2024 AHIP MODULE 2 QUESTIONS WITH
VERIFIED ANSWERS
Mrs.KRadfordKasksKwhetherKthereKareKanyKspecialKeligibilityKrequirementsKforKMedicareKAdvantage.KWhatKs
houldKyouKtellKher?K-KcorrectKanswer-
Mrs.KRadfordKmustKbeKentitledKtoKPartKAKandKenrolledKinKPartKBKtoKenrollKinKMedicareKAdvantage.
Mr.KRomeroKisK64,KretiringKsoon,KandKconsideringKenrollmentKinKhisKemployer-
sponsoredKretireeKgroupKhealthKplanKthatKincludesKdrugKcoverageKwithKnominalKcopays.KHeKheardKaboutKaK
neighbor'sKMA-
PDKplanKthatKyouKrepresentKandKbecauseKheKtakesKnumerousKprescriptionKdrugs,KheKisKconsideringKsigningK
upKforKit.KWhatKshouldKyouKtellKhim?K-KcorrectKanswer-HeKshouldKcompareKtheKbenefitsKinKhisKemployer-
sponsoredKretireeKgroupKhealthKplanKwithKtheKbenefitsKinKhisKneighbor'sKMA-
PDKplanKtoKdetermineKwhichKoneKwillKprovideKsufficientKcoverageKforKhisKprescriptionKneeds.
Mr.KSinclairKhasKdiabetesKandKheartKtroubleKandKisKgenerallyKsatisfiedKwithKtheKcareKheKhasKreceivedKunderK
OriginalKMedicare,KbutKheKwouldKlikeKtoKknowKmoreKaboutKMedicareKAdvantageKSpecialKNeedsKPlansK(SNP
s).KWhatKcouldKyouKtellKhim?K-KcorrectKanswer-
SNPsKhaveKspecialKprogramsKforKenrolleesKwithKchronicKconditions,KlikeKMr.KSinclair,KandKtheyKprovideKpres
criptionKdrugKcoverageKthatKcouldKbeKveryKhelpfulKasKwell
Mrs.KLyonsKisKinKgoodKhealth,KusesKaKsingleKprescription,KandKlivesKindependentlyKinKherKownKhome.KSheKisK
attractedKbyKtheKideaKofKmaintainingKcontrolKoverKaKMedicalKSavingsKAccountK(MSA)KbutKisKnotKsureKifKtheK
planKassociatedKwithKtheKaccountKwillKfitKherKneeds.KWhatKspecificKpieceKofKinformationKaboutKaKMedicareK
MSAKplanKwouldKitKbeKimportantKforKherKtoKknow,KpriorKtoKenrollingKinKsuchKaKplan?K-KcorrectKanswer-
AllKMSAsKcoverKPartKAKandKPartKBKbenefits,KbutKnotKPartKDKprescriptionKdrugKbenefits,KwhichKcouldKbeKobta
inedKbyKalsoKenrollingKinKaKseparateKprescriptionKdrugKplan.
Dr.KElizabethKBrennanKdoesKnotKcontractKwithKtheKABCKPFFSKplanKbutKacceptsKtheKplan'sKtermsKandKconditi
onsKforKpayment.KMaryKRodgersKseesKDr.KBrennanKforKtreatment.KHowKmuchKmayKDr.KBrennanKcharge?K-
KcorrectKanswer-
Dr.KBrennanKcanKchargeKMaryKRogersKnoKmoreKthanKtheKcostKsharingKspecifiedKinKtheKPFFSKplan'sKtermsKan
dKconditionKofKpaymentKwhichKmayKincludeKbalanceKbillingKupKtoK15%ofKtheKMedicareKrate.
Mrs.KRamosKisKconsideringKaKMedicareKAdvantageKPPOKandKhasKquestionsKaboutKwhichKprovidersKsheKcanK
goKtoKforKherKhealthKcare.KWhatKshouldKyouKtellKher?K-KcorrectKanswer-
Mrs.KRamosKcanKobtainKcareKfromKanyKproviderKwhoKparticipatesKinKOriginalKMedicare,KbutKgenerallyKwillKh
aveKaKhigherKcost-sharingKamountKifKsheKseesKaKproviderKwho/thatKisKnotKaKpartKofKtheKPPOKnetwork.
VERIFIED ANSWERS
Mrs.KRadfordKasksKwhetherKthereKareKanyKspecialKeligibilityKrequirementsKforKMedicareKAdvantage.KWhatKs
houldKyouKtellKher?K-KcorrectKanswer-
Mrs.KRadfordKmustKbeKentitledKtoKPartKAKandKenrolledKinKPartKBKtoKenrollKinKMedicareKAdvantage.
Mr.KRomeroKisK64,KretiringKsoon,KandKconsideringKenrollmentKinKhisKemployer-
sponsoredKretireeKgroupKhealthKplanKthatKincludesKdrugKcoverageKwithKnominalKcopays.KHeKheardKaboutKaK
neighbor'sKMA-
PDKplanKthatKyouKrepresentKandKbecauseKheKtakesKnumerousKprescriptionKdrugs,KheKisKconsideringKsigningK
upKforKit.KWhatKshouldKyouKtellKhim?K-KcorrectKanswer-HeKshouldKcompareKtheKbenefitsKinKhisKemployer-
sponsoredKretireeKgroupKhealthKplanKwithKtheKbenefitsKinKhisKneighbor'sKMA-
PDKplanKtoKdetermineKwhichKoneKwillKprovideKsufficientKcoverageKforKhisKprescriptionKneeds.
Mr.KSinclairKhasKdiabetesKandKheartKtroubleKandKisKgenerallyKsatisfiedKwithKtheKcareKheKhasKreceivedKunderK
OriginalKMedicare,KbutKheKwouldKlikeKtoKknowKmoreKaboutKMedicareKAdvantageKSpecialKNeedsKPlansK(SNP
s).KWhatKcouldKyouKtellKhim?K-KcorrectKanswer-
SNPsKhaveKspecialKprogramsKforKenrolleesKwithKchronicKconditions,KlikeKMr.KSinclair,KandKtheyKprovideKpres
criptionKdrugKcoverageKthatKcouldKbeKveryKhelpfulKasKwell
Mrs.KLyonsKisKinKgoodKhealth,KusesKaKsingleKprescription,KandKlivesKindependentlyKinKherKownKhome.KSheKisK
attractedKbyKtheKideaKofKmaintainingKcontrolKoverKaKMedicalKSavingsKAccountK(MSA)KbutKisKnotKsureKifKtheK
planKassociatedKwithKtheKaccountKwillKfitKherKneeds.KWhatKspecificKpieceKofKinformationKaboutKaKMedicareK
MSAKplanKwouldKitKbeKimportantKforKherKtoKknow,KpriorKtoKenrollingKinKsuchKaKplan?K-KcorrectKanswer-
AllKMSAsKcoverKPartKAKandKPartKBKbenefits,KbutKnotKPartKDKprescriptionKdrugKbenefits,KwhichKcouldKbeKobta
inedKbyKalsoKenrollingKinKaKseparateKprescriptionKdrugKplan.
Dr.KElizabethKBrennanKdoesKnotKcontractKwithKtheKABCKPFFSKplanKbutKacceptsKtheKplan'sKtermsKandKconditi
onsKforKpayment.KMaryKRodgersKseesKDr.KBrennanKforKtreatment.KHowKmuchKmayKDr.KBrennanKcharge?K-
KcorrectKanswer-
Dr.KBrennanKcanKchargeKMaryKRogersKnoKmoreKthanKtheKcostKsharingKspecifiedKinKtheKPFFSKplan'sKtermsKan
dKconditionKofKpaymentKwhichKmayKincludeKbalanceKbillingKupKtoK15%ofKtheKMedicareKrate.
Mrs.KRamosKisKconsideringKaKMedicareKAdvantageKPPOKandKhasKquestionsKaboutKwhichKprovidersKsheKcanK
goKtoKforKherKhealthKcare.KWhatKshouldKyouKtellKher?K-KcorrectKanswer-
Mrs.KRamosKcanKobtainKcareKfromKanyKproviderKwhoKparticipatesKinKOriginalKMedicare,KbutKgenerallyKwillKh
aveKaKhigherKcost-sharingKamountKifKsheKseesKaKproviderKwho/thatKisKnotKaKpartKofKtheKPPOKnetwork.