AHIP Module 2 - Plans -Module 2 Final Review Exam 2021

9/30/2020 2021 Module 2: Plans: Module 2 Final Review




Medicare Course Home Course (2021 Module 2: Plans) Transcript

Module 2 Final Review
Review of attempt 1

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Started on Wednesday, September 30, 2020, 03:25 PM
Completed on Wednesday, September 30, 2020, 03:33 PM
Time taken 7 mins 44 secs
Marks 20/20
Grade 100 out of a maximum of 100 (100%)
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1
Marks: 1




Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years ago. In mid-February of 2021,
her doctor confirms a diagnosis of end-stage renal disease (ESRD). What options will Mrs. Davenport have
regarding her MA plan during the next open enrollment season?

Choose one a. She may remain in her ABC MA
answer. plan, enroll in another MA plan in her Correct: Mrs. Davenport has three clear
service area, or enroll in a Special choices: (1) remain in the ABC MA plan, (2)
Needs Plan (SNP) for individuals enroll in another MA plan in her service area, or
suffering from ESRD if one is available (3) enroll in a Special Needs Plan (SPN) for
in her area. persons suffering from ESRD if one is available
in her area.

b. She must immediately drop her
ABC MA plan and enroll in Original
Medicare.
c. She must immediately drop her ABC
MA plan and enroll in a Special Needs
Plan (SNP) for individuals suffering
from ESRD if one is available in her
area.
d. She must remain enrolled in her
ABC MA plan unless the plan
terminates.


Source: Module 2, Slide – Individuals with ESRD Beginning in 2021, Slide - Medicare Advantage Eligibility:
SNPs

Correct
Marks for this submission: 1/1.

, 9/30/2020 2021 Module 2: Plans: Module 2 Final Review

2
Marks: 1




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 enroll in a
Medicare Advantage plan?

Choose one a. In order to join a Medicare Advantage
answer. plan, she must be enrolled in Parts A, B, and
D.
b. Since she is age 65 she may enroll in any
Medicare Advantage plan, regardless of
whether she is entitled to Part A or Part B
coverage.
c. In order to join a Medicare Advantage plan,
she also must enroll in Part B. Correct: Eligibility to enroll in a Medicare
Advantage plan requires entitlement to
benefits under Part A and enrollment in
Part B.

d. To enroll in a Medicare Advantage plan,
she need only be entitled to Part A, so she
does not need to take any further steps.


Source: Module 2, Slide – Medicare Advantage Eligibility

Correct
Marks for this submission: 1/1.




3
Marks: 1




Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he would have
certain services and items covered by the plan with minimal out-of-pocket costs because his MA-PD coverage
has been very good. However, when he received the bill, he was surprised to see large charges in excess of
his maximum out-of-pocket limit that included a number of services and items he thought would be fully
covered. He called you to ask what he could do? What could you tell him?

Choose one a. You can offer to review the
answer. plans appeal process to help Correct: Medicare Advantage (MA) plan enrollees have
him ask the plan to review a right to obtain a review (appeal) to certain decisions
the coverage decision. about health care payment, coverage of services, or
prescription drug coverage. Medicare health plans must
provide enrollees with a written description of the
appeals process.

b. You could suggest he call
the doctor who performed the
surgery to complain about
the costs and ask for a
discount on the charges.
c. You could reassure him
that such charges are typical,
but if he needs assistance in
paying, he should apply to
the state for Medicaid
assistance.
d. You could remind him that
he cannot do anything until