Ahip 2023 Final Exam Questions And Answers Latest (2023 / 2024) (Verified Answers)

Medicare Enrollment Period {Ans: Individuals who do not enroll in Part B when first eligible can enroll during a General Enrollment Period, Jan 1st to Mar 31st each year. Coverage begins July 1st of that year.}MA Plan Types - Private Fee For Service plans - PFFS {Ans: Have option of providing prescription drug coverage, but not required to do so.}MA Plan Types - Medical Savings Account - MSA plan {Ans: High deductible plan. Medicare makes contribution to beneficiaries savings account. Max deductible in 2019 is $12,650.00. In 2020, $13,400.00. Do not cover Part D prescription drug benefits. Must enroll in stand alone Part D PDP.}MA Plan Types - Coordinated Care Plans - HMO's {Ans: Some HMO's offer Point Of Service option. Allows enrollees to go to no plan doctors/hospitals without prior approval for sertain services. HMO-POS may limit services out of network or put cap on out of network coverage. Cost sharing is generally higher than from network providers}MA Plan Types - Private Fee For Service plans - PFFS {Ans: Individuals in PFFS plan may receive covered services from any provider who is eligible to provide Medicare services, and agrees to the plans terms and