AHIP Module 2 2023 Questions and
Correct Answers
Ms. Gibson recently lost her employer group health and drug coverage and now she wants to enroll in a
PPO that does not include drug coverage. What should you tell her about obtaining drug coverage? -
correct answers:She can enroll in the PPO, but she will not be able to purchase a stand-alone Medicare
Part D prescription drug plan
Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to the
benefits package of a Medicare Advantage Plan before she starts looking at specific plans. What could
you tell her? - correct answers:Medicare Advantage Plans may offer extra benefits that Original Medicare
does not offer such as vision, hearing, and dental services and must include a maximum out-of-pocket
limit on Part A and Part B services.
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 answers:She
cannot enroll in an MA Medical Savings Account (MSA) plan
Mrs. Andrews asked how a Private Fee-for-Service (PFFS) plan might affect her access to services since
she receives some assistance for her health care costs from the State. What should you tell her? - correct
answers:Medicaid may provide additional benefits, but Medicaid will only pay for these services if they
are furnished by Medicaid participating providers.
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 answers:To join a Medicare Advantage plan, she also must enroll in
Part B.
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 answers:They are
Medicare health plans such as HMOs, PPOs, PFFS, and MSAs.
Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received under
Original Medicare, but he would like to know more about Medicare Advantage Special Needs Plans
Correct Answers
Ms. Gibson recently lost her employer group health and drug coverage and now she wants to enroll in a
PPO that does not include drug coverage. What should you tell her about obtaining drug coverage? -
correct answers:She can enroll in the PPO, but she will not be able to purchase a stand-alone Medicare
Part D prescription drug plan
Mrs. Willard wants to know generally how the benefits under Original Medicare might compare to the
benefits package of a Medicare Advantage Plan before she starts looking at specific plans. What could
you tell her? - correct answers:Medicare Advantage Plans may offer extra benefits that Original Medicare
does not offer such as vision, hearing, and dental services and must include a maximum out-of-pocket
limit on Part A and Part B services.
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 answers:She
cannot enroll in an MA Medical Savings Account (MSA) plan
Mrs. Andrews asked how a Private Fee-for-Service (PFFS) plan might affect her access to services since
she receives some assistance for her health care costs from the State. What should you tell her? - correct
answers:Medicaid may provide additional benefits, but Medicaid will only pay for these services if they
are furnished by Medicaid participating providers.
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 answers:To join a Medicare Advantage plan, she also must enroll in
Part B.
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 answers:They are
Medicare health plans such as HMOs, PPOs, PFFS, and MSAs.
Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received under
Original Medicare, but he would like to know more about Medicare Advantage Special Needs Plans
