Dr. Elizabeth Brennan does not contract with the PFFS plan but accepts the plan’s terms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. Brennan charge?
Choose one answer.
a. Dr. Brennan can charge Mary no more than the cost sharing specified in ...
AHIP HEALTHCARE 101 Section Questions - Medicare Course
Module 2 – Final attempt 1 Q&A new update 2022/2023 Rated
A+
Grade 9 out of a maximum of 10 (90%)
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Question1
Marks: 1
Dr. Elizabeth Brennan does not contract with the PFFS plan but accepts the plan’s terms
and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may
Dr. Brennan charge?
Choose one answer.
a. Dr. Brennan can charge Mary no more than the cost
sharing specified in the PFFS plan’s terms and conditions
AHIP HEALTHCARE 101 Section Questions - Medicare Course
Module 2 – Final attempt 1 Q&A new update 2022/2023 Rated
A+
,AHIP HEALTHCARE 101 Section Questions - Medicare Course
Module 2 – Final attempt 1 Q&A new update 2022/2023 Rated
A+
of payment which may include balance billing up to 25
percent of the Medicare rate.
b. Dr. Brennan can charge the beneficiary the same
costsharing as Original Medicare as long as she sends the
claim to Medicare and not the plan.
c. Dr. Brennan can charge Mary Rodgers more than the
cost sharing specified in the PFFS plan’s terms and
conditions as long as she treats all beneficiaries the same.
d. Dr. Brennan can charge Mary Rogers no more than the
cost sharing specified in the PFFS plan’s terms and
condition of payment which may include balance billing up
to 15 percent of the Medicare rate.
Correct
Marks for this submission: 1/1.
AHIP HEALTHCARE 101 Section Questions - Medicare Course
Module 2 – Final attempt 1 Q&A new update 2022/2023 Rated
A+
Mrs. Davenport 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. Davenport have in regard to her MA plan during the next open enrollment
season?
Choose one answer.
a. She must immediately drop her ABC MA plan and enroll in
a Special Needs Plan (SNP) for individuals suffering from
ESRD if one is available in her area.
b. She may remain in her ABC MA plan or enroll in a Special
Needs Plan (SNP) for individuals suffering from ESRD if one is
AHIP HEALTHCARE 101 Section Questions - Medicare Course
Module 2 – Final attempt 1 Q&A new update 2022/2023 Rated
A+
, AHIP HEALTHCARE 101 Section Questions - Medicare Course
Module 2 – Final attempt 1 Q&A new update 2022/2023 Rated
A+
available in her area.
c. She must remain enrolled in her ABC MA plan unless the
plan terminates.
d. She must immediately drop her ABC MA plan and enroll in
Original Medicare.
Correct
Marks for this submission: 1/1.
Question3
Marks: 1
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?
AHIP HEALTHCARE 101 Section Questions - Medicare Course
Module 2 – Final attempt 1 Q&A new update 2022/2023 Rated
A+
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