AHIP Module 2 Final Reviewed Questions With Correct Answers Latest 2025/2026 GRADED A+

AHIP Module 2 Final Reviewed Multiple
Choice Questions With Correct Answers Latest
2025/2026

1. Mr.Wells is trying to understand the difference between Original Medicare
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and Medicare Advantage. What would be the correct description?: Medicare A
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dvantage is a way of covering all the Original Medicare benefits through private healt
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h insurance companies.
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2. Mr. Lopez has heard that he can sign up for a product called "Medicare Adva
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ntage" but is not sure about what type of plan designs are available through thi
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s program. What should you tell him about the types of health plans that are ava
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ilable through the Medicare Advantage program?: They are Medicare health plan
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s such as HMOs, PPOs, PFFS, and MSAs.
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3. Mr. Kumar is considering a Medicare Advantage HMO and has questions abo
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ut his ability to access providers.What should you tell him?: In most Medicare Ad
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vantage HMOs, Mr.Kumar must generally obtain his services only from providers who h
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ave a contractual relationship with the plan (except in an emergency or where care is un
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available within the network). g g g




4. Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but ha
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s recently stopped paying his Part B premium. Mr. Castillo is still covered by Par
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t A. He would like to enroll in a Medicare Advantage (MA) plan and is still covere
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d by Part A. What should you tell him?: He is not eligible to enroll in a Medicare Adva
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ntage plan until he re-enrolls in Medicare Part B.
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, 5. Mrs. Walters is enrolled in her state's Medicaid program in addition to Medi
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care. What should she be aware of when considering enrollment in a Medicar
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e Advantage (MA) plan?: She cannot enroll in an MA Medical Savings Account (M
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SA) plan. g




6. Daniel is a middle- g g g




income Medicare beneficiary. He has chronic bronchitis, putting him at severe ri
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sk for pneumonia. Otherwise, he has no problems func-
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g tioning. Which type of SNP is likely to be most appropriate for him?: C-SNP
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7. Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-
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PD plan and was disappointed with the service she received from her primary c
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are physician because she was told she would have to wait five weeks to get an a
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ppointment when she was feeling ill. She called you to ask what she could do so s
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he would not have to put up with such poor access to care.What could you tell he
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r?: She could file a grievance with her plan to complain about the lack of timeliness in ge
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tting an appointment. g g




8. Mr. Greco is in excellent health, lives in his own home, and has a sizeable inco
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me from his investments. He has a friend enrolled in a Medicare Advan-
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g tage Special Needs Plan (SNP). His friend has mentioned that the SNP charges ve
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ry low cost- g g




sharing amounts and Mr. Greco would like to join that plan. What should you tell
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g him?: SNPs limit enrollment to certain subpopulations of
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