AHIP - Module 2 Exam Questions Accurately
Solved
Mrs. Lyons is in good health, uses a single prescription, and lives independently in her own
home. She is attracted by the idea of maintaining control over a Medical Savings Account
(MSA) but is not sure if the plan associated with the account will fit her needs. What specific
piece of information about a Medicare MSA plan would it be important for her to know, prior to
enrolling in such a plan? - CORRECT ANSWER✅✅✅All MSAs cover Part A and Part B
benefits, but not Part D prescription drug benefits, which could be obtained by also enrolling in a
separate prescription drug plan.
Mrs. Radford asks whether there are any special eligibility requirements for Medicare
Advantage. What should you tell her? - CORRECT ANSWER✅✅✅Mrs. Radford must be
entitled to Part A and enrolled in Part B to enroll in Medicare Advantage.
Mr. Davies is turning 65 next month. He would like to enroll in a Medicare health plan, but does
not want to be limited in terms of where he obtains his care. What should you tell him about how
a Medicare Cost Plan might fit his needs? - CORRECT ANSWER✅✅✅Cost plan enrollees
can choose to receive Medicare covered services under the plan's benefits by going to plan
network providers and paying plan cost sharing, or may receive services from non-network
providers and pay cost-sharing due under Original Medicare.
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to
access providers. What should you tell him? - CORRECT ANSWER✅✅✅In most Medicare
Advantage HMOs, Mr. Kumar must generally obtain his services only from providers who have
a contractual relationship with the plan (except in an emergency or where care is unavailable
within the network).
Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which providers
she can go to for her health care. What should you tell her? - CORRECT
ANSWER✅✅✅Mrs. Ramos can obtain care from any provider who participates in Original
Medicare, but generally will have a higher cost-sharing amount if she sees a provider who/that is
not a part of the PPO network.
Solved
Mrs. Lyons is in good health, uses a single prescription, and lives independently in her own
home. She is attracted by the idea of maintaining control over a Medical Savings Account
(MSA) but is not sure if the plan associated with the account will fit her needs. What specific
piece of information about a Medicare MSA plan would it be important for her to know, prior to
enrolling in such a plan? - CORRECT ANSWER✅✅✅All MSAs cover Part A and Part B
benefits, but not Part D prescription drug benefits, which could be obtained by also enrolling in a
separate prescription drug plan.
Mrs. Radford asks whether there are any special eligibility requirements for Medicare
Advantage. What should you tell her? - CORRECT ANSWER✅✅✅Mrs. Radford must be
entitled to Part A and enrolled in Part B to enroll in Medicare Advantage.
Mr. Davies is turning 65 next month. He would like to enroll in a Medicare health plan, but does
not want to be limited in terms of where he obtains his care. What should you tell him about how
a Medicare Cost Plan might fit his needs? - CORRECT ANSWER✅✅✅Cost plan enrollees
can choose to receive Medicare covered services under the plan's benefits by going to plan
network providers and paying plan cost sharing, or may receive services from non-network
providers and pay cost-sharing due under Original Medicare.
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to
access providers. What should you tell him? - CORRECT ANSWER✅✅✅In most Medicare
Advantage HMOs, Mr. Kumar must generally obtain his services only from providers who have
a contractual relationship with the plan (except in an emergency or where care is unavailable
within the network).
Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which providers
she can go to for her health care. What should you tell her? - CORRECT
ANSWER✅✅✅Mrs. Ramos can obtain care from any provider who participates in Original
Medicare, but generally will have a higher cost-sharing amount if she sees a provider who/that is
not a part of the PPO network.
