AHIP MODULE 2 EXAM
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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
ANSWER : -c. They are Medicare health plans such as HMOs, PPOs, PFFS, and
MSAs. Correct
Mr. Wells is trying to understand the difference between Original Medicare and
Medicare Advantage. What would be a correct description? - CORRECT
ANSWER : -a. Medicare Advantage is a way of covering all the Original
Medicare benefits through private health insurance companies. Correct
Mrs. Radford asks whether there are any special eligibility requirements for
Medicare Advantage. What should you tell her? - CORRECT ANSWER : -b. Mrs.
Radford must be entitled to Part A and enrolled in Part B to enroll in Medicare
Advantage. Correct
Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but has
recently stopped paying his Part B premium. Mr. Castillo is still covered by Part
A. He would like to enroll in a Medicare Advantage (MA) plan and is still
covered by Part A. What should you tell him? - CORRECT ANSWER : -a. He is
, not eligible to enroll in a Medicare Advantage plan until he re-enrolls in
Medicare Part B. Correct
Mrs. Billings enrolled in the ABC Medicare Advantage (MA) plan several years
ago. Her doctor recently confirmed a diagnosis of end-stage renal disease
(ESRD). What options does Mrs. Billings have in regard to her MA plan during
the next open enrollment season? - CORRECT ANSWER : -a. She may remain in
her ABC MA plan or enroll in a Special Needs Plan (SNP) for individuals
suffering from ESRD if one is available in her area. Correct
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 ANSWER : -a. C-SNP Correct
Mr. Kumar is considering a Medicare Advantage HMO and has questions about
his ability to access providers. What should you tell him? - CORRECT ANSWER :
-d. In most Medicare Advantage HMOs, Mr. Kumar must obtain his services
only from providers who have a contractual relationship with the plan (except
in an emergency). Correct
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 : -b. Mrs. Ramos can obtain care from any provider who
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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
ANSWER : -c. They are Medicare health plans such as HMOs, PPOs, PFFS, and
MSAs. Correct
Mr. Wells is trying to understand the difference between Original Medicare and
Medicare Advantage. What would be a correct description? - CORRECT
ANSWER : -a. Medicare Advantage is a way of covering all the Original
Medicare benefits through private health insurance companies. Correct
Mrs. Radford asks whether there are any special eligibility requirements for
Medicare Advantage. What should you tell her? - CORRECT ANSWER : -b. Mrs.
Radford must be entitled to Part A and enrolled in Part B to enroll in Medicare
Advantage. Correct
Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but has
recently stopped paying his Part B premium. Mr. Castillo is still covered by Part
A. He would like to enroll in a Medicare Advantage (MA) plan and is still
covered by Part A. What should you tell him? - CORRECT ANSWER : -a. He is
, not eligible to enroll in a Medicare Advantage plan until he re-enrolls in
Medicare Part B. Correct
Mrs. Billings enrolled in the ABC Medicare Advantage (MA) plan several years
ago. Her doctor recently confirmed a diagnosis of end-stage renal disease
(ESRD). What options does Mrs. Billings have in regard to her MA plan during
the next open enrollment season? - CORRECT ANSWER : -a. She may remain in
her ABC MA plan or enroll in a Special Needs Plan (SNP) for individuals
suffering from ESRD if one is available in her area. Correct
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 ANSWER : -a. C-SNP Correct
Mr. Kumar is considering a Medicare Advantage HMO and has questions about
his ability to access providers. What should you tell him? - CORRECT ANSWER :
-d. In most Medicare Advantage HMOs, Mr. Kumar must obtain his services
only from providers who have a contractual relationship with the plan (except
in an emergency). Correct
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 : -b. Mrs. Ramos can obtain care from any provider who
