverage and now she wants to enroll in
a PPO that does not include drug coverage. What should you tell her about obtaining drug coverage? -
correct answer-She can enroll in the PPO, but she will not be able to purchase a stand-
alone Medicare Part D prescription drug plan
Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to the
benefits package of a Medicare Advantage Plan before she starts looking at specific plans. What could
you tell her? - correct answer-
Medicare Advantage Plans may offer extra benefits that Original Medicare does not offer such as vision
, hearing, and dental services and must include a maximum out-of-
pocket limit on Part A and Part B services.
Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare. What should she be
aware of when considering enrollment in a Medicare Advantage (MA) plan? - correct answer-
She cannot enroll in an MA Medical Savings Account (MSA) plan
Mrs. Andrews asked how a Private Fee-for-
Service (PFFS) plan might affect her access to services since she receives some assistance for her healt
h care costs from the State. What should you tell her? - correct answer-
Medicaid may provide additional benefits, but Medicaid will only pay for these services if they are furn
ished by Medicaid participating providers.
Mrs. Kelly, age 65, is entitled to Part A but has not yet enrolled in Part B. She is considering enrollment
in a Medicare Advantage plan (Part C). What should you advise her to do before she will be able to en
roll in a Medicare Advantage plan? - correct answer-
To join a Medicare Advantage plan, she also must enroll in Part B.
Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure abo
ut what type of plan designs are available through this program. What should you tell him about the ty
pes of health plans that are available through the Medicare Advantage program? - correct answer-
They are Medicare health plans such as HMOs, PPOs, PFFS, and MSAs.
Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received und
er Original Medicare, but he would like to know more about Medicare Advantage Special Needs Plans (
VERIFIED ANSWERS
Ms. Gibson recently lost her employer group health and drug coverage and now she wants to enroll in
a PPO that does not include drug coverage. What should you tell her about obtaining drug coverage? -
correct answer-She can enroll in the PPO, but she will not be able to purchase a stand-
alone Medicare Part D prescription drug plan
Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to the
benefits package of a Medicare Advantage Plan before she starts looking at specific plans. What could
you tell her? - correct answer-
Medicare Advantage Plans may offer extra benefits that Original Medicare does not offer such as vision
, hearing, and dental services and must include a maximum out-of-
pocket limit on Part A and Part B services.
Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare. What should she be
aware of when considering enrollment in a Medicare Advantage (MA) plan? - correct answer-
She cannot enroll in an MA Medical Savings Account (MSA) plan
Mrs. Andrews asked how a Private Fee-for-
Service (PFFS) plan might affect her access to services since she receives some assistance for her healt
h care costs from the State. What should you tell her? - correct answer-
Medicaid may provide additional benefits, but Medicaid will only pay for these services if they are furn
ished by Medicaid participating providers.
Mrs. Kelly, age 65, is entitled to Part A but has not yet enrolled in Part B. She is considering enrollment
in a Medicare Advantage plan (Part C). What should you advise her to do before she will be able to en
roll in a Medicare Advantage plan? - correct answer-
To join a Medicare Advantage plan, she also must enroll in Part B.
Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but is not sure abo
ut what type of plan designs are available through this program. What should you tell him about the ty
pes of health plans that are available through the Medicare Advantage program? - correct answer-
They are Medicare health plans such as HMOs, PPOs, PFFS, and MSAs.
Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received und
er Original Medicare, but he would like to know more about Medicare Advantage Special Needs Plans (
