100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
AHIP MODULE 5 ACTUAL EXAM COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES $9.99   Add to cart

Exam (elaborations)

AHIP MODULE 5 ACTUAL EXAM COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

 2 views  0 purchase
  • Course
  • AHIP 2024-2025
  • Institution
  • AHIP 2024-2025

AHIP MODULE 5 ACTUAL EXAM COMPLETE 80 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer retiree plan. She is not enrolled in Part B. Since the employer plan does not cover prescription dr...

[Show more]

Preview 3 out of 17  pages

  • September 18, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AHIP 2024-2025
  • AHIP 2024-2025
avatar-seller
EmillyCharlotte
TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
AHIP MODULE 5 ACTUAL EXAM 2024-2025 COMPLETE 80 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH RATIONALES



Mrs. Walters is entitled to Part A and has medical coverage without drug coverage

through an employer retiree plan. She is not enrolled in Part B. Since the employer plan

does not cover prescription drugs, she wants to enroll in a Medicare prescription drug

plan. Will she be able to? - Answer✔️✔️-d. Yes. Mrs. Walters must be entitled to Part A

or enrolled in Part B to be eligible for coverage under the Medicare prescription drug

program. Correct

Mr. Sanchez is entitled to Part A, but has not enrolled in Part B because he has

coverage through an employer plan. If he wants to enroll in a Medicare Advantage plan,

what will he have to do? - Answer✔️✔️-b. He will have to enroll in Part B. Correct

Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-for-service

(PFFS) plan. What questions would you need to ask to determine his eligibility? -

Answer✔️✔️-c. You would need to ask Mr. Kelly if he is enrolled in Part A and Part B and

if he lives in the PFFS plan's service area. Correct

Mr. Gonzalez is entitled to Part A, but has not yet enrolled in Part B. If he wants to enroll

in a Private Fee-for-Service (PFFS) plan, what will he have to do? - Answer✔️✔️-c. He

will have to enroll in Part B prior to enrolling in the PFFS plan. Correct

Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug

coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what

,TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024

circumstances can she do this? - Answer✔️✔️-b. If the Medicare Advantage plan is a

Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical

Savings Account, Mrs. Berkowitz can do this. Correct

Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-for-Service

(PFFS) plan. All types of PFFS plans are available in her area. Which options could

Mrs. Roberts consider before selecting a PFFS plan? - Answer✔️✔️-c. A Medicare

Advantage Prescription Drug (MA-PD) PFFS plan that combines medical benefits and

Part D prescription drug coverage, a PFFS plan offering only medical benefits, or a

PFFS plan in combination with a stand-alone prescription drug plan. Correct

Which of the following individuals is most likely to be eligible to enroll in a Medicare

Advantage or Part D Plan? - Answer✔️✔️-d. Jose, a grandfather who was granted

asylum and has worked in the United States for many years. Correct

Mr. and Mrs. Nunez attended one of your sales presentations. They've asked you to

come to their home to clear up a few questions. During the presentation, Mrs. Nunez

feels tired and tells you that her husband can finish things up. She goes to bed. At the

end of your discussion, Mr. Nunez says that he wants to enroll both himself and his

wife. What should you do? - Answer✔️✔️-a. As long as she is able to do so, only Mrs.

Nunez can sign her enrollment form. Mrs. Nunez will have to wake up to sign her form

or do so at another time. Correct

You are visiting with Mr. Tully and his daughter at her request. He has advanced

Alzheimer's and is incapable of understanding the implications of choosing a Medicare

, TITLE: EMILLYCHARLOTTE 2024/2025 ACADEMIC PERIOD
OWNER: EMILLYCHARLOTTE
COPYRIGHT STATEMENT: ©2024 EMILLYCHARLOTTE. ALL RIGHTS RESERVED
FIRST PUBLISHED: SEPTEMBER 2024
Advantage or prescription drug plan. Can his daughter fill out the enrollment form and

sign it for him? - Answer✔️✔️-d. Mr. Tully's daughter can do so only, if she is authorized

under state law as a court-appointed legal guardian, has durable power of attorney for

health care decisions, or is authorized under state surrogate consent laws to make

health decisions. Correct

You are meeting with Ms. Berlin and she has completed an enrollment form for a MA-

PD plan you represent. You notice that her handwriting is illegible and as a result, the

spelling of her street looks incorrect. She asks you to fill in the corrected street name.

What should you do? - Answer✔️✔️-c. You may correct this information as long as you

add your initials and date next to the correction Correct

Phiona works in the IT Department of BestCare Health Plan. Phiona is placed in charge

of BestCare's efforts to facilitate electronic enrollment in its Medicare Advantage plans.

In setting up the enrollment site, which of the following must Phiona consider?




I. If a legal representative is completing an electronic enrollment request, he or she

must first upload proof of his or her authority.

II. All data elements required to complete an enrollment request must be captured.

III. The process must include a clear and distinct step that requires the applicant to

activate an "Enroll Now" or "I Agree" type of button or tool.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 EmillyCharlotte. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $9.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

75759 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$9.99
  • (0)
  Add to cart