Ahip 2025 Module 2 Exam
Questions and Answers 100%
PASS
Mrs. Radford asks whether there are any special eligibility requirements for
Medicare Advantage. What should you tell her?—ANSWER-Mrs. Radford
must be entitled to Part A and enrolled in Part B to enroll in Medicare
Advantage.
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 indexed for inflation.
IV. Non-network providers must accept the same amount that Original
Medicare would pay them as payment in full.
, Question 2Answer—ANSWER-I, II, and IV only
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 because 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?—ANSWER-She could file a grievance with her
plan to complain about the lack of timeliness in getting an appointment.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you
represent. It is one of three plans operated by the same organization in Mr.
Lombardi's area. The MA PPO plan does not include drug coverage, but the
other two plans do. Mr. Lombardi likes the PPO plan that does not include
drug coverage and intends to obtain his drug coverage through a stand-
alone Medicare prescription drug plan. What should you tell him about this
situation?—ANSWER-He could enroll either in one of the MA plans that
include prescription drug coverage or Original Medicare with a Medigap plan
and standalone Part D prescription drug coverage, but he cannot enroll in
the MA-only PPO plan and a stand-alone prescription drug plan.
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?—ANSWER-She can
enroll in the PPO, but she will not be able to purchase a stand-alone
Medicare Part D prescription drug plan.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Katelyn Whitman
Questions and Answers 100%
PASS
Mrs. Radford asks whether there are any special eligibility requirements for
Medicare Advantage. What should you tell her?—ANSWER-Mrs. Radford
must be entitled to Part A and enrolled in Part B to enroll in Medicare
Advantage.
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 indexed for inflation.
IV. Non-network providers must accept the same amount that Original
Medicare would pay them as payment in full.
, Question 2Answer—ANSWER-I, II, and IV only
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 because 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?—ANSWER-She could file a grievance with her
plan to complain about the lack of timeliness in getting an appointment.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you
represent. It is one of three plans operated by the same organization in Mr.
Lombardi's area. The MA PPO plan does not include drug coverage, but the
other two plans do. Mr. Lombardi likes the PPO plan that does not include
drug coverage and intends to obtain his drug coverage through a stand-
alone Medicare prescription drug plan. What should you tell him about this
situation?—ANSWER-He could enroll either in one of the MA plans that
include prescription drug coverage or Original Medicare with a Medigap plan
and standalone Part D prescription drug coverage, but he cannot enroll in
the MA-only PPO plan and a stand-alone prescription drug plan.
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?—ANSWER-She can
enroll in the PPO, but she will not be able to purchase a stand-alone
Medicare Part D prescription drug plan.
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Katelyn Whitman
