Docsity
Log inSign up
Docsity
Prepare for your exams
Prepare for your exams

Study with the several resources on Docsity

Earn points to download
Earn points to download

Earn points by helping other students or get them with a premium plan

Guidelines and tips
Guidelines and tips
Sell on Docsity
Sell on Docsity
Log inSign up

Prepare for your exams

Study with the several resources on Docsity

Find documents

Prepare for your exams with the study notes shared by other students like you on Docsity

Search Store documents

The best documents sold by students who completed their studies

Search through all study resources
Docsity AINEW

Summarize your documents, ask them questions, convert them into quizzes and concept maps

Explore questions

Clear up your doubts by reading the answers to questions asked by your fellow students

Earn points to download

Earn points by helping other students or get them with a premium plan

Share documents
download point icon20 Points

For each uploaded document

Answer questions
download point icon5 Points

For each given answer (max 1 per day)

All the ways to get free points
Get points immediately

Choose a premium plan with all the points you need

Study Opportunities

Choose your next study program

Get in touch with the best universities in the world. Search through thousands of universities and official partners

Community

Ask the community

Ask the community for help and clear up your study doubts

University Rankings

Discover the best universities in your country according to Docsity users

Free resources

Our save-the-student-ebooks!

Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors

From our blog

Exams and Study
Go to the blog

AHIP Module 2 Final Review: Multiple Choice Questions and Answers, Exams of Nursing

Tiffin UniversityNursing

A comprehensive set of multiple choice questions and answers covering key concepts from ahip module 2. It is designed to help students prepare for the final exam by testing their understanding of medicare advantage plans, eligibility requirements, and various plan options. The questions cover topics such as the differences between original medicare and medicare advantage, the types of plans available, provider access, enrollment eligibility, and cost-sharing considerations.

Typology: Exams

2024/2025

Available from 02/26/2025

Nursebrahim01
Nursebrahim01 šŸ‡ŗšŸ‡ø

485 documents

1 / 10

Toggle sidebar

This page cannot be seen from the preview

Don't miss anything!

bg1
1
g
/
g
5
AHIP Module 2 Final Reviewed Multiple
Choice Questions With Correct Answers Latest
2025/2026
1. Mr.gWellsgisgtryinggtogunderstandgthegdifferencegbetweengOriginalgMedicare
andgMedicaregAdvantage.gWhatgwouldgbegthegcorrectgdescription?:gMedicaregA
dvantagegisgagwaygofgcoveringgallgthegOriginalgMedicaregbenefitsgthroughgprivateghealt
hginsurancegcompanies.
2. Mr.gLopezghasgheardgthatghegcangsigngupgforgagproductgcalledg"MedicaregAdva
ntage"gbutgisgnotgsuregaboutgwhatgtypegofgplangdesignsgaregavailablegthroughgthi
sgprogram.gWhatgshouldgyougtellghimgaboutgthegtypesgofghealthgplansgthatgaregava
ilablegthroughgthegMedicaregAdvantagegprogram?:gTheygaregMedicareghealthgplan
sgsuchgasgHMOs,gPPOs,gPFFS,gandgMSAs.
3. Mr.gKumargisgconsideringgagMedicaregAdvantagegHMOgandghasgquestionsgabo
utghisgabilitygtogaccessgproviders.gWhatgshouldgyougtellghim?:gIngmostgMedicaregAd
vantagegHMOs,gMr.gKumargmustggenerallygobtainghisgservicesgonlygfromgprovidersgwhogh
avegagcontractualgrelationshipgwithgthegplang(exceptgingangemergencygorgwheregcaregisgun
availablegwithingthegnetwork).
4. Mr.gCastillo,gagnaturalizedgcitizen,gpreviouslygenrolledgingMedicaregPartgBgbutgha
sgrecentlygstoppedgpayingghisgPartgBgpremium.gMr.gCastillogisgstillgcoveredgbygPar
tgA.gHegwouldglikegtogenrollgingagMedicaregAdvantageg(MA)gplangandgisgstillgcovere
dgbygPartgA.gWhatgshouldgyougtellghim?:gHegisgnotgeligiblegtogenrollgingagMedicaregAdva
ntagegplanguntilghegre-enrollsgingMedicaregPartgB.
pf3
pf4
pf5
pf8
pf9
pfa

Partial preview of the text

Download AHIP Module 2 Final Review: Multiple Choice Questions and Answers and more Exams Nursing in PDF only on Docsity!

AHIP Module 2 Final Reviewed Multiple

Choice Questions With Correct Answers Latest

  1. Mr.gWellsgisgtryinggtogunderstandgthegdifferencegbetweengOriginalgMedicare andgMedicaregAdvantage.gWhatgwouldgbegthegcorrectgdescription?:gMedicareg A dvantagegisgagwaygofgcoveringgallgthegOriginalgMedicaregbenefitsgthroughgprivateg healt hginsurancegcompanies.
  2. Mr.gLopezghasgheardgthatghegcangsigngupgforgagproductgcalledg"Medicareg Adva ntage"gbutgisgnotgsuregaboutgwhatgtypegofgplangdesignsgaregavailableg throughgthi sgprogram.gWhatgshouldgyougtellghimgaboutgthegtypesgofghealthg plansgthatgaregava ilablegthroughgthegMedicaregAdvantagegprogram?:gTheygareg Medicareghealthgplan sgsuchgasgHMOs,gPPOs,gPFFS,gandgMSAs.
  3. Mr.gKumargisgconsideringgagMedicaregAdvantagegHMOgandghasgquestionsg abo utghisgabilitygtogaccessgproviders.gWhatgshouldgyougtellghim?:gIngmostg MedicaregAd vantagegHMOs,gMr.gKumargmustggenerallygobtainghisgservicesgonlygfromg providersgwhogh avegagcontractualgrelationshipgwithgthegplang(exceptgingangemergencyg orgwheregcaregisgun availablegwithingthegnetwork).
  4. Mr.gCastillo,gagnaturalizedgcitizen,gpreviouslygenrolledgingMedicaregPartgBgbutg ha sgrecentlygstoppedgpayingghisgPartgBgpremium.gMr.gCastillogisgstillgcoveredg bygPar tgA.gHegwouldglikegtogenrollgingagMedicaregAdvantageg(MA)gplangandgisg stillgcovere dgbygPartgA.gWhatgshouldgyougtellghim?:gHegisgnotgeligiblegtogenrollging agMedicaregAdva ntagegplanguntilghegre-enrollsgingMedicaregPartgB.
  1. Mrs.gWaltersgisgenrolledginghergstate'sgMedicaidgprogramgingadditiongtog Medi care.gWhatgshouldgshegbegawaregofgwhengconsideringgenrollmentgingag Medicar egAdvantageg(MA)gplan?:gShegcannotgenrollgingangMAgMedicalgSavingsg Accountg(M SA)gplan.
  2. Danielgisgagmiddle- incomegMedicaregbeneficiary.gHeghasgchronicgbronchitis,gputtingghimgatgseveregri skgforgpneumonia.gOtherwise,gheghasgnogproblemsgfunc- g tioning.gWhichgtypegofgSNPgisglikelygtogbegmostgappropriategforghim?:gC-SNP
  3. Mrs.gBurtongisgagretireegwithgsubstantialgincome.gShegisgenrolledgingangMA- PDg plangandgwasgdisappointedgwithgthegservicegshegreceivedgfromghergprimaryg c aregphysiciangbecausegshegwasgtoldgshegwouldghavegtogwaitgfivegweeksgtoggetg anga ppointmentgwhengshegwasgfeelinggill.gShegcalledgyougtogaskgwhatgshegcouldg dogsogs hegwouldgnotghavegtogputgupgwithgsuchgpoorgaccessgtogcare.gWhatgcouldg yougtellghe r?:gShegcouldgfilegaggrievancegwithghergplangtogcomplaingaboutgtheglackgofg timelinessgingge ttinggangappointment.
  4. Mr.gGrecogisgingexcellentghealth,glivesginghisgownghome,gandghasgagsizeableg inco megfromghisginvestments.gHeghasgagfriendgenrolledgingagMedicaregAdvan- g tagegSpecialgNeedsgPlang(SNP).gHisgfriendghasgmentionedgthatgthegSNPgchargesg ve ryglowgcost- sharinggamountsgandgMr.gGrecogwouldglikegtogjoingthatgplan.g Whatgshouldgyougtell ghim?:gSNPsglimitgenrollmentgtogcertaingsubpopulationsgof

edicaregAdvantage.gWhatgshouldgyougtellgher?:gMrs.gRadfordgmustgbegentitledg togPar tgAgandgenrolledgingPartgBgtogenrollgingMedicaregAdvantage.

  1. Mr.gBarkergenjoysgagcomfortablegretirementgincome.gHegrecentlyghadg surgery gandgexpectedgthatghegwouldghavegcertaingservicesgandgitemsgcoveredg bygthegpla ngwithgminimalgout-of-pocketgcostsgbecauseghisgMA- PDgcoverageg hasgbeengveryggood.gHowever,gwhenghegreceivedgthegbill,ghegwasgsu rprisedgtog seeglargegchargesgingexcessgofghisgmaximumgout-of- pocketglimitgthatgincludedg agnumbergofgservicesgandgitemsghegthoughtgwouldgbegf ullygcovered.gHegcalledg yougtogaskgwhatghegcouldgdo?gWhatgcouldgyougtellghim?:gY ougcangoffergtogreviewgthegplansgappealgprocessgtoghelpghimgaskgthegplangtogreviewgthegco veragegdecision.
  2. Mrs.gLyonsgisginggoodghealth,gusesgagsinglegprescription,gandglivesgindepen- g dentlyginghergownghome.gShegisgattractedgbygthegideagofgmaintaininggcontrolg overg agMedicalgSavingsgAccountg(MSA)gbutgisgnotgsuregifgthegplangassociatedg withgtheg accountgwillgfitghergneeds.gWhatgspecificgpiecegofginformationgaboutga

MedicaregMSAgplangwouldgitgbegimportantgforghergtogknow,gpriorgtogenrollinggin suchgagplan?:gAllgMSAsgcovergPartgAgandgPartgBgbenefits,gbutgnotgPartgDgprescriptiong drug gbenefits,gwhichgcouldgbegobtainedgbygalsogenrollinggingagseparategprescriptiong druggpla n.

  1. Mr.gGomezgnotesgthatgagPrivategFee-for- Serviceg(PFFS)gplangavailableginghisg areaghasgangattractivegpremium.gHegwantsgtog knowgifghegmustgusegdoctorsging agnetworkgasghisgcurrentgHMOgplangrequiresghimgt ogdo.gWhatgshouldgyougtellg him?:gHegmaygreceiveghealthgcaregservicesgfromganygdoctor gallowedgtogbillgMedicare,g asglonggasghegshowsgthegdoctorgthegplan'sgidentificationgcardgandg thegdoctorgagreesgtog acceptgthegPFFSgplan'sgpaymentgtermsgandgconditions,gwhichgcoul dgincludegbalanceg billing.
  2. Mrs.gKelly,gageg65,gisgentitledgtogPartgAgbutghasgnotgyetgenrolledgingPartgB.gSheg isgc onsideringgenrollmentgingagMedicaregAdvantagegplang(PartgC).gWhatgshouldg youga dviseghergtogdogbeforegshegwillgbegablegtogenrollgingagMedicaregAdvantageg plan?:gIng ordergtogjoingagMedicaregAdvantagegplan,gshegalsogmustgenrollgingPartgB.
  3. Mrs.gRamosgisgconsideringgagMedicaregAdvantagegPPOgandghasgquestionsg a boutgwhichgprovidersgshegcanggogtogforgherghealthgcare.gWhatgshouldgyougtellg her ?:gMrs.gRamosgcangobtaingcaregfromganygprovidergwhogparticipatesgingOriginalg Medicar e,gbutggenerallygwillghavegaghighergcost- sharinggamountgifgshegseesgagproviderg who/thatgisgnotgagpartgofgthegPPOgnetwork.
  4. Mr.gSinclairghasgdiabetesgandgheartgtroublegandgisggenerallygsatisfiedgwithg the gcaregheghasgreceivedgundergOriginalgMedicare,gbutghegwouldglikegtogknowg morega boutgMedicaregAdvantagegSpecialgNeedsgPlansg(SNPs).gWhatgcouldgyoug tellghim? :gSNPsghavegspecialgprogramsgforgenrolleesgwithgchronicgconditions,glikeg Mr.gSinclair,ga ndgtheygprovidegprescriptiongdruggcoveragegthatgcouldgbegveryghelpfulg asgwell.

plangtogdeterminegwhichgonegwillgprovidegsufficientgcoveragegforghisgprescription needs.

  1. Mrs.gAndrewsgaskedghowgagPrivategFee-for- Serviceg(PFFS)gplangmightgaffectg hergaccessgtogservicesgsincegshegreceivesgsomeg assistancegforgherghealthgcareg costsgfromgthegState.gWhatgshouldgyougtellgher?:gMe dicaidgmaygprovidegadditionalg benefits,gbutgMedicaidgwillgcoordinategbenefitsgonlygwithg Medicaidgparticipatingg providers.
  2. Mr.gSanchezghasgjustgturnedg 65 gandgisgentitledgtogPartgAgbutghasgnotgenrolledg ingP artgBgbecausegheghasgcoveragegthroughgangemployergplan.gIfghegwantsgtog enrollgin gagMedicaregAdvantagegplan,gwhatgwillgheghavegtogdo?:gHegwillghavegtog enrollgingPartg B.
  3. Mrs.gChigisgageg 75 gandgenjoysgagcomfortablegbutgnotgextremelyghigh- incomeg level.gShegwishesgtogenrollgingagMAgMSAgplangthatgshegheardgaboutgfromgh erg neighbor.gShegalsogwantsgtoghavegprescriptiongdruggcoveragegsinceghergdoctorg recentlygprescribedgseveralgexpensivegmedications.gCurrently,gshegisgenrolledgin gOriginalgMedicaregandgagstandalonegPartgDgplan.gHowgwouldgyougadvisegMrs.g Chi? :gMrs.gChigmaygenrollgingagMAgMSAgplangandgremainginghergcurrentgstandaloneg PartgDgpre scriptiongdruggplan.
  4. Whichgofgthegfollowinggstatementgis/aregcorrectgaboutgagMedicaregSavingsg A ccountg(MSA)gPlans? I. MSAsgmayghavegeithergagpartialgnetwork,gfullgnetwork,gorgnognetworkgofg pr oviders. II. MSAgplansgcovergPartgAgandgPartgBgbenefitsgbutgnotgPartgDgprescriptiongdrugg be nefits. III. AngindividualgwhogisgenrolledgingangMSAgplangisgresponsiblegforgagminimalg de

ductiblegofg$500gindexedgforginflation. IV. Non- networkgprovidersgmustgacceptgthegsamegamountgthatgOriginalg Medicare gwouldgpaygthemgasgpaymentgingfull.:gI,gII,gandgIVgonly

  1. Mr.gLombardigisginterestedgingagMedicaregAdvantageg(MA)gPPOgplangthatg yo ugrepresent.gItgisgonegofgthreegplansgoperatedgbygthegsamegorganizationg ingMr.gL ombardi'sgarea.gThegMAgPPOgplangdoesgnotgincludegdruggcoverage,g butgthegoth ergtwogplansgdo.gMr.gLombardiglikesgthegPPOgplangthatgdoesgnotg includegdruggc overagegandgintendsgtogobtainghisgdruggcoveragegthroughga stand- alonegMedicaregprescriptiongdruggplan.gWhatgshouldgyougtellghimgaboutg thisgsitu ation?:gHegcouldgenrollgeithergingonegofgthegMAgplansgthatgincludegprescrip- g tiongdruggcoveragegorgOriginalgMedicaregwithgagMedigapgplangandgstandalonegPartg Dgp rescriptiongdruggcoverage,gbutghegcannotgenrollgingthegMA-onlygPPOgplangandgag stand- alonegprescriptiongdruggplan.

10 for-serviceg(PFFS)gplan.gWhatgquestionsgwouldgyougneedgtogaskgtogdeter- g mineghisgeligibility?:gYougwouldgneedgtogaskgMr.gKellygifghegisgentitledgtogPartgA,genroll edgingPartgB,gandgifgheglivesgingthegPFFSgplan'sgservicegarea.

  1. Mrs.gWanggwantsgtogknowggenerallyghowgthegbenefitsgundergOriginalg Medic aregmightgcomparegtogthegbenefitsgpackagegofgagMedicaregAdvantageg Plangbefo regshegstartsglookinggatgspecificgplans.gWhatgcouldgyougtellgher?:g- g MedicaregAdvantagegPlansgmaygoffergextragbenefitsgthatgOriginalgMedicaregdoesg notg offergsuchgasgvision,ghearing,gandgdentalgservices.gItgmustgincludegagmaximumg out-of- pocketglimitgongPartgAgandgPartgBgservices.