AHIP Final Exam Questions & Answers!!

Types of Medicare Advantage Plans - ANSWER PPO, HMO, MSA, Cost Plan, PFFS Medicare-Medicaid plans - ANSWER Serve both Medicare and Medicaid individuals. Include Part D coverage. Individuals sometimes referred to as dual eligibles Medicare Cost Plan - ANSWER Type of Medicare health plan. Have Part B to enroll. Can join anytime plan is accepting new members. A non network provider will can charge higher coinsurances and deuctibles. Different enrollment/disenrollment periods apply. Can get Part D Rx coverage if available, or apply for a separate PDP. Medicare Entitlement/Enrollment - Part A & Part B - ANSWER Individuals with ESRD may sign up at anytime. Date on which coverage begins is the fourth month after dialysis begins.