{"id":117215,"date":"2023-08-28T09:34:39","date_gmt":"2023-08-28T09:34:39","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117215"},"modified":"2023-08-28T09:34:42","modified_gmt":"2023-08-28T09:34:42","slug":"module-1-module-5-q-a-bundle-ahip-latest-2023-2024-this-bundle-contains-five-5-americas-health-insurance-plans-ahip-module-1-module-5-questions-answers","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/28\/module-1-module-5-q-a-bundle-ahip-latest-2023-2024-this-bundle-contains-five-5-americas-health-insurance-plans-ahip-module-1-module-5-questions-answers\/","title":{"rendered":"Module 1 &#8211; Module 5 Q &#038; A BUNDLE &#8211; AHIP (Latest 2023 \/ 2024)"},"content":{"rendered":"\n<p id=\"content-description\">This BUNDLE contains five (5) &#8211; America&#8217;s Health Insurance Plans (AHIP) Module 1 &#8211; Module 5 Questions &amp; Answers<\/p>\n\n\n\n<p>AHIP Module 1 Q &amp; A<br>Mrs. Paterson is concerned about the deductibles and co-payments associated with<br>Original Medicare. What can you tell her about Medigap as an option to address this<br>concern?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Medigap plans help beneficiaries cover coinsurance, co-payments, and\/or<br>deductibles for medically necessary services.<br>Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well, but it<br>provides no drug coverage. She would like to keep the coverage she has, but replace<br>her existing Medigap plan with one that provides drug coverage. What should you tell<br>her?<\/li>\n\n\n\n<li>Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she<br>could keep her Medigap policy and enroll in a Part D prescription drug plan.<br>Mr. Kelly has substantial financial means. He enrolled in Original Medicare and<br>purchased a Medigap policy many years ago that offered prescription drug coverage.<br>The prescription drug coverage has not been comparable to that offered by Medicare<br>Part D for several years and despite notification, Mr. Kelly took no action. Which of the<br>following statements best describes what will occur if Mr. Kelly now decides to enroll in<br>Medicare Part D?<\/li>\n\n\n\n<li>He will incur a late enrollment penalty.<br>Mr. Cappadonna would like to purchase a Medicare Advantage (MA) plan and a<br>Medigap plan to pick up costs not covered by that plan. What should you tell him?<\/li>\n\n\n\n<li>It is illegal for you to sell Mr. Cappadonna a Medigap plan if he is enrolled in<br>an MA plan, and besides, Medigap only works with Original Medicare<\/li>\n\n\n\n<li><\/li>\n<\/ul>\n\n\n\n<p>AHIP Module 2 Q &amp; A<br>Mrs. Billings enrolled in the ABC Medicare Advantage (MA) plan several years ago. Her<br>doctor recently confirmed a diagnosis of end-stage renal disease (ESRD). What options<br>does Mrs. Billings have in regard to her MA plan during the next open enrollment<br>season?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>She may remain in her ABC MA plan or enroll in a Special Needs Plan (SNP)<br>for individuals suffering from ESRD if one is available in her area.<br>Daniel is a middle-income Medicare beneficiary. He has chronic bronchitis, putting him<br>at severe risk for pneumonia. Otherwise, he has no problems functioning. Which type of<br>SNP is likely to be most appropriate for him?<\/li>\n\n\n\n<li>C-SNP<br>Mr. Kumar is considering a Medicare Advantage HMO and has questions about his<br>ability to access providers. What should you tell him?<\/li>\n\n\n\n<li>In most Medicare Advantage HMOs, Mr. Kumar must obtain his services<br>only from providers who have a contractual relationship with the plan<br>(except in an emergency).<br>Mrs. Ramos is considering a Medicare Advantage PPO and has questions about which<br>providers she can go to for her health care. What should you tell her?<\/li>\n\n\n\n<li>Mrs. Ramos can obtain care from any provider who participates in Original<br>Medicare, but generally will have a higher cost-sharing amount if she sees a<br>provider who\/that is not part of the PPO network.<\/li>\n\n\n\n<li><\/li>\n<\/ul>\n\n\n\n<p>AHIP Module 3 Q &amp; A<br>Mrs. Quinn has just turned 65, is in excellent health, and has a relatively high income.<br>She uses no medications and sees no reason to spend money on a Medicare<br>prescription drug plan if she does not need the coverage. What could you tell her about<br>the implications of such a decision?<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>If she does not sign up for a Medicare prescription drug plan as soon as she<br>is eligible to do so, if she does sign up at a later date, her premium will be<br>permanently increased by 1% of the national average premium for every<br>month that she was not covered.<br>Mr. Torres has a small savings account. He would like to pay for his monthly Part D<br>premiums with an automatic monthly withdrawal from his savings account until it is<br>exhausted, and then have his premiums withheld from his Social Security check. What<br>should you tell him?<\/li>\n\n\n\n<li>In general, he must select a single Part D premium payment mechanism that<br>will be used throughout the year.<br>Mr. Katz reached the Part D coverage gap in August last year. His prescriptions have not<br>changed, he is keeping the same Part D plan and the benefits, cost-sharing, and<br>coverage of his drugs are all the same as last year. He asked what to expect for this year<br>about his out-of-pocket costs. What could you tell him?<\/li>\n\n\n\n<li>Because he reached the coverage gap last year, he will probably reach it<br>again this year close to the same time.<\/li>\n\n\n\n<li><\/li>\n<\/ul>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>This BUNDLE contains five (5) &#8211; America&#8217;s Health Insurance Plans (AHIP) Module 1 &#8211; Module 5 Questions &amp; Answers AHIP Module 1 Q &amp; AMrs. Paterson is concerned about the deductibles and co-payments associated withOriginal Medicare. What can you tell her about Medigap as an option to address thisconcern? AHIP Module 2 Q &amp; AMrs. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117215","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117215","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117215"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117215\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117215"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117215"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117215"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}