AHIP MODULE 2 – 2025 QUESTIONS
WITH VERIFIED ANSWERS
Which of the following statement(s) is/are correct about a Medicare Savings Account (MSA) Plans?
I. MSAs may have either a partial network, full network, or no network of providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription drug benefits.
III. An individual who is enrolled in an MSA plan is responsible for a minimal deductible of $500 in
dexed for inflation.
IV. Non-
network providers must accept the same amount that Original Medicare would pay them as payme
nt in full. - correct answer-I, II, and IV only
Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B because he
has coverage through an employer plan. If he wants to enroll in a Medicare Advantage plan, what
will he have to do? - correct answer-He will have to enroll in Part B.
Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-
PD plan and was disappointed with the service she received from her primary care physician becau
se she was told she would have to wait five weeks to get an appointment when she was feeling ill
. She called you to ask what she could do so she would not have to put up with such poor access
to care. What could you tell her? - correct answer-
She could file a grievance with her plan to complain about the lack of timeliness in getting an app
ointment.
Mrs. Chou likes a Private Fee-for-
Service (PFFS) plan available in her area that does not include drug coverage. She wants to enroll i
n the plan and enroll in a stand-alone prescription drug plan. What should you tell her? -
correct answer-She could enroll in a PFFS plan and a stand-alone Medicare prescription drug plan.
Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare. What should she
be aware of when considering enrollment in a Medicare Advantage (MA) plan? - correct answer-
She cannot enroll in an MA Medical Savings Account (MSA) plan.
, Mrs. L Chi L is L age L 75 L and L enjoys L a L comfortable L but L not L extremely L high-
income L level. L She L wishes L to L enroll L in L a L MA L MSA L plan L that L she L heard L about L from L her
L neighbor. L She Lalso L wants L to L have L prescription L drug L coverage L since L her L doctor L recently
L prescribed L several L expensi Lve L medications. L Currently, L she L is L enrolled L in L Original
L Medicare L and L a L standalone L Part L D L plan. L How Lwould L you L advise L Mrs. L Chi? L - L correct
L answer-
Mrs. L Chi L may L enroll L in L a L MA L MSA L plan L and L remain L in L her L current L standalone L Part L D
L prescription L dr Lug L plan.
Mr. L Wells L is L trying L to L understand L the L difference L between L Original L Medicare L and L Medicare
L Advantag
e. L What L would L be L the L correct L description? L - L correct L answer-
Medicare L Advantage L is L a L way L of L covering L all L the L Original L Medicare L benefits L through
L private L health L i Lnsurance L companies.
Mr. L Lopez L has L heard L that L he L can L sign L up L for L a L product L called L "Medicare L Advantage"
L but L is L not L sure Labout L what L type L of L plan L designs L are L available L through L this L program.
L What L should L you L tell L him L ab Lout L the L types L of L health L plans L that L are L available
L through L the L Medicare L Advantage L program? L -
correct L answer-There L are L Medicare L health L plans L such L as L HMOs, L PPOs, L PFFS, L and L MSAs.
Hank's L Fish L Store, L Inc. L is L a L small L company L with L just L 15 L employees L located L in L Florida.
L Hank, L the L stor Le L owner, L has L provided L excellent L health L benefits L to L the L store's
L workforce. L William, L one L of L the L store' Ls L long-
time L employees, L will L soon L be L reaching L age L 65 L and L eligible L for L Medicare. L William L is L in
L good L health. LHe L intends L to L remain L an L active L full-
time Lemployee, Lworking Lseveral Lyears Lafter Lbecoming Leligible Lfor LMedicare. LWhat Ltype(s) Lof
Lretiree Lhealth L benefit L will L Hank's L Fish L Store L be L able L to L offer L William? L - L correct
L answer-
Hank's L can L continue L to L offer L William L the L same L employee L health L benefit L plan, L or, L if
L William L enrolls L i Ln L Medicare L Part L B, L it L can L enroll L him L in L a L Medicare L Advantage L plan
L that L is L offered L to L the L public.
Mrs. L Kelly, L age L 65, L is L entitled L to L Part L A L but L has L not L yet L enrolled L in L Part L B. L She L is
L considering L enroll Lment L in L a L Medicare L Advantage L plan L (Part L C). L What L should L you L advise
L her L to L do L before L she L can L enr Loll L in L a L Medicare L Advantage L plan? L - L correct L answer-
To L join L a L Medicare L Advantage L plan, L she L also L must L enroll L in L Part L B.
Mr. L Romero L is L 64, L retiring L soon, L and L considering L enrollment L in L his L employer-
sponsored L retiree L group L health L plan L that L includes L drug L coverage L with L nominal L copays. L He
L heard L ab Lout L a L neighbor's L MA-
PD L plan L that L you L represent L and L because L he L takes L numerous L prescription L drugs, L he L is
L considering L si Lgning L up L for L it. L What L should L you L tell L him? L - L correct L answer-
WITH VERIFIED ANSWERS
Which of the following statement(s) is/are correct about a Medicare Savings Account (MSA) Plans?
I. MSAs may have either a partial network, full network, or no network of providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription drug benefits.
III. An individual who is enrolled in an MSA plan is responsible for a minimal deductible of $500 in
dexed for inflation.
IV. Non-
network providers must accept the same amount that Original Medicare would pay them as payme
nt in full. - correct answer-I, II, and IV only
Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B because he
has coverage through an employer plan. If he wants to enroll in a Medicare Advantage plan, what
will he have to do? - correct answer-He will have to enroll in Part B.
Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-
PD plan and was disappointed with the service she received from her primary care physician becau
se she was told she would have to wait five weeks to get an appointment when she was feeling ill
. She called you to ask what she could do so she would not have to put up with such poor access
to care. What could you tell her? - correct answer-
She could file a grievance with her plan to complain about the lack of timeliness in getting an app
ointment.
Mrs. Chou likes a Private Fee-for-
Service (PFFS) plan available in her area that does not include drug coverage. She wants to enroll i
n the plan and enroll in a stand-alone prescription drug plan. What should you tell her? -
correct answer-She could enroll in a PFFS plan and a stand-alone Medicare prescription drug plan.
Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare. What should she
be aware of when considering enrollment in a Medicare Advantage (MA) plan? - correct answer-
She cannot enroll in an MA Medical Savings Account (MSA) plan.
, Mrs. L Chi L is L age L 75 L and L enjoys L a L comfortable L but L not L extremely L high-
income L level. L She L wishes L to L enroll L in L a L MA L MSA L plan L that L she L heard L about L from L her
L neighbor. L She Lalso L wants L to L have L prescription L drug L coverage L since L her L doctor L recently
L prescribed L several L expensi Lve L medications. L Currently, L she L is L enrolled L in L Original
L Medicare L and L a L standalone L Part L D L plan. L How Lwould L you L advise L Mrs. L Chi? L - L correct
L answer-
Mrs. L Chi L may L enroll L in L a L MA L MSA L plan L and L remain L in L her L current L standalone L Part L D
L prescription L dr Lug L plan.
Mr. L Wells L is L trying L to L understand L the L difference L between L Original L Medicare L and L Medicare
L Advantag
e. L What L would L be L the L correct L description? L - L correct L answer-
Medicare L Advantage L is L a L way L of L covering L all L the L Original L Medicare L benefits L through
L private L health L i Lnsurance L companies.
Mr. L Lopez L has L heard L that L he L can L sign L up L for L a L product L called L "Medicare L Advantage"
L but L is L not L sure Labout L what L type L of L plan L designs L are L available L through L this L program.
L What L should L you L tell L him L ab Lout L the L types L of L health L plans L that L are L available
L through L the L Medicare L Advantage L program? L -
correct L answer-There L are L Medicare L health L plans L such L as L HMOs, L PPOs, L PFFS, L and L MSAs.
Hank's L Fish L Store, L Inc. L is L a L small L company L with L just L 15 L employees L located L in L Florida.
L Hank, L the L stor Le L owner, L has L provided L excellent L health L benefits L to L the L store's
L workforce. L William, L one L of L the L store' Ls L long-
time L employees, L will L soon L be L reaching L age L 65 L and L eligible L for L Medicare. L William L is L in
L good L health. LHe L intends L to L remain L an L active L full-
time Lemployee, Lworking Lseveral Lyears Lafter Lbecoming Leligible Lfor LMedicare. LWhat Ltype(s) Lof
Lretiree Lhealth L benefit L will L Hank's L Fish L Store L be L able L to L offer L William? L - L correct
L answer-
Hank's L can L continue L to L offer L William L the L same L employee L health L benefit L plan, L or, L if
L William L enrolls L i Ln L Medicare L Part L B, L it L can L enroll L him L in L a L Medicare L Advantage L plan
L that L is L offered L to L the L public.
Mrs. L Kelly, L age L 65, L is L entitled L to L Part L A L but L has L not L yet L enrolled L in L Part L B. L She L is
L considering L enroll Lment L in L a L Medicare L Advantage L plan L (Part L C). L What L should L you L advise
L her L to L do L before L she L can L enr Loll L in L a L Medicare L Advantage L plan? L - L correct L answer-
To L join L a L Medicare L Advantage L plan, L she L also L must L enroll L in L Part L B.
Mr. L Romero L is L 64, L retiring L soon, L and L considering L enrollment L in L his L employer-
sponsored L retiree L group L health L plan L that L includes L drug L coverage L with L nominal L copays. L He
L heard L ab Lout L a L neighbor's L MA-
PD L plan L that L you L represent L and L because L he L takes L numerous L prescription L drugs, L he L is
L considering L si Lgning L up L for L it. L What L should L you L tell L him? L - L correct L answer-
