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Ahip 2025 Module 2 Questions and answers

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Ahip 2025 Module 2 Questions and answers What are Special Needs Plans (SNPs) designed for? ANSWER. SNPs are designed to serve specific subpopulations of beneficiaries, including those eligible for both Medicaid and Medicare, individuals with chronic conditions, or those residing in institutions. Can Mr. Dalton enroll in a Medicare Advantage Special Needs Plan (SNP)? ANSWER.No, Mr. Dalton cannot enroll because SNPs only serve individuals eligible for both Medicaid and Medicare, and his circumstances do not meet the eligibility criteria. What type of SNP is most appropriate for a beneficiary with chronic bronchitis? ANSWER.A Chronic Condition SNP (C-SNP) is most appropriate for a beneficiary with chronic bronchitis. What types of health plans are available through the Medicare Advantage program? ANSWER.Medicare Advantage plans include coordinated care plans such as HMOs and PPOs, Private-Fee-for-Service (PFFS) plans, Medicare Savings Accounts (MSAs), and Special Needs Plans (SNPs). What is the copayment situation for a Qualified Medicare Beneficiary (QMB) visiting a primary care provider? ANSWER.QMBs do not have to pay any Medicare cost-sharing, so the provider cannot collect any copayment. What should Mr. Abbott know about Medicare Advantage plan designs? ANSWER.Mr. Abbott should know that Medicare Advantage includes various plan designs such as HMOs, PPOs, PFFS, MSAs, and SNPs.

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Uploaded on
August 12, 2025
Number of pages
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Written in
2025/2026
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