AHIP Certification Module 2 Verified
Questions and Correct Answers | A+
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Which of the following statement(s) is/are correct about a Medicare Savings Account (MSA) Plans? -
Answer: MSAs may have either a partial network, full network, or no network of providers. MSA plans
cover Part A and Part B benefits but not Part D prescription drug benefits. Non-network providers must
accept the same amount that Original Medicare would pay them as payment in full.
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? - Answer: Mrs. Chi
may enroll in a MA MSA plan and remain in her current standalone Part D prescription drug plan.
Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and
conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan
charge? - Answer: Dr. Brennan can charge Mary Rogers no more than the cost sharing specified in the
PFFS plan's terms and condition of payment which may include balance billing up to 15%of the Medicare
rate.
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access
providers. What should you tell him? - Answer: In most Medicare Advantage HMOs, Mr. Kumar must
generally obtain his services only from providers within the plan's network (except in an emergency or
where care is unavailable within the network).
Mr. Romero is 64, retiring soon, and considering enrollment in his employer-sponsored retiree group
health plan that includes drug coverage with nominal copays. He heard about a neighbor's MA-PD plan
that you represent and because he takes numerous prescription drugs, he is considering signing up for
it. What should you tell him? - Answer: An individual cannot be covered under two different Medicare
Advantage plans, so he would have to decide whether to enroll in the employer plan or his neighbor's
Questions and Correct Answers | A+
Graded. Stanford Uniersity
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WHY STUDENTS CHOOSE US
Professional management of online classes
Support for proctored examinations
Assignment and coursework coordination
Quiz, test and assessment assistance
Fast communication and timely updates
Strict confidentiality and privacy
SERVICES OFFERED
✓ Online Class Management
✓ Proctored Exam Handling
✓ Weekly Discussion Participation
✓ Coursework Tracking
✓ Academic Scheduling Support
✓ Exam Preparation Guidance
, CONTACT US TODAY
📧
📧 WhatsApp: +254799356524
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Which of the following statement(s) is/are correct about a Medicare Savings Account (MSA) Plans? -
Answer: MSAs may have either a partial network, full network, or no network of providers. MSA plans
cover Part A and Part B benefits but not Part D prescription drug benefits. Non-network providers must
accept the same amount that Original Medicare would pay them as payment in full.
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? - Answer: Mrs. Chi
may enroll in a MA MSA plan and remain in her current standalone Part D prescription drug plan.
Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and
conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan
charge? - Answer: Dr. Brennan can charge Mary Rogers no more than the cost sharing specified in the
PFFS plan's terms and condition of payment which may include balance billing up to 15%of the Medicare
rate.
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access
providers. What should you tell him? - Answer: In most Medicare Advantage HMOs, Mr. Kumar must
generally obtain his services only from providers within the plan's network (except in an emergency or
where care is unavailable within the network).
Mr. Romero is 64, retiring soon, and considering enrollment in his employer-sponsored retiree group
health plan that includes drug coverage with nominal copays. He heard about a neighbor's MA-PD plan
that you represent and because he takes numerous prescription drugs, he is considering signing up for
it. What should you tell him? - Answer: An individual cannot be covered under two different Medicare
Advantage plans, so he would have to decide whether to enroll in the employer plan or his neighbor's
