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AHIP - 2 questions and answers rated A+ 2025/2026
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AHIP - 2 questions and answers rated A+ 2025/2026
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AHIP - 2Mr. Wells is attempting to understand the difference among Original Medicare and Medicare
Advantage. What might be an appropriate description?
Medicare Advantage is a manner of overlaying all the Original Medicare advantages through
non-public medical insurance businesses.
3 more than one choice options
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Mr. Lopez has heard that he can join up for a product called "Medicare Advantage" but isn't
sure about what form of plan designs are to be had thru this program. What must you inform
him about the styles of fitness plans that are available thru the Medicare Advantage
software?
They are Medicare health plans inclusive of HMOs, PPOs, PFFS, and MSAs.
Three more than one choice options
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Mr. Kumar is considering a Medicare Advantage HMO and has questions on his capability to
get entry to providers. What should you inform him?
In most Medicare Advantage HMOs, Mr. Kumar ought to usually gain his services best from
carriers who've a contractual relationship with the plan (besides in an emergency or where
care is unavailable in the community).
Three more than one desire alternatives
Mr. Castillo, a naturalized citizen, previously enrolled in Medicare Part B however has lately
stopped paying his Part B top rate. Mr. Castillo continues to be blanketed through Part A. He
would love to join a Medicare Advantage (MA) plan and continues to be blanketed by means
of Part A. What must you tell him?
He isn't eligible to join a Medicare Advantage plan till he re-enrolls in Medicare Part B.
, 3 more than one choice alternatives
Mrs. Walters is enrolled in her nation's Medicaid program similarly to Medicare. What need
to she be aware of while considering enrollment in a Medicare Advantage (MA) plan?
She can not join in an MA Medical Savings Account (MSA) plan.
Three a couple of desire options
Daniel is a middle-earnings Medicare beneficiary. He has continual bronchitis, putting him at
severe danger for pneumonia. Otherwise, he has no problems functioning. Which sort of
SNP is possibly to be most appropriate for him?
C-SNP
three multiple desire options
Mrs. Burton is a retiree with giant profits. She is enrolled in an MA-PD plan and changed into
upset with the service she acquired from her primary care doctor because she was told she
could need to wait 5 weeks to get an appointment while she become feeling sick. She called
you to invite what she could do so she might not should placed up with such poor get right of
entry to to care. What could you inform her?
She could report a complaint together with her plan to complain about the dearth of
timeliness in getting an appointment.
Three a couple of choice alternatives
Mr. Greco is in brilliant fitness, lives in his personal domestic, and has a huge profits from his
investments. He has a pal enrolled in a Medicare Advantage Special Needs Plan (SNP). His
buddy has mentioned that the SNP charges very low cost-sharing amounts and Mr. Greco
would like to sign up for that plan. What should you tell him?
SNPs limit enrollment to sure subpopulations of beneficiaries. Given his current situation,
he's not going to qualify and might now not be able to sign up inside the SNP.
3 a couple of preference alternatives
Ms. Gibson lately misplaced her company organization fitness and drug coverage and now
she desires to enroll in a PPO that doesn't encompass drug coverage. What must you inform
her approximately acquiring drug insurance?
She can sign up within the PPO, however she will now not be able to purchase a stand-on
my own Medicare Part D prescription drug plan.
3 a couple of choice options
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Dr. Elizabeth Brennan does no longer agreement with the ABC PFFS plan but accepts the
plan's terms and conditions for price. Mary Rodgers sees Dr. Brennan for treatment. How a
great deal might also Dr. Brennan rate?
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