2023 AHIP Module 2 Exam questions
and 100% verified correct answers
Chi is age 75 and enjoys a comfortable but not extremely high-income level. She wishes
to enroll in a MA MSA plan that she heard about from her neighbor. She also wants to
have prescription drug coverage since her doctor recently prescribed several expensive
medications. Currently, she is enrolled in Original Medicare and a standalone Part D
plan. How would you advise Mrs. Chi? - Correct Answer b. Mrs. Chi may enroll in a MA
MSA plan and remain in her current standalone Part D prescription drug plan.
MA MSA plans are prohibited from offering prescription drug coverage. If an MSA
member wants prescription drug coverage, the member must enroll in a standalone
PDP.
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.
There are coordinated care Medicare Advantage plans that include HMOs and PPOs.
There are also Private-Fee-for-Service (PFFS), Medicare Savings Account (MSA), and
Special Needs Plans (SNPs).
Mrs. Kelly, age 65, is entitled to Part A but has not yet enrolled in Part B. She is
considering enrollment in a Medicare Advantage plan (Part C). What should you advise
her to do before she will be able to enroll in a Medicare Advantage plan? - Correct
Answer . To join a Medicare Advantage plan, she also must enroll in Part B.
Correct: Eligibility to enroll in a Medicare Advantage plan requires entitlement to
benefits under Part A and enrollment in Part B.
Juan Perez, who is turning age 65 next month, intends to work for several more years at
Smallcap, Incorporated. Smallcap has a workforce of 15 employees and offers
employer-sponsored healthcare coverage. Juan is a naturalized citizen and has
contributed to the Medicare system for over 20 years. Juan asks you if he will be
entitled to Medicare and if he enrolls how that will impact his employer-sponsored
healthcare coverage. How would you respond? - Correct Answer c. Juan is likely to be
eligible for Medicare once he turns age 65 and if he enrolls Medicare would become the
primary payor of his healthcare claims and Smallcap does not have to continue to offer
him coverage comparable to those under age 65 under its employer-sponsored group
health plan.
Mrs. Chou likes a Private Fee-for-Service (PFFS) plan available in her area that does
not include drug coverage. She wants to enroll in the plan and enroll in a stand-alone
prescription drug plan. What should you tell her? - Correct Answer c. She could enroll in
a PFFS plan and a stand-alone Medicare prescription drug plan.
and 100% verified correct answers
Chi is age 75 and enjoys a comfortable but not extremely high-income level. She wishes
to enroll in a MA MSA plan that she heard about from her neighbor. She also wants to
have prescription drug coverage since her doctor recently prescribed several expensive
medications. Currently, she is enrolled in Original Medicare and a standalone Part D
plan. How would you advise Mrs. Chi? - Correct Answer b. Mrs. Chi may enroll in a MA
MSA plan and remain in her current standalone Part D prescription drug plan.
MA MSA plans are prohibited from offering prescription drug coverage. If an MSA
member wants prescription drug coverage, the member must enroll in a standalone
PDP.
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.
There are coordinated care Medicare Advantage plans that include HMOs and PPOs.
There are also Private-Fee-for-Service (PFFS), Medicare Savings Account (MSA), and
Special Needs Plans (SNPs).
Mrs. Kelly, age 65, is entitled to Part A but has not yet enrolled in Part B. She is
considering enrollment in a Medicare Advantage plan (Part C). What should you advise
her to do before she will be able to enroll in a Medicare Advantage plan? - Correct
Answer . To join a Medicare Advantage plan, she also must enroll in Part B.
Correct: Eligibility to enroll in a Medicare Advantage plan requires entitlement to
benefits under Part A and enrollment in Part B.
Juan Perez, who is turning age 65 next month, intends to work for several more years at
Smallcap, Incorporated. Smallcap has a workforce of 15 employees and offers
employer-sponsored healthcare coverage. Juan is a naturalized citizen and has
contributed to the Medicare system for over 20 years. Juan asks you if he will be
entitled to Medicare and if he enrolls how that will impact his employer-sponsored
healthcare coverage. How would you respond? - Correct Answer c. Juan is likely to be
eligible for Medicare once he turns age 65 and if he enrolls Medicare would become the
primary payor of his healthcare claims and Smallcap does not have to continue to offer
him coverage comparable to those under age 65 under its employer-sponsored group
health plan.
Mrs. Chou likes a Private Fee-for-Service (PFFS) plan available in her area that does
not include drug coverage. She wants to enroll in the plan and enroll in a stand-alone
prescription drug plan. What should you tell her? - Correct Answer c. She could enroll in
a PFFS plan and a stand-alone Medicare prescription drug plan.
