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Ahip module 5 | Ahip module 5 | Ahip module 5
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Ahip module 5
area. Which options could Mrs. Roberts consider before selecting a PFFS plan? benefits and Part D prescription drug cov- erage, a PFFS plan offering only medical benefits, or a PFFS plan in combination with a stand-alone prescrip- tion drug plan. Correct
Apply those guidelines to the following state- ments and identify which would be prohibited. different product." Cor- rect
to both Medicare Part A and Part B. Correct
ing with Agent Neil Adams in the selection of a Medicare Advantage (MA) plan. It is mid-Septem- ber, and Mrs. Young is going on vacation. Agent Adams is considering suggesting that he and Mrs. Young complete the application together be- fore she leaves. He will then submit the paper ap- plication prior the start of the annual enrollment period (AEP). What would you say If you were advising Agent Adams? prohibited from solicit- ing or accepting an en- rollment form prior to the start of the AEP. Correct
explains what he could do during the SEP. What can you tell him? ally have one opportuni- ty to change his MA cov- erage. Correct
Mrs. Disraeli is enrolled in Original Medicare (Parts A and B) and a standalone Part D pre- scription drug plan. She has recently developed diabetes and has suffered from heart disease for several years. She has also recently learned that her area is served by a SNP for individuals suffer- ing from such a combination of chronic diseases (C-SNP). Mrs. Disraeli is concerned however, that she will have few rights or protections if she enrolls in a C-SNP. How would you respond? b. Enrollees in SNPs must have access to provider networks that include enough doctors, specialists, and hospi- tals to provide all cov- ered services neces- sary to meet enrollee needs within reason- able travel time. Correct
election period (AEP). What would you say to Mrs. Valentino regarding her options? enrolled from the Cost plan and enroll in Origi- nal Medicare. Correct