2024 AHIP Module 2 Complete Questions & Answers (Solved) 100% Correct
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1. Mrs.Radford asks whether there are any special eligibility requirements for Medicare Advantage. What should you tell her? Answer: Mrs. Radford must be entitled to Part A and enrolled in Part B to... enroll in Medicare Advantage. 2. Mr. Romero is 64, retiring soon, and considering enrollment in his employersponsored retiree group health plan that includes drug coverage withnominal copays. He heard about a neighbor's MA-PD plan that you representand because he takes numerous prescription drugs,he is considering signingup for it. What should you tell him? Answer: He should compare the benefits in his employer-sponsored retiree group health plan with the benefitsin his neighbor's MA-PDplan to determine which one will provide sufficient coverage for his prescription needs. 3. Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he has received under Original Medicare, but he would like to know more about Medicare Advantage Special Needs Plans (SNPs).What could youtell him? Answer: SNPs have special programs for enrollees with chronic conditions, like Mr. Sinclair, and they provide prescription drug coverage that could be very helpful as well 4. Mrs. Lyons is in good health, uses a single prescription, and lives independently in her own home. She is attracted by the idea of maintaining control over a Medical Savings Account (MSA) but is not sure if the plan associated with the account will fit her needs.What specific piece of information about aMedicare MSA plan would it be important for her to know, prior to enrolling insuch a plan? Answer: All MSAs cover Part A and Part Bbenefits, but not Part D prescriptiondrug benefits, which could be obtained by also enrolling in a separate prescription drug plan. 5. Dr.ElizabethBrennan does not contract with the ABCPFFS plan but acceptsthe plan's terms and conditions for payment. Mary Rodgers sees Dr. Brennanfor treatment. How much may Dr. Brennan charge? Answer: Dr. Brennan can charge Mary Rogers no more than the cost sharing specified in the PFFS plan's terms andcondition of payment which may include balance billing up to 15%of the Medicare rate [Show More]
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