AHIP CERTIFICATION EXAM MODULE 2
2022/2023(COMPLETE QUESTIONS AND ANSWERS)
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. Wells is trying to understand the difference between Original Medicare and Medicare Advantage.
What would be a correct description?
(correct answers)Medicare Advantage is a way of covering all the Original Medicare benefits through
private health insurance companies.
Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage. What
should you tell her?
(correct answers)Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in Medicare
Advantage.
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
Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years ago. Her doctor
recently confirmed a diagnosis of end-stage renal disease (ESRD). What options does Mrs. Davenport
have in regard to her MA plan during the next open enrollment season?
(correct answers)She may remain in her ABC MA plan or enroll in a Special Needs Plan (SNP) for
individuals suffering from ESRD if one is available in her area.
Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting him at severe risk for
pneumonia. Otherwise, he has no problems functioning. Which type of SNP is likely to be most
appropriate for him?
(correct answers)C-SNP
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
(SNPs). What could you tell him?
2022/2023(COMPLETE QUESTIONS AND ANSWERS)
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. Wells is trying to understand the difference between Original Medicare and Medicare Advantage.
What would be a correct description?
(correct answers)Medicare Advantage is a way of covering all the Original Medicare benefits through
private health insurance companies.
Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage. What
should you tell her?
(correct answers)Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in Medicare
Advantage.
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
Mrs. Davenport enrolled in the ABC Medicare Advantage (MA) plan several years ago. Her doctor
recently confirmed a diagnosis of end-stage renal disease (ESRD). What options does Mrs. Davenport
have in regard to her MA plan during the next open enrollment season?
(correct answers)She may remain in her ABC MA plan or enroll in a Special Needs Plan (SNP) for
individuals suffering from ESRD if one is available in her area.
Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting him at severe risk for
pneumonia. Otherwise, he has no problems functioning. Which type of SNP is likely to be most
appropriate for him?
(correct answers)C-SNP
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
(SNPs). What could you tell him?
