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 ...
AHIP Module 2(2024 LATEST
UPDATE)CORRECT 100%
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? - ANSWER All MSAs
cover Part A and Part B benefits, but not Part D prescription drug benefits, which could be obtained by
also enrolling in a separate prescription drug plan.
Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage. What
should you tell her? - ANSWER Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in
Medicare Advantage.
Mr. Davies is turning 65 next month. He would like to enroll in a Medicare health plan, but does not want
to be limited in terms of where he obtains his care. What should you tell him about how a Medicare Cost
Plan might fit his needs? - ANSWER Cost plan enrollees can choose to receive Medicare covered services
under the plan's benefits by going to plan network providers and paying plan cost sharing, or may
receive services from non-network providers and pay cost-sharing due under Original Medicare.
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his ability to access
providers. What should you tell him? - ANSWER In most Medicare Advantage HMOs, Mr. Kumar must
generally obtain his services only from providers who have a contractual relationship with the plan
(except in an emergency or where care is unavailable within the network).
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that you represent. It is one of three
plans operated by the same organization in Mr. Lombardi's area. The MA PPO plan does not include drug
coverage, but the other two plans do. Mr. Lombardi likes the PPO plan that does not include drug
coverage and intends to obtain his drug coverage through a stand-alone Medicare prescription drug
plan. What should you tell him about this situation? - ANSWER He could enroll in one of the MA plans
that include prescription drug coverage or a Medigap plan and a stand-alone prescription drug plan, but
he cannot enroll in the MA-only PPO plan and a stand-alone prescription drug plan.
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