Ahip 2025 Module 2 Questions and answers

AHIP 2025 MODULE 2 QUESTIONS AND ANSWERS
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1. Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage.What
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vv should you tell her?
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..ANS>> Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in Medicare Advantage.
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2. Which of the following statement(s) is/are correct about a Medicare Savings Account (MSA) Plans?
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I. MSAs may have either a partial network, full network, or no network of providers.
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II. MSA plans cover Part A and Part B benefits but not Part D prescription drug benefits.
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III. An individual who is enrolled in an MSA plan is responsible for a minimal deductible of $500
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vv indexed for inflation.
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IV. Non-network providers must accept the same amount that Original Medicare would pay
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vv them as payment in full.
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Question 2Answer vv




..ANS>> I, II, and IV onlyvvv vv vv vv vv




3. Mrs.Burton is a retiree with substantial income.She is enrolled in an MA-PD plan and was disappointed
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vv with the service she received from her primary care physician because she was told she would have to
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wait five weeks to get an appointment when she was feeling ill.She called you to ask what she could do so she
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, vv would not have to put up with such poor access to care.What could you tell her?
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v ..ANS>> She could file a grievance with her plan to complain about the lack of timeliness in getting an
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vv appointment.




4. Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent. It is one
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vv of three plans operated by the same organization in Mr. Lombardi's area. The MA PPO plan does not
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vv include drug coverage, but the other two plans do. Mr. Lombardi likes the PPO plan that does not
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vv include drug coverage and intends to obtain his drug coverage through a
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stand-alone Medicare prescription drug plan.What should you tell him about this situation?
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v ..ANS>> He could enroll either in one of the MA plans that include prescrip- tion drug coverage or Original
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vv Medicare with a Medigap plan and standalone Part D prescription drug coverage, but he cannot enroll in
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vv the MA-only PPO plan and a stand-alone prescription drug plan.
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5. Ms. Gibson recently lost her employer group health and drug coverage and now she wants to enroll in a
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vv PPO that does not include drug coverage.What should you tell her about obtaining drug coverage?
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v ..ANS>> She can enroll in the PPO, but she will not be able to purchase a stand-alone Medicare Part D
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vvprescription drug plan. vv vv




6. Mr. Kelly wants to know whether he is eligible to sign up for a private
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fee-for-service (PFFS) plan.What questions would you need to ask to deter- mine his eligibility?
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v..ANS>> You would need to ask Mr. Kelly if he is enrolled in Part A and
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