AHIP 2026 MODULE 2 EXAM
Actual Questions and Verified Answers
With 20 Questions and Answers
1. Mrs. Radford asks whether there are any special eligibility requirements
for Medicare Advantage. What should you tell her
Ans>> Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in
Medicare Advantage.
2. Which of the following statement(s) is/are correct about a Medicare
Savings Account (MSA) Plans?
I. MSAs may have either a partial network, full network, or no network
of providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription
drug benefits.
III. An individual who is enrolled in an MSA plan is responsible for a minimal
deductible of $500 indexed for inflation.
IV. Non-network providers must accept the same amount that Original
Medicare would pay them as payment in full.
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4
, Ǫuestion 2Answer: Ans>> I, II, and IV only
3. Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-PD
plan and was disappointed with the service she received from her primary care
physician because she was told she would have to wait five weeks to get an
appointment when she was feeling ill. She called you to ask what she could do
so she would not have to put up with such poor access to care.What could you
tell her
Ans>> She could file a grievance with her plan to complain about the lack of
timeliness in getting an appointment.
4. Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that
you represent. It is one of three plans operated by the same organization in
Mr. Lombardi's area. The MA PPO plan does not include drug coverage,
but the other two plans do. Mr. Lombardi likes the PPO plan that does not
include drug coverage and intends to obtain his drug coverage through a
stand-alone Medicare prescription drug plan. What should you tell him about
this situation
Ans>> He could enroll either in one of the MA plans that include prescrip- tion
drug coverage or Original Medicare with a Medigap plan and standalone Part D
prescription drug coverage, but he cannot enroll in the MA-only PPO plan and a
stand-alone prescription drug plan.
5. Ms. Gibson recently lost her employer group health and drug coverage and now
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4
Actual Questions and Verified Answers
With 20 Questions and Answers
1. Mrs. Radford asks whether there are any special eligibility requirements
for Medicare Advantage. What should you tell her
Ans>> Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in
Medicare Advantage.
2. Which of the following statement(s) is/are correct about a Medicare
Savings Account (MSA) Plans?
I. MSAs may have either a partial network, full network, or no network
of providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription
drug benefits.
III. An individual who is enrolled in an MSA plan is responsible for a minimal
deductible of $500 indexed for inflation.
IV. Non-network providers must accept the same amount that Original
Medicare would pay them as payment in full.
1/
4
, Ǫuestion 2Answer: Ans>> I, II, and IV only
3. Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-PD
plan and was disappointed with the service she received from her primary care
physician because she was told she would have to wait five weeks to get an
appointment when she was feeling ill. She called you to ask what she could do
so she would not have to put up with such poor access to care.What could you
tell her
Ans>> She could file a grievance with her plan to complain about the lack of
timeliness in getting an appointment.
4. Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that
you represent. It is one of three plans operated by the same organization in
Mr. Lombardi's area. The MA PPO plan does not include drug coverage,
but the other two plans do. Mr. Lombardi likes the PPO plan that does not
include drug coverage and intends to obtain his drug coverage through a
stand-alone Medicare prescription drug plan. What should you tell him about
this situation
Ans>> He could enroll either in one of the MA plans that include prescrip- tion
drug coverage or Original Medicare with a Medigap plan and standalone Part D
prescription drug coverage, but he cannot enroll in the MA-only PPO plan and a
stand-alone prescription drug plan.
5. Ms. Gibson recently lost her employer group health and drug coverage and now
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4
