AHIP Module 5 Verified Solutions

AHIP Module 5 Verified Solutions Medicare Enrollment Can Mrs. Walters enroll in a Medicare prescription drug plan since she has medical coverage without drug coverage through an employer retiree plan? No, she must be entitled to Part A or enrolled in Part B to be eligible for coverage under the Medicare prescription drug program. Medicare Advantage Enrollment Can Mr. Sanchez enroll in a Medicare Advantage plan since he is entitled to Part A but has not enrolled in Part B? No, he will have to enroll in Part B prior to enrolling in a Medicare Advantage plan. Private Fee-for-Service (PFFS) Plan Eligibility To determine Mr. Kelly's eligibility for a PFFS plan, you would need to ask him if he is enrolled in Part A and Part B and if he lives in the PFFS plan's service area. What will Mr. Gonzalez have to do if he wants to enroll in a PFFS plan since he is entitled to Part A but has not yet enrolled in Part B? He will have to enroll in Part B prior to enrolling in the PFFS plan. Medicare Advantage and Prescription Drug Plans Under what circumstances can Mrs. Berkowitz enroll in a Medicare Advantage plan that does not include drug coverage and also enroll in a stand-alone Medicare prescription drug plan? If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical Savings Account. Private Fee-for-Service (PFFS) Plan Options What options could Mrs. Roberts consider before selecting a PFFS plan as an Original Medicare beneficiary? She could consider a Medicare Advantage Prescription Drug (MA-PD) PFFS plan, a PFFS plan offering only medical benefits, or a PFFS plan in combination with a stand-alone prescription drug plan. Eligibility for Medicare Advantage or Part D Plans Which of the following individuals is most likely to be eligible to enroll in a Medicare Advantage or Part D Plan? Jose, a grandfather who was granted asylum and has worked in the United States for many years.