Free AHM-250 Exam Braindumps

- (Topic 2)
The Employee Retirement Income Security Act (ERISA) requires health plan members who receive healthcare benefits through employee benefit plans to file legal challenges involving coverage decisions or plan administration at the federal level. Under the te

1. A. contract damages, which cover the cost of denied treatment
2. B. compensatory damages, which compensate the injured party for his or her injuries
3. C. punitive damages, which are designed to punish or make an example of the wrongdoer
4. D. all of the above

Correct Answer: A

- (Topic 3)
The Internal Revenue Service has ruled that an HDHP coupled with an HSA may cover certain types of preventive care without a deductible or with a lower amount than the annual deductible applicable to all other services. According to IRS guidance, which on

1. A. Immunizations for children and adults
2. B. Tests and diagnostic procedures ordered with routine examinations
3. C. Smoking cessation programs
4. D. Gastric bypass surgery for obesity

Correct Answer: D

- (Topic 3)
The Granite Health Plan is a coordinated care plan (CCP) that participates in the Medicare+Choice program. This information indicates that Granite

1. A. must comply with all state-mandated benefits and provider requirements
2. B. must offer each of its enrollees a Medicare supplement
3. C. places primary care t the censer of the delivery system and focuses on managing patient care at all levels
4. D. most likely must cover Medicare Part A, but not Medicare Part B, benefits

Correct Answer: C

- (Topic 1)
Arthur Moyer is covered under his employer's group health plan, which must comply with the Consolidated Omnibus Budget Reconciliation Act (COBRA). Mr. Moyer is terminating his employment. He has elected to continue his coverage under his employer's group

1. A. 18 months, but his coverage under COBRA will cease if he obtains group health coverage through another employer.
2. B. 18 months, even if he obtains group health coverage through another employer.
3. C. 36 months, but his coverage under COBRA will cease if he obtains group health coverage through another employer.
4. D. 36 months, even if he obtains group health coverage through another employer.

Correct Answer: A

- (Topic 1)
Al Marak, a member of the Frazier Health Plan, has asked for a typical Level One appeal of a decision that Frazier made regarding Mr. Marak's coverage. One true statement about this Level One appeal is that

1. A. M
2. B. Marak has the right to appeal to the next level if the Level One appeal upholds the original decision
3. C. It requires Frazier and M
4. D. Marak to submit to arbitration in order to resolve the dispute
5. E. It is considered to be an informal appeal
6. F. It will be handled by an independent review organization (IRO)

Correct Answer: A