AHIP Module 5 Verified Solutions
Medicare Enrollment
Can Mrs. Walters enroll in a Medicare prescription drug plan since she has medical coverage without
drug coverage through an employer retiree plan? No, she must be entitled to Part A or enrolled in Part B
to be eligible for coverage under...
Can Mrs. Walters enroll in a Medicare prescription drug plan since she has medical coverage without
drug coverage through an employer retiree plan? No, she must be entitled to Part A or enrolled in Part B
to be eligible for coverage under the Medicare prescription drug program.
Medicare Advantage Enrollment
Can Mr. Sanchez enroll in a Medicare Advantage plan since he is entitled to Part A but has not enrolled
in Part B? No, he will have to enroll in Part B prior to enrolling in a Medicare Advantage plan.
Private Fee-for-Service (PFFS) Plan Eligibility
To determine Mr. Kelly's eligibility for a PFFS plan, you would need to ask him if he is enrolled in Part A
and Part B and if he lives in the PFFS plan's service area.
What will Mr. Gonzalez have to do if he wants to enroll in a PFFS plan since he is entitled to Part A but
has not yet enrolled in Part B? He will have to enroll in Part B prior to enrolling in the PFFS plan.
Medicare Advantage and Prescription Drug Plans
Under what circumstances can Mrs. Berkowitz enroll in a Medicare Advantage plan that does not
include drug coverage and also enroll in a stand-alone Medicare prescription drug plan? If the Medicare
Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical
Savings Account.
Private Fee-for-Service (PFFS) Plan Options
What options could Mrs. Roberts consider before selecting a PFFS plan as an Original Medicare
beneficiary? She could consider a Medicare Advantage Prescription Drug (MA-PD) PFFS plan, a PFFS plan
offering only medical benefits, or a PFFS plan in combination with a stand-alone prescription drug plan.
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