AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
Grade 9 out of a maximum of 10 (90%)
p p p p p p p
Feedback You have completed this Knowledge Check. To proceed, please return to the training dashboard a
p p p p p p p p p p p p p p
nd select the next availa
p p p p
Question1
Marks: 1
p
Dr. Elizabeth Brennan does not contract with the PFFS plan but accepts the plan’s terms and conditions for
p p p p p p p p p p p p p p p p p p
payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge?
p p p p p p p p p p p p p
Choose one answer.
p p
a. Dr. Brennan can charge Mary no more than the cost sharing speci
p p p p p p p p p p p p
fied in the PFFSplan’s terms and conditions of payment which may i
p p p p p p p p p p p p
nclude balance billing up to 25 percent of the Medicare rate.
p p p p p p p p p p p
b. Dr. Brennan can charge the beneficiary the same costsharing as Or
p p p p p p p p p p p
iginal Medicareas long as she sends the claim to Medicare and not th
p p p p p p p p p p p p p
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
,AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
e plan.
p p
c. Dr. Brennan can charge Mary Rodgers more than the cost sharing
p p p p p p p p p p p p
specified in the PFFS plan’s terms and conditions as long as she treat
p p p p p p p p p p p p
s all beneficiaries the same.
p p p p p
d. Dr. Brennan can charge Mary Rogers no more than the cost sharing
p p p p p p p p p p p p
specified in the PFFS plan’s terms and condition of payment which m
p p p p p p p p p p p p
ay include balance billing up to 15percent of the Medicare rate.
p p p p p p p p p p p p
Correct
p
Marks for this submission: 1/1.
p p p p
Question2
Marks: 1 p
Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years ago. Her doctor recentl
p p p p p p p p p p p p p p p
y confirmed a diagnosis ofend-
p p p p p
stage renal disease (ESRD). What options does Mrs. Davenport have in regard to her MA plan during the
p p p p p p p p p p p p p p p p p p
next open enrollmentseason?
p p p
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
,AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
Choose one answer.
p p
a. She must immediately drop her ABC MA plan and enroll in a Special N
p p p p p p p p p p p p p p
eeds Plan (SNP)for individuals suffering from ESRD if one is available in
p p p p p p p p p p p p p
her area.
p p
b. She may remain in her ABC MA plan or enroll in a Special Needs Plan
p p p p p p p p p p p p p p p p
(SNP) forindividuals suffering from ESRD if one is available in her area.
p p p p p p p p p p p p p
c. She must remain enrolled in her ABC MA plan unless the plan terminat
p p p p p p p p p p p p p
es. p
d. She must immediately drop her ABC MA plan and enroll in Original Me
p p p p p p p p p p p p p
dicare. p
Correct
p
Marks for this submission: 1/1.
p p p p
Question3
Marks: 1 p
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
, AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
Mrs. Lyons is in good health, uses a single prescription, and lives independently in her own home. She is at
p p p p p p p p p p p p p p p p p p p
tracted by the idea ofmaintaining control over a Medical Savings Account (MSA) but is not sure if the plan a
p p p p p p p p p p p p p p p p p p p p
ssociated with the account will fit her
p p p p p p
needs. What specific piece of information about a Medicare MSA plan would it be important for her to know,
p p p p p p p p p p p p p p p p p p
prior to enrolling in sucha plan?
p p p p p p p
Choose one answer. p p
a. All MSAs cover Part A and Part B benefits, but not Part D prescripti
p p p p p p p p p p p p p p
on drug benefits,which could be obtained by also enrolling in a separa
p p p p p p p p p p p p
te prescription drug plan.
p p p p
b. For enrollees in an MSA, after the annual deductible is met, the MS
p p p p p p p p p p p p p
A plan generallypays 75% of covered services.
p p p p p p p p
c. MSA enrollees may only receive covered health care services from
p p p p p p p p p p p
a limited panel ofnetwork providers because otherwise some provider
p p p p p p p p p
s may charge more than Original Medicare rates.
p p p p p p p p
d. All beneficiaries enrolled in an MSA pay a plan premium in additio
p p p p p p p p p p p p
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
Grade 9 out of a maximum of 10 (90%)
p p p p p p p
Feedback You have completed this Knowledge Check. To proceed, please return to the training dashboard a
p p p p p p p p p p p p p p
nd select the next availa
p p p p
Question1
Marks: 1
p
Dr. Elizabeth Brennan does not contract with the PFFS plan but accepts the plan’s terms and conditions for
p p p p p p p p p p p p p p p p p p
payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge?
p p p p p p p p p p p p p
Choose one answer.
p p
a. Dr. Brennan can charge Mary no more than the cost sharing speci
p p p p p p p p p p p p
fied in the PFFSplan’s terms and conditions of payment which may i
p p p p p p p p p p p p
nclude balance billing up to 25 percent of the Medicare rate.
p p p p p p p p p p p
b. Dr. Brennan can charge the beneficiary the same costsharing as Or
p p p p p p p p p p p
iginal Medicareas long as she sends the claim to Medicare and not th
p p p p p p p p p p p p p
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
,AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
e plan.
p p
c. Dr. Brennan can charge Mary Rodgers more than the cost sharing
p p p p p p p p p p p p
specified in the PFFS plan’s terms and conditions as long as she treat
p p p p p p p p p p p p
s all beneficiaries the same.
p p p p p
d. Dr. Brennan can charge Mary Rogers no more than the cost sharing
p p p p p p p p p p p p
specified in the PFFS plan’s terms and condition of payment which m
p p p p p p p p p p p p
ay include balance billing up to 15percent of the Medicare rate.
p p p p p p p p p p p p
Correct
p
Marks for this submission: 1/1.
p p p p
Question2
Marks: 1 p
Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years ago. Her doctor recentl
p p p p p p p p p p p p p p p
y confirmed a diagnosis ofend-
p p p p p
stage renal disease (ESRD). What options does Mrs. Davenport have in regard to her MA plan during the
p p p p p p p p p p p p p p p p p p
next open enrollmentseason?
p p p
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
,AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
Choose one answer.
p p
a. She must immediately drop her ABC MA plan and enroll in a Special N
p p p p p p p p p p p p p p
eeds Plan (SNP)for individuals suffering from ESRD if one is available in
p p p p p p p p p p p p p
her area.
p p
b. She may remain in her ABC MA plan or enroll in a Special Needs Plan
p p p p p p p p p p p p p p p p
(SNP) forindividuals suffering from ESRD if one is available in her area.
p p p p p p p p p p p p p
c. She must remain enrolled in her ABC MA plan unless the plan terminat
p p p p p p p p p p p p p
es. p
d. She must immediately drop her ABC MA plan and enroll in Original Me
p p p p p p p p p p p p p
dicare. p
Correct
p
Marks for this submission: 1/1.
p p p p
Question3
Marks: 1 p
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
, AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
Mrs. Lyons is in good health, uses a single prescription, and lives independently in her own home. She is at
p p p p p p p p p p p p p p p p p p p
tracted by the idea ofmaintaining control over a Medical Savings Account (MSA) but is not sure if the plan a
p p p p p p p p p p p p p p p p p p p p
ssociated with the account will fit her
p p p p p p
needs. What specific piece of information about a Medicare MSA plan would it be important for her to know,
p p p p p p p p p p p p p p p p p p
prior to enrolling in sucha plan?
p p p p p p p
Choose one answer. p p
a. All MSAs cover Part A and Part B benefits, but not Part D prescripti
p p p p p p p p p p p p p p
on drug benefits,which could be obtained by also enrolling in a separa
p p p p p p p p p p p p
te prescription drug plan.
p p p p
b. For enrollees in an MSA, after the annual deductible is met, the MS
p p p p p p p p p p p p p
A plan generallypays 75% of covered services.
p p p p p p p p
c. MSA enrollees may only receive covered health care services from
p p p p p p p p p p p
a limited panel ofnetwork providers because otherwise some provider
p p p p p p p p p
s may charge more than Original Medicare rates.
p p p p p p p p
d. All beneficiaries enrolled in an MSA pay a plan premium in additio
p p p p p p p p p p p p
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
p p p p p p p p p p
Final attempt 1 Q&A new update 2022/2023 Rated A+
p p p p p p p p p
