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You are mailing invitations to new Medicare beneficiaries for a marketing event. You want an idea of how many people to expect, so you would like to request RSVPs. What should you keep in mind? Correct Answer: ou may request RSVPs, but you are not permi $11.99   Add to cart

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You are mailing invitations to new Medicare beneficiaries for a marketing event. You want an idea of how many people to expect, so you would like to request RSVPs. What should you keep in mind? Correct Answer: ou may request RSVPs, but you are not permi

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AHIP Exam Questions and Answer You are mailing invitations to new Medicare beneficiaries for a marketing event. You want an idea of how many people to expect, so you would like to request RSVPs. What should you keep in mind? Correct Answer: ou may request RSVPs, but you are not permitted to r...

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  • April 1, 2024
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You are mailing invitations to new Medicare beneficiaries for a marketing event. You

want an idea of how many people to expect, so you would like to request RSVPs. What

should you keep in mind?

Correct Answer: ou may request RSVPs, but you are not permitted to require contact

information.



Mr. Wu is eligible for Medicare. He has limited financial resources but failed to qualify

for the Part D low-income subsidy. Where might he turn for help with his prescription

drug costs?

Correct Answer: Mr. Wu may still qualify for help in paying Part D costs through his

State Pharmaceutical Assistance Program.



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?

Correct Answer: C-SNP



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?

Correct Answer: 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.



Mrs. Lee is discussing with you the possibility of enrolling in a Private Fee-for-Service

(PFFS) plan. As part of that discussion, what should you be sure to tell her?

Correct Answer: PFFS plans may choose to offer Part D benefits but are not required

to do so.



Which of the following statement is correct about Medicare Savings Account (MSA)

Plans?



I. MSAs may have either a partial network, full network, or no network of providers.



II. MSA plans cover Part A and Part B benefits but not Part D prescription drug benefits

.

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.



2

, Correct Answer: I, II, and IV only



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

Correct Answer: Ms. Baker who is enrolled in Medicare Part B and is willing to

continue paying Part B premiums plus any plan premiums.



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?

Correct Answer: She can enroll in any type of Medicare Advantage (MA) plan except

an MA Medical Savings Account (MSA) plan.



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?

Correct Answer: The doctor may only collect from Mr. Rivera the cost sharing

allowable under the state's Medicaid program.



Which of the following statements about Medicare Part D are correct?



I. Part D plans must enroll any eligible beneficiary who applies regardless of health

status except in limited circumstances.




3

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