1
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update Rated A+
Grade 9 out of a maximum of 10 (90%)
Feedback You have completed this Knowledge Check. To proceed, please return to the training dashboard
and select the next availa
Question1
Marks: 1
Dr. Elizabeth Brennan does not contract with the PFFS plan but accepts the plan’s terms and conditions
for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge?
Choose one answer.
a. Dr. Brennan can charge Mary no more than the cost sharing
specified in the PFFSplan’s terms and conditions of payment
which may include balance billing up to 25 percent of the Medicare
rate.
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+
, 2
b. Dr. Brennan can charge the beneficiary the same costsharing as
Original Medicareas long as she sends the claim to Medicare and
not the plan.
c. Dr. Brennan can charge Mary Rodgers more than the cost
sharing specified in the PFFS plan’s terms and conditions as long
as she treats all beneficiaries the same.
d. Dr. Brennan can charge Mary Rogers no more than the cost
sharing specified in the PFFS plan’s terms and condition of payment
which may include balance billing up to 15percent of the Medicare
rate.
Correct
Marks for this submission: 1/1.
Question2
Marks: 1
Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years ago. Her doctor
recently confirmed a diagnosis of end-stage renal disease (ESRD). What options does Mrs. Davenport
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+
, 3
have in regard to her MA plan during the next open enrollmentseason?
Choose one answer.
a. She must immediately drop her ABC MA plan and enroll in a
Special Needs Plan (SNP)for individuals suffering from ESRD if one is
available in her area.
b. She may remain in her ABC MA plan or enroll in a Special Needs
Plan (SNP) forindividuals suffering from ESRD if one is available in her
area.
c. She must remain enrolled in her ABC MA plan unless the plan
terminates.
d. She must immediately drop her ABC MA plan and enroll in Original
Medicare.
Correct
Marks for this submission: 1/1.
Question3
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+
, 4
Marks: 1
Mrs. Lyons is in good health, uses a single prescription, and lives independently in her own home. She
is attracted by the idea ofmaintaining control over a Medical Savings Account (MSA) but is not sure if
the plan associated with the account will fit her
needs. What specific piece of information about a Medicare MSA plan would it be important for her to
know, prior to enrolling in sucha plan?
Choose one answer.
a. All MSAs cover Part A and Part B benefits, but not Part D
prescription drug benefits,which could be obtained by also enrolling
in a separate prescription drug plan.
b. For enrollees in an MSA, after the annual deductible is met, the
MSA plan generallypays 75% of covered services.
c. MSA enrollees may only receive covered health care services
from a limited panel ofnetwork providers because otherwise some
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update Rated A+
Grade 9 out of a maximum of 10 (90%)
Feedback You have completed this Knowledge Check. To proceed, please return to the training dashboard
and select the next availa
Question1
Marks: 1
Dr. Elizabeth Brennan does not contract with the PFFS plan but accepts the plan’s terms and conditions
for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge?
Choose one answer.
a. Dr. Brennan can charge Mary no more than the cost sharing
specified in the PFFSplan’s terms and conditions of payment
which may include balance billing up to 25 percent of the Medicare
rate.
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+
, 2
b. Dr. Brennan can charge the beneficiary the same costsharing as
Original Medicareas long as she sends the claim to Medicare and
not the plan.
c. Dr. Brennan can charge Mary Rodgers more than the cost
sharing specified in the PFFS plan’s terms and conditions as long
as she treats all beneficiaries the same.
d. Dr. Brennan can charge Mary Rogers no more than the cost
sharing specified in the PFFS plan’s terms and condition of payment
which may include balance billing up to 15percent of the Medicare
rate.
Correct
Marks for this submission: 1/1.
Question2
Marks: 1
Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years ago. Her doctor
recently confirmed a diagnosis of end-stage renal disease (ESRD). What options does Mrs. Davenport
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+
, 3
have in regard to her MA plan during the next open enrollmentseason?
Choose one answer.
a. She must immediately drop her ABC MA plan and enroll in a
Special Needs Plan (SNP)for individuals suffering from ESRD if one is
available in her area.
b. She may remain in her ABC MA plan or enroll in a Special Needs
Plan (SNP) forindividuals suffering from ESRD if one is available in her
area.
c. She must remain enrolled in her ABC MA plan unless the plan
terminates.
d. She must immediately drop her ABC MA plan and enroll in Original
Medicare.
Correct
Marks for this submission: 1/1.
Question3
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+
, 4
Marks: 1
Mrs. Lyons is in good health, uses a single prescription, and lives independently in her own home. She
is attracted by the idea ofmaintaining control over a Medical Savings Account (MSA) but is not sure if
the plan associated with the account will fit her
needs. What specific piece of information about a Medicare MSA plan would it be important for her to
know, prior to enrolling in sucha plan?
Choose one answer.
a. All MSAs cover Part A and Part B benefits, but not Part D
prescription drug benefits,which could be obtained by also enrolling
in a separate prescription drug plan.
b. For enrollees in an MSA, after the annual deductible is met, the
MSA plan generallypays 75% of covered services.
c. MSA enrollees may only receive covered health care services
from a limited panel ofnetwork providers because otherwise some
AHIP HEALTHCARE 101 Section Questions - Medicare Course Module 2 –
Final attempt 1 Q&A new update 2022/2023 Rated A+
