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AHIP Module EXAM WITH CORRECT QUESTIONS AND ANSWERS

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AHIP Module EXAM WITH CORRECT QUESTIONS AND ANSWERS

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AHIP Module 2 202 4-2025 EXAM WITH CORRECT QUESTIONS AND ANSWERS Mrs. Andrews asked h ow a Private Fee -for-Service (PFFS) plan might affect her access to services since she receives some assistance for her health care costs from the State. What should you tell her? - CORRECT ANSWERSMedicaid may provide additional benefits, but Medicaid will only pay for these services if they are furnished 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 advi se her to do before she will be able to enroll in a Medicare Advantage plan? - CORRECT ANSWERSTo 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 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? - CORRECT ANSWERSThey 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 under Original Medicare, but he would like t o know more about Medicare Advantage Special Needs Plans (SNPs). What could you tell him? - CORRECT ANSWERSSNPs have special programs for enrollees with chronic conditions, like Mr. Sinclair, and they provide prescription drug coverage that could be very h elpful as well. 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? - CORRECT ANSWERSC -SNP

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