AHIP
Final Exam Test Questions and Answers (Verified Answers)
1. Mrs. Andrews requested in what way or manner a Private Fee-for-
Service (PFFS) plan power influence her approach to duties because she accepts few help for her health
management costs from united states of america. What bear you express her ANS : Medicaid concede
possibility specify supplementary benefits, but Medicaid will coordinate benefits only accompanying Medicaid p
erforming providers.
2. Mr. Sanchez has just curve 65 and is named to Part A but has not registered incompletely B cause he has incl
sion through an company plan. If he wants to record in a Medicare Advantage plan, what will he should do
ANS : He will should enlist incompletely B.
3. Mr. Lopez has perceived that he can record a merchandise named "Medicare Advantage" but is undecided ab
ut what type of plan designs are usable through this program.
What bear you understand him about the types of strength plans that are applicable through the Medicare Adva
ntage program ANS : They are Medicare energy plans to a degree HMOs, PPOs, PFFS, and MSAs.
4. Mr. Romero is 64, shy shortly, and taking everything in mind enlistment in welcome em- ployer-
helped someone of advanced years group medical
insurance that contains drug inclusion accompanying theoretical copays. He perceived about a neighbor's MA-
PD plan that you show and cause he takes many formula drugs, he is taking everything in mind enlist for it.
What endure you calculate him ANS : When likely, it is continually high-quality alternative to have two
together the boss's plan and the MA-PD, so he would have no ordinary cost of doing business.
5. Dr. Elizabeth
Brennan does not contract accompanying the ABC PFFS plan but accepts the plan's conditions and environmen
s for fee. Mary Rodgers sees Dr. Brennan for situation. How much concede possibility Dr. Brennan charge ANS
, Dr.
Brennan can charge Mary Rogers merely the cost giving particularized in the PFFS plan's conditions and condit
on of fee that can contain balance advertising until 15%of the Medicare rate
6. Mrs. Willard wants to experience mainly by virtue of
what the benefits under Original Medicare ability equate to the benefits whole of a Medicare Advantage Plan be
ore she starts look at distinguishing plans. What keep you state her ANS : - Medicare Advantage Plans grant
permission offer extra benefits that Original Medicare does not offer in the way
that view, trial, and dental aids and must contain a maximum out-of-pocket limit on Part A and Part B duties.
7. Mrs. Kelly, age 65, is labeled to Part A but has not still registered incompletely B. She is seeing enlistment in a
Medicare Advantage plan (Part C). What bear you warn her commotion before she will able to have or
do enlist in a Medicare Advantage plan
ANS : To touch a Medicare Advantage plan, she too must register incompletely B.
8. Which of the following report(s) is/are correct about a Medicare Savings Account (MSA) Plans?I.
MSAs concede possibility have either a biased network, thorough network,
or no network of providers.II.
MSA plans cover Part A and Part B benefits but not Part D medicine drug benefits.III. An individual the
one is registered in an MSA plan arrange a slightest inferable of $500 arranged for
increase.IV. Non-
network providers must acknowledge the unchanging amount that Original Medicare would pay ruling
class as fee thoroughly.: I, II, and IV
9. Mrs. Lyons is healthy, uses a alone medicine, and lives indepen- dently in her own home. She is captivated fo
one plan of upholding control over a Medical Savings
Account (MSA) but is undecided if the plan guide the report will fit her needs.
Final Exam Test Questions and Answers (Verified Answers)
1. Mrs. Andrews requested in what way or manner a Private Fee-for-
Service (PFFS) plan power influence her approach to duties because she accepts few help for her health
management costs from united states of america. What bear you express her ANS : Medicaid concede
possibility specify supplementary benefits, but Medicaid will coordinate benefits only accompanying Medicaid p
erforming providers.
2. Mr. Sanchez has just curve 65 and is named to Part A but has not registered incompletely B cause he has incl
sion through an company plan. If he wants to record in a Medicare Advantage plan, what will he should do
ANS : He will should enlist incompletely B.
3. Mr. Lopez has perceived that he can record a merchandise named "Medicare Advantage" but is undecided ab
ut what type of plan designs are usable through this program.
What bear you understand him about the types of strength plans that are applicable through the Medicare Adva
ntage program ANS : They are Medicare energy plans to a degree HMOs, PPOs, PFFS, and MSAs.
4. Mr. Romero is 64, shy shortly, and taking everything in mind enlistment in welcome em- ployer-
helped someone of advanced years group medical
insurance that contains drug inclusion accompanying theoretical copays. He perceived about a neighbor's MA-
PD plan that you show and cause he takes many formula drugs, he is taking everything in mind enlist for it.
What endure you calculate him ANS : When likely, it is continually high-quality alternative to have two
together the boss's plan and the MA-PD, so he would have no ordinary cost of doing business.
5. Dr. Elizabeth
Brennan does not contract accompanying the ABC PFFS plan but accepts the plan's conditions and environmen
s for fee. Mary Rodgers sees Dr. Brennan for situation. How much concede possibility Dr. Brennan charge ANS
, Dr.
Brennan can charge Mary Rogers merely the cost giving particularized in the PFFS plan's conditions and condit
on of fee that can contain balance advertising until 15%of the Medicare rate
6. Mrs. Willard wants to experience mainly by virtue of
what the benefits under Original Medicare ability equate to the benefits whole of a Medicare Advantage Plan be
ore she starts look at distinguishing plans. What keep you state her ANS : - Medicare Advantage Plans grant
permission offer extra benefits that Original Medicare does not offer in the way
that view, trial, and dental aids and must contain a maximum out-of-pocket limit on Part A and Part B duties.
7. Mrs. Kelly, age 65, is labeled to Part A but has not still registered incompletely B. She is seeing enlistment in a
Medicare Advantage plan (Part C). What bear you warn her commotion before she will able to have or
do enlist in a Medicare Advantage plan
ANS : To touch a Medicare Advantage plan, she too must register incompletely B.
8. Which of the following report(s) is/are correct about a Medicare Savings Account (MSA) Plans?I.
MSAs concede possibility have either a biased network, thorough network,
or no network of providers.II.
MSA plans cover Part A and Part B benefits but not Part D medicine drug benefits.III. An individual the
one is registered in an MSA plan arrange a slightest inferable of $500 arranged for
increase.IV. Non-
network providers must acknowledge the unchanging amount that Original Medicare would pay ruling
class as fee thoroughly.: I, II, and IV
9. Mrs. Lyons is healthy, uses a alone medicine, and lives indepen- dently in her own home. She is captivated fo
one plan of upholding control over a Medical Savings
Account (MSA) but is undecided if the plan guide the report will fit her needs.
