My AHIP EXAM QUESTIONS AND ANSWERS 100% CORRECT!

Mr.Gomez notes that a Private Fee for Service (PFFS) plan avaliable in his area has an attractive preminum. He wants to know if he must use doctors in a network as his current HMO plan requires him to do. What should you tell him? - ANSWERHe may receive health care services from any doctor allowed to bill Medicare as long as he shows the doctor the plan's identification card and the doctor agrees to accept the PFFS plan's payment terms and conditions, which could include balance billing. Mrs. Lee is discussing with you the possibility of enrolling in a Private Fee- for Service (PFFS) plan. As part of that discussion, what should you be sure to tell her? - ANSWERPFFS plans may choose to offer Part D benefits but are not required to do so. Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which providers she can go to for her health care. What should you tell her? - ANSWERMrs. Ramos can obtain care from any provider who participates in Original Medicare but generally will have a higher cost-sharing amount if she sees a provider who/that is not apart of the PPO network. Mr. McTaggert notes that a Private Fee for-Service (PFFS) plan avaliable in his area has an attractive premium. He wants to know what makes them different from an HMO or a PPO. What should you tell him? - ANSWEREnrollees in a PFFS plan can obtain care from any provider in the US who accepts Original Medicare, as long as the provider h