AHIP TRAINING MODULE #2 questions and well revised answers 2024

LOPEZ has heard that he can sign up for a product called MA, but is not sure about what type of plan designs are available through this program (MA plan, types) - correct answerThey are Medicare health plans such as HMO, PPO, PFFS, SNP AND MSA WHALEN is trying to understand the difference between Original Medicare and MA. (MA vs Original Medicare) - correct answerMA is a way of covering ALL of the Original Medicare benefits through private health insurance companies. During a sales presentation in Ms. Sully's home, she tells you that she has hearing about a type of Medicare plan known as PFFS. She wants to know if this would be available to her. (MA-PFFS) - correct answerA PFFS plan is one of various types of MA plans offered by private entities and she may enroll in one if it is available in her area. RADFORD asks whether there are any special eligibility requirement s for MA (MA requirements/eligibility) - correct answerMrs. Radford MUST be entitled to Part A and enrolled in Part B to enroll in MA. BASS lives on a limited fixed income and is concerned about the cost of healthcare. What should you tell her about the sort of help available to low income individuals under the Medicare program? (Help for individuals with limited income/resources) - correct answerAs a Medicare beneficiary with limited income/resources she may contact her State Medicaid agency to apply for assistance paying for the Part B premium and cost sharing and Part D Rx coverage. KUMAR is considering MA HMO and has questions about his ability to access providers. (MA HMO providers) - correct answerIn MOST MA HMO's, Mr. Kumar MUST obtain his services only from providers who have a contractual relationship with the plan (Except in an Emergency)