AHIP MODULE 2 TEST
QUESTIONS&ANSWERS
{2022-2023}
, AHIP MODULE 2 TEST
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? - THE CORRECT ASNWER IS c. They are Medicare
health plans such as HMOs, PPOs, PFFS, and MSAs. Correct
Mr. Wells is trying to understand the difference between Original Medicare and
Medicare Advantage. What would be a correct description? - THE CORRECT ASNWER
IS a. Medicare Advantage is a way of covering all the Original Medicare benefits
through private health insurance companies. Correct
Mrs. Radford asks whether there are any special eligibility requirements for Medicare
Advantage. What should you tell her? - THE CORRECT ASNWER IS b. Mrs. Radford
must be entitled to Part A and enrolled in Part B to enroll in Medicare Advantage.
Correct
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? - THE CORRECT ASNWER IS a. He is not eligible to enroll
in a Medicare Advantage plan until he re-enrolls in Medicare Part B. Correct
Mrs. Billings 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. Billings have in regard to her MA plan during the next open enrollment
season? - THE CORRECT ASNWER IS a. 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. Correct
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? - THE CORRECT ASNWER IS a. C-SNP
Correct
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his
ability to access providers. What should you tell him? - THE CORRECT ASNWER IS d.
In most Medicare Advantage HMOs, Mr. Kumar must obtain his services only from
providers who have a contractual relationship with the plan (except in an emergency).
Correct
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? - THE CORRECT
QUESTIONS&ANSWERS
{2022-2023}
, AHIP MODULE 2 TEST
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? - THE CORRECT ASNWER IS c. They are Medicare
health plans such as HMOs, PPOs, PFFS, and MSAs. Correct
Mr. Wells is trying to understand the difference between Original Medicare and
Medicare Advantage. What would be a correct description? - THE CORRECT ASNWER
IS a. Medicare Advantage is a way of covering all the Original Medicare benefits
through private health insurance companies. Correct
Mrs. Radford asks whether there are any special eligibility requirements for Medicare
Advantage. What should you tell her? - THE CORRECT ASNWER IS b. Mrs. Radford
must be entitled to Part A and enrolled in Part B to enroll in Medicare Advantage.
Correct
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? - THE CORRECT ASNWER IS a. He is not eligible to enroll
in a Medicare Advantage plan until he re-enrolls in Medicare Part B. Correct
Mrs. Billings 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. Billings have in regard to her MA plan during the next open enrollment
season? - THE CORRECT ASNWER IS a. 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. Correct
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? - THE CORRECT ASNWER IS a. C-SNP
Correct
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his
ability to access providers. What should you tell him? - THE CORRECT ASNWER IS d.
In most Medicare Advantage HMOs, Mr. Kumar must obtain his services only from
providers who have a contractual relationship with the plan (except in an emergency).
Correct
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? - THE CORRECT
