AHIP 2024 Exam 3 A++ Exam with All New Qs & As - Guaranteed Pass!
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1. Mr.Wells is trying to understand the difference between Original Medicareand Medicare Advantage. What would be the correct description? Answer: Medicare Advantage is a way of covering all the Or... iginal Medicare benefits through private health insurance companies. 2. 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: They areMedicare health plans such as HMOs, PPOs, PFFS, and MSAs. 3. Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access providers. What should you tell him? Answer: In most Medicare Advantage HMOs, Mr.Kumar must generally obtain his services only fromproviders who have a contractual relationship with the plan (except in an emergencyor where care is unavailable within the network). 4. Mr.Castillo, a naturalized citizen, previously enrolled in Medicare Part B buthas 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: He is not eligible to enroll ina Medicare Advantage plan until he re-enrolls in Medicare Part B. 5. Mrs. Walters is enrolled in her state's Medicaid program in addition to Medicare. What should she be aware of when considering enrollment in a Medicare Advantage (MA) plan? Answer: She cannot enroll in an MA Medical SavingsAccount (MSA) plan. 6. 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: C-SNP [Show More]
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