AHIP 2024 FINAL EXAM WITH DETAILED
ANSWERS AND 100% GUARANTEED PASS.
Mildred Savage enrolled in Allcare Medicare Advantage plan several years
ago. Mildred recently learned that she is suffering from inoperable cancer
and has just a few months to live. She would like to spend these final
months in hospice care. Mildred's family asks you whether hospice benefits
will be paid for under the Allcare Medicare Advantage plan. What should
you say? - CorreCt Answers -Mildred may remain enrolled in Allcare and
make a hospice election. Hospice benefits will be paid for by Original
Medicare under Part A and Allcare will continue to pay for any non-hospice
services.
Mr. Gomez notes that a Private Fee-for-Service (PFFS) plan available in his
area has an attractive premium. 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? - CorreCt Answers -He 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.
Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-
for-service (PFFS) plan. What questions would you need to ask to
determine his eligibility? - CorreCt Answers -You would need to ask Mr.
Kelly if he is enrolled in Part A and Part B and if he lives in the PFFS plan's
service area.
Mrs. Wang 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. It must include a maximum out-of-pocket limit on Part A and Part
B services.
Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B
but has recently stopped paying his Part B premium. Mr. Castillo is still
covered by Part A. He would like to enroll in a Medicare Advantage (MA)
plan and is still covered by Part A. What should you tell him? - CorreCt
Answers -He is not eligible to enroll in a Medicare Advantage plan until he
re-enrolls in Medicare Part B.
Mr. Barker enjoys a comfortable retirement income. He recently had
surgery and expected that he would have certain services and items covered
by the plan with minimal out-of-pocket costs because his MA-PD coverage
has been very good. However, when he received the bill, he was surprised to
see large charges in excess of his maximum out-of-pocket limit that
included some services and items he thought would be fully covered. He
called you to ask what he could do? What could you tell him? - CorreCt
Answers -You can offer to review the plans appeal process to help him ask
the plan to review the coverage decision.
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income
level. She wishes to enroll in a MA MSA plan that she heard about from her
neighbor. She also wants to have prescription drug coverage since her
doctor recently prescribed several expensive medications. Currently, she is
enrolled in Original Medicare and a standalone Part D plan. How would
you advise Mrs. Chi? - CorreCt Answers -Mrs. Chi may enroll in a MA MSA
plan and remain in her current standalone Part D prescription drug plan.
ANSWERS AND 100% GUARANTEED PASS.
Mildred Savage enrolled in Allcare Medicare Advantage plan several years
ago. Mildred recently learned that she is suffering from inoperable cancer
and has just a few months to live. She would like to spend these final
months in hospice care. Mildred's family asks you whether hospice benefits
will be paid for under the Allcare Medicare Advantage plan. What should
you say? - CorreCt Answers -Mildred may remain enrolled in Allcare and
make a hospice election. Hospice benefits will be paid for by Original
Medicare under Part A and Allcare will continue to pay for any non-hospice
services.
Mr. Gomez notes that a Private Fee-for-Service (PFFS) plan available in his
area has an attractive premium. 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? - CorreCt Answers -He 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.
Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-
for-service (PFFS) plan. What questions would you need to ask to
determine his eligibility? - CorreCt Answers -You would need to ask Mr.
Kelly if he is enrolled in Part A and Part B and if he lives in the PFFS plan's
service area.
Mrs. Wang 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. It must include a maximum out-of-pocket limit on Part A and Part
B services.
Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B
but has recently stopped paying his Part B premium. Mr. Castillo is still
covered by Part A. He would like to enroll in a Medicare Advantage (MA)
plan and is still covered by Part A. What should you tell him? - CorreCt
Answers -He is not eligible to enroll in a Medicare Advantage plan until he
re-enrolls in Medicare Part B.
Mr. Barker enjoys a comfortable retirement income. He recently had
surgery and expected that he would have certain services and items covered
by the plan with minimal out-of-pocket costs because his MA-PD coverage
has been very good. However, when he received the bill, he was surprised to
see large charges in excess of his maximum out-of-pocket limit that
included some services and items he thought would be fully covered. He
called you to ask what he could do? What could you tell him? - CorreCt
Answers -You can offer to review the plans appeal process to help him ask
the plan to review the coverage decision.
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income
level. She wishes to enroll in a MA MSA plan that she heard about from her
neighbor. She also wants to have prescription drug coverage since her
doctor recently prescribed several expensive medications. Currently, she is
enrolled in Original Medicare and a standalone Part D plan. How would
you advise Mrs. Chi? - CorreCt Answers -Mrs. Chi may enroll in a MA MSA
plan and remain in her current standalone Part D prescription drug plan.
