AHIP Module 5 Answers
Mrs. Walters is entitled to Part A and has medical coverage
without drug coverage through an employer retiree plan. She
is not enrolled in Part B. Since the employer plan does not
cover prescription drugs, she wants to enroll in a Medicare
prescription drug plan. Will she...
AHIP Module 5 Answers Mrs. W alters is entitled to Part A and has medical coverage
without drug coverage through an employer retiree plan. She
is not enrolled in Part B. Since the employer plan does not
cover prescription drugs, she wants to enroll in a Medicare
prescription drug plan. Will she be able to?c. Yes. Mrs. W alters must be entitled to Part A or
enrolled in Part B to be eligible for coverage under
the Medicare prescription drug program. Correct Mr. Sanchez is entitled to Part A, but has not enrolled in Part B
because he has coverage through an employer plan. If he
wants to enroll in a Medicare Advantage plan, what will he
have to do?c. He will have to enroll in Part B. Correct Mr. Kelly wants to know whether he is eligible to sign up for a
Private fee-for-service (PFFS) plan. What questions would you
need to ask to determine his eligibility?a. You would need to ask Mr . Kelly if he is enrolled
in Part A and Part B and if he lives in the PFFS
plan’ s service area. Correct Mr. Gonzalez is entitled to Part A, but has not yet enrolled in
Part B. If he wants to enroll in a Private Fee-for-Service
(PFFS) plan, what will he have to do?d. He will have to enroll in Part B prior to enrolling in
the PFFS plan. Correct Mrs. Berkowitz wants to enroll in a Medicare Advantage plan
that does not include drug coverage and also enroll in a stand-
alone Medicare prescription drug plan. Under what
circumstances can she do this?c. If the Medicare Advantage plan is a Private Fee-
for-Service (PFFS) plan that does not of fer drug
coverage or a Medical Savings Account, Mrs.
Berkowitz can do this. Correct Mrs. Roberts has Original Medicare and would like to enroll in
a Private Fee-for-Service (PFFS) plan. All types of PFFS plans
are available in her area. Which options could Mrs. Roberts
consider before selecting a PFFS plan?d. A Medicare Advantage Prescription Drug (MA-
PD) PFFS plan that combines medical benefits and
Part D prescription drug coverage, a PFFS plan
offering only medical benefits, or a PFFS plan in
combination with a stand-alone prescription drug
plan. Correct Which of the following individuals is most likely to be eligible to
enroll in a Medicare Advantage or Part D Plan?d. Jose, a grandfather who was granted asylum and
has worked in the United States for many years.
Correct Mr. and Mrs. Nunez attended one of your sales presentations.
They’ve asked you to come to their home to clear up a few
questions. During the presentation, Mrs. Nunez feels tired and
tells you that her husband can finish things up. She goes to
bed. At the end of your discussion, Mr . Nunez says that he
wants to enroll both himself and his wife. What should you do?d. As long as she is able to do so, only Mrs. Nunez
can sign her enrollment form. Mrs. Nunez will have
to wake up to sign her form or do so at another
time. Correct You are visiting with Mr . Tully and his daughter at her request.
He has advanced Alzheimer ’s and is incapable of
understanding the implications of choosing a Medicare
Advantage or prescription drug plan. Can his daughter fill out
the enrollment form and sign it for him?c. Mr . Tully’s daughter can do so only , if she is
authorized under state law as a court-appointed
legal guardian, has durable power of attorney for
health care decisions, or is authorized under state
surrogate consent laws to make health decisions.
Correct
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller BrittieDonald. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
