AHIP MODULE 2 ACTUAL EXAM COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
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Course
AHIP 2024-2025
Institution
AHIP 2024-2025
AHIP MODULE 2 ACTUAL EXAM
COMPLETE 80 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
Mr. Lopez has heard that he can sign up for a product called "Medicare Advantage" but
is not sure about what type of plan designs are available through this program. What
should you tell him about the...
doctor recently confirmed a diagnosis of end-stage renal disease (ESRD). What options
does Mrs. Billings have in regard to her MA plan during the next open enrollment
season? - Answer✔️✔️-d. She may remain in her ABC MA plan or enroll in a Special
Needs Plan (SNP) for individuals suffering from ESRD if one is available in her area.
Correct
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? - Answer✔️✔️-b. C-SNP Correct
Mr. Kumar is considering a Medicare Advantage HMO and has questions about his
ability to access providers. What should you tell him? - Answer✔️✔️-a. In most Medicare
Advantage HMOs, Mr. Kumar must obtain his services only from providers who have a
contractual relationship with the plan (except in an emergency). Correct
Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which
providers she can go to for her health care. What should you tell her? - Answer✔️✔️-d.
Mrs. Ramos can obtain care from any provider who participates in Original Medicare,
but generally will have a higher cost-sharing amount if she sees a provider who/that is
not part of the PPO network. Correct
Mr. Sinclair has diabetes and heart trouble and is generally satisfied with the care he
has received under Original Medicare, but he would like to know more about Medicare
Advantage Special Needs Plans (SNPs). What could you tell him? - Answer✔️✔️-b.
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