Exam (elaborations)
AHIP Module 2 Newest Exam graded and verified 2024
- Course
- Institution
AHIP Module 2 Newest Exam graded and verified 2024
[Show more]
Seller
Follow
Content preview
AHIP Module 2 Newest Exam graded andverified 2024
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-b. PFFS plans may choose to offer Part D benefits but are
not required to do so. Correct
Mr. McTaggert notes that a Private Fee-for-Service (PFFS) plan available in his
area has an attractive premium. He wants to know what makes them different
from an HMO or a PPO. What should you tell him? - Correct Answer-d. Enrollees
in a PFFS plan can obtain care from any provider in the U.S. who accepts Original
Medicare, as long as the provider has a reasonable opportunity to access the
plan's terms and conditions and agrees to accept them. Correct
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-b. 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. Correct
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 types of health plans that are
available through the Medicare Advantage program? - Correct Answer-a. They are
Medicare health plans such as HMOs, PPOs, PFFS, and MSAs. Correct
, Mr. Wells is trying to understand the difference between Original Medicare and
Medicare Advantage. What would be a correct description? - Correct Answer-b.
Medicare Advantage is a way of covering all the Original Medicare benefits
through private health insurance companies. Correct
Mrs. Radford asks whether there are any special eligibility requirements for
Medicare Advantage. What should you tell her? - Correct Answer-d. Mrs. Radford
must be entitled to Part A and enrolled in Part B to enroll in Medicare Advantage.
Correct
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 Answer-a. He is not eligible to enroll in
a Medicare Advantage plan until he re-enrolls in Medicare Part B. Correct
Mrs. Billings enrolled in the ABC Medicare Advantage (MA) plan several years ago.
Her 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? - Correct 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? - Correct
Answer-b. C-SNP 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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller dw2466177. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.69. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now