AHIP MODULE 2 ACTUAL EXAM 2023-2024 COMPLETE 80 QUESTIONS AND CORRECT DETAILED
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? - (answer) a. 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? - (answer) b. 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? - (answer) d. 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? - (answer) 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? - (answer) d. 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? - (answer) b. 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? - (answer) a. 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? - (answer) d. Mrs. Ramos can obtain care from any
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? - (answer) a. 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? - (answer) b. 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? - (answer) d. 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? - (answer) 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? - (answer) d. 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? - (answer) b. 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? - (answer) a. 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? - (answer) d. Mrs. Ramos can obtain care from any
