AHIP FINAL EXAM REVISION QUESTIONS AND ANSWERS COMPLETE AND RATED A.
Mrs. Ramos is considering a Medicare Advantage PPO and has questions
about which providers she can go to for her health care. What should you
tell her?
Verified Answer -Mrs. Ramos can obtain care from any provider who
participates in Original Medicare, but generally will have a higher costsharing amount if she sees a provider who/that is not a part of the PPO
network.
Mrs. Lyons is in good health, uses a single prescription, and lives
independently in her own home. She is attracted by the idea of
maintaining control over a Medical Savings Account (MSA) but is not sure
if the plan associated with the account will fit her needs. What specific
piece of information about a Medicare MSA plan would it be important for
her to know, prior to enrolling in such a plan?
Verified Answer -All MSAs cover Part A and Part B benefits, but not Part D
prescription drug benefits, which could be obtained by also enrolling in a
separate prescription drug plan.
Which of the following statement(s) is/are correct about a Medicare
Savings Account (MSA) Plans?
Verified Answer -MSAs may have either a partial network, full network, or
no network of providers. MSA plans cover Part A and Part B benefits but
not Part D prescription drug benefits. Non-network providers must accept
the same amount that Original Medicare would pay them as payment in
full.
Mrs. Radford asks whether there are any special eligibility requirements
for Medicare Advantage. What should you tell her?