AHIP MODULE 2 ACTUAL EXAM COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

AHIP MODULE 2 ACTUAL EXAM 2023-2024

COMPLETE 80 QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES|ALREADY

GRADED A+

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 a Medicare MSA plan would it be

important for her to know, prior to enrolling in such a plan? -

ANSWER- a. All MSAs cover Part A and Part B benefits, but not Part D

prescription drug benefits, which could be obtained by also enrolling in

a separate prescription drug plan. Correct

Which of the following statement is correct about Medicare Savings

Account (MSA) Plans?

I. MSAs may have not have a network or may have a full or partial

network of providers.

II. MSA plans must cover preventive services that have no cost sharing

before the enrollee has met the deductible.

III. An individual who is eligible for health care benefits through the

Veteran's Administration may enroll in an MSA.

IV. Non-network providers must accept the same amount that Original

Medicare would pay them as payment in full. - ANSWER- b. I, II, and

IV only Correct

Mr. Davies is turning 65 next month. He would like to enroll in a

Medicare health plan, but does not want to be limited in terms of where

he obtains his care. What should you tell him about how a Medicare

Cost Plan might fit his needs? - ANSWER- c. Cost plan enrollees can

choose to receive Medicare covered services under the plan's benefits by

going to plan network providers and paying plan cost sharing, or may

receive services from non-network providers and pay cost-sharing due

under Original Medicare. Correct

For which of the following individuals would a Cost Plan be most

appropriate? - ANSWER- b. Ms. Baker who is enrolled in Medicare Part

B and is willing to continue paying Part B premiums plus any plan

premiums. Correct

Which statement best describes PACE plans? - ANSWER- d. It includes

comprehensive medical and social service delivery systems using an

interdisciplinary team approach in an adult day health center,

supplemented by in-home and referral services. Correct

Mr. Romero is 64, retiring soon, and considering enrollment in his

employer-sponsored retiree group health plan that includes drug

coverage with nominal copays. He heard about a neighbor's MA-PD

plan that you represent and because he takes numerous prescription

drugs, he is considering signing up for it. What should you tell him? -

ANSWER- a. Beneficiaries should check with their employer or union

group benefits administrator before changing plans to avoid losing

coverage they want to keep. Correct

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 Health Plan? - ANSWER- a. She can enroll in any type of

Medicare Advantage (MA) plan except an MA Medical Savings

Account (MSA) plan. Correct

Mrs. Andrews asked how a Private Fee-for-Service (PFFS) plan might

affect her access to services since she receives some assistance for her

health care costs from the State. What should you tell her? - ANSWERa. Medicaid may provide additional benefits, but Medicaid will

coordinate benefits only with Medicaid participating providers. Correct

Mr. Rivera has Qualified Medicare Beneficiary (QMB) eligibility and is

thus covered by both Medicare and Medicaid. He decides to enroll in a

Medicare Advantage (MA) PPO plan. Later he sees an out-of-network

doctor to receive a Medicare covered service. How much may the doctor

collect from Mr. Rivera? - ANSWER- a. The doctor may only collect

from Mr. Rivera the cost sharing allowable under the state's Medicaid

program. Correct

Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan

that you represent. It is one of three plans operated by the same

organization in Mr. Lombardi's area. The MA PPO plan does not include

drug coverage, but the other two plans do. Mr. Lombardi likes the PPO

plan that does not include drug coverage and intends to obtain his drug

coverage through a stand-alone Medicare prescription drug plan. What

should you tell him about this situation? - ANSWER- c. He could enroll

in one of the MA plans that include prescription drug coverage or a

Medigap plan and a stand-alone prescription drug plan, but he cannot