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2024 AHIP CERTIFICATION MODULE 2 EXAM WITH CORRECT ANSWERS
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2024 AHIP CERTIFICATION MODULE 2 EXAM WITH CORRECT ANSWERS
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2024 AHIP CERTIFICATIONMODULE 2 EXAM WITH CORRECT
ANSWERS
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? - CORRECT-ANSWERSAn individual
cannot be covered under two different Medicare Advantage plans, so he
would have to decide whether to enroll in the employer plan or his neighbor's
MA-PD. Also, MA-PD plans do not serve as supplemental coverage for another
Medicare Advantage plan.
Mr. Greco is in excellent health, lives in his own home, and has a sizeable
income from his investments. He has a friend enrolled in a Medicare
Advantage Special Needs Plan (SNP). His friend has mentioned that the SNP
charges very low cost-sharing amounts and Mr. Greco would like to join that
plan. What should you tell him? - CORRECT-ANSWERSSNPs limit enrollment
to certain subpopulations of beneficiaries. Given his current situation, he is
unlikely to qualify and would not be able to enroll in the SNP.
Mrs. Burton is a retiree with substantial income. She is enrolled in an MA-PD
plan and was disappointed with the service she received from her primary
care physician because she was told she would have to wait five weeks to
get an appointment when she was feeling ill. She called you to ask what she
could do so she would not have to put up with such poor access to care.
What could you tell her? - CORRECT-ANSWERSShe could file a grievance with
her plan to complain about the lack of timeliness in getting an appointment.
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-ANSWERSC-SNP
Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B but
has recently stopped paying his Part B premium. Mr. Castillo is still covered
by Part A. He would like to enroll in a Medicare Advantage (MA) plan and is
still covered by Part A. What should you tell him? - CORRECT-ANSWERSHe is
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