2025 AHIP Moduel 2
Hank's Fish Store, Inc. is a small company with just 15 employees located in Florida.
Hank, the store owner, has provided excellent health benefits to the store's workforce.
William, one of the store's long-time employees, will soon be reaching age 65 and eligible
for Medicare. William is in good health. He intends to remain an active full-time employee,
working several years after becoming eligible for Medicare. What type(s) of retiree health
benefit will Hank's Fish Store be able to offer William? - ANS- Hank's can continue to
offer William the same employee health benefit plan, or, if William enrolls in Medicare
Part B, it can enroll him in a Medicare Advantage plan that is offered to the public.
Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B
because he has coverage through an employer plan. If he wants to enroll in a Medicare
Advantage plan, what will he have to do? - ANS- He will have to enroll in Part B.
Mrs. Velasquez cares for her frail elderly mother, Maria, who lives in North Carolina. She
is worried that without additional support, her mother will need to go into a nursing
home. Mrs. Velasquez asks you if there is any Medicare plan that might allow her mother
to remain in the community rather than going into a nursing home. How should you
advise Mrs. Velasquez? - ANS- There are Programs of All-Inclusive Care for the Elderly
(PACE) for frail elderly beneficiaries certified as needing a nursing home level of care but
are able to live safely in the community at the time of enrolment.
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. - ANS- I, II, and IV only
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
Hank's Fish Store, Inc. is a small company with just 15 employees located in Florida.
Hank, the store owner, has provided excellent health benefits to the store's workforce.
William, one of the store's long-time employees, will soon be reaching age 65 and eligible
for Medicare. William is in good health. He intends to remain an active full-time employee,
working several years after becoming eligible for Medicare. What type(s) of retiree health
benefit will Hank's Fish Store be able to offer William? - ANS- Hank's can continue to
offer William the same employee health benefit plan, or, if William enrolls in Medicare
Part B, it can enroll him in a Medicare Advantage plan that is offered to the public.
Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B
because he has coverage through an employer plan. If he wants to enroll in a Medicare
Advantage plan, what will he have to do? - ANS- He will have to enroll in Part B.
Mrs. Velasquez cares for her frail elderly mother, Maria, who lives in North Carolina. She
is worried that without additional support, her mother will need to go into a nursing
home. Mrs. Velasquez asks you if there is any Medicare plan that might allow her mother
to remain in the community rather than going into a nursing home. How should you
advise Mrs. Velasquez? - ANS- There are Programs of All-Inclusive Care for the Elderly
(PACE) for frail elderly beneficiaries certified as needing a nursing home level of care but
are able to live safely in the community at the time of enrolment.
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. - ANS- I, II, and IV only
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
