2026 AHIP MODULE 2 QUESTIONS WITH VERIFIED ANSWERS. COMPLETE SOLUTION

2024AHIPMODULE 2 QUESTIONS WITH n n n n n




VERIFIED ANSWERS
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Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage. What s hould
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you tell her? - correct answer-
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Mrs. Radford must be entitled to Part AKand enrolled in Part B to enroll in Medicare Advantage.
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Mr. Romero is 64, retiring soon, and considering enrollment in his employer-
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sponsored retiree group health plan that includes drug coverage with nominal copays. He heard about a
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neighbor's MA-
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PD plan that you represent and because he takes numerous prescription drugs, he is considering signing up
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for it. What should you tell him? - correct answer-He should compare the benefits in his employer-
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sponsored retiree group health plan with the benefits in his neighbor's MA-
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PD plan to determine which one will provide sufficient coverage for his prescription needs.
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Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received under
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Original Medicare, but he would like to know more about Medicare Advantage Special Needs Plans (SNP s).
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What could you tell him? - correct answer-
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SNPs have special programs for enrollees with chronic conditions, like Mr. Sinclair, and they provide pres
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cription drug coverage that could be very helpful as well
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Mrs. Lyons is in good health, uses a single prescription, and lives independently in her own home. She is
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attracted by the idea of maintaining control over a Medical Savings Account (MSA) but is not sure if the
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plan associated with the account will fit her needs. What specific piece of information about a Medicare
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MSA plan would it be important for her to know, prior to enrolling in such a plan? - correct answer-
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All MSAs cover Part A and Part B benefits, but not Part D prescription drug benefits, which could be obta ined
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by also enrolling in a separate prescription drug plan.
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Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and conditi ons
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for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge? - correct
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answer-
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Dr. Brennan can charge Mary Rogers no more than the cost sharing specified in the PFFS plan's terms an d
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condition of payment which may include balance billing up to 15%of the Medicare rate.
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Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which providers she can go
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to for her health care. What should you tell her? - correct answer-
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Mrs. Ramos can obtain care from any provider who participates in Original Medicare, but generally will h ave
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a higher cost-sharing amount if she sees a provider who/that is not a part of the PPO network.
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