AHIP Module 2 Answers 100% Verified
Mr. Lopez has heard that he can sign up for a product called
“Medicare Advantage” but is not sure about what type of plan
c. They are Medicare health plans such as HMOs, PPOs,
designs are available through this program. What should you tell
PFFS, and MSAs. Correct
him about the types of health plans that are available through the
Medicare Advantage program?
Mr. Wells is trying to understand the difference between Original
Medicare and Medicare Advantage. What would be a correct a. Medicare Advantage is a way of covering all the Original
description? 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?
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. a. He is not eligible to enroll in a Medicare
Castillo is still covered by Part A. He would like to enroll in a Advantage plan until he re-enrolls in Medicare Part B.
Medicare Advantage (MA) plan and is still covered by Part A. What Correct
should you tell him?
, AHIP Module 2 Answers 100% Verified
Mrs. Billings enrolled in the ABC Medicare Advantage (MA) plan a. She may remain in her ABC MA plan or enroll in a
several years ago. Her doctor recently confirmed a diagnosis of Special Needs Plan (SNP) for individuals
end-stage renal disease (ESRD). What options does Mrs. Billings
have in regard to her MA plan during the next open enrollment
season?
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,
a. C-SNP Correct
he has no problems functioning. Which type of SNP is likely to be
most appropriate for him?
Mr. Kumar is considering a Medicare Advantage HMO and has
questions about his ability to access providers. What should you tell d. In most Medicare Advantage HMOs, Mr. Kumar must
him? obtain his services only from providers who have a
contractual relationship with the plan
(except in an emergency). Correct
Mr. Lopez has heard that he can sign up for a product called
“Medicare Advantage” but is not sure about what type of plan
c. They are Medicare health plans such as HMOs, PPOs,
designs are available through this program. What should you tell
PFFS, and MSAs. Correct
him about the types of health plans that are available through the
Medicare Advantage program?
Mr. Wells is trying to understand the difference between Original
Medicare and Medicare Advantage. What would be a correct a. Medicare Advantage is a way of covering all the Original
description? 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?
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. a. He is not eligible to enroll in a Medicare
Castillo is still covered by Part A. He would like to enroll in a Advantage plan until he re-enrolls in Medicare Part B.
Medicare Advantage (MA) plan and is still covered by Part A. What Correct
should you tell him?
, AHIP Module 2 Answers 100% Verified
Mrs. Billings enrolled in the ABC Medicare Advantage (MA) plan a. She may remain in her ABC MA plan or enroll in a
several years ago. Her doctor recently confirmed a diagnosis of Special Needs Plan (SNP) for individuals
end-stage renal disease (ESRD). What options does Mrs. Billings
have in regard to her MA plan during the next open enrollment
season?
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,
a. C-SNP Correct
he has no problems functioning. Which type of SNP is likely to be
most appropriate for him?
Mr. Kumar is considering a Medicare Advantage HMO and has
questions about his ability to access providers. What should you tell d. In most Medicare Advantage HMOs, Mr. Kumar must
him? obtain his services only from providers who have a
contractual relationship with the plan
(except in an emergency). Correct
