AHIP Module 2 (Latest 2023 / 2024)
(ACTUAL TEST ) Questions and Answers (Solved)
• 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?:
- 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?:
- 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?:
- Mrs. Radford must be entitled to Part A and enrolled in Part B to enroll in
Medicare Advantage. Correct 1 / 2
• 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?:
- 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?:
- 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?:
- C-SNP Correct
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