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AHIP AHM-250 Exam - Topic 6 Question 65 Discussion

Posted by Janey on Feb 08, 2023 at 02:31 AM

Phillip Tsai is insured by both a traditional indemnity health insurance plan, which is his primary plan, and a health plan, which is his secondary plan. Both plans have typical coordination of benefits (COB) provisions, but neither has a nonduplication of

Suggested Answer: D

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34 comments · newest first
RE
Reena 12 months ago
Not sure about this, how can both plans pay the same bill?
JE
Jeanice 1 year ago
Definitely agree, $300 is too low for coverage limits.
TR
Tracie 1 year ago
Wait, so he can double dip on benefits? That seems off.
LA
Lajuana 1 year ago
I think $400 makes sense for nonduplication.
EM
Emmanuel 1 year ago
Both plans can cover the same expenses, that's interesting!
GA
Galen 1 year ago
I'm leaning towards $900 because it seems like a higher limit that might be used in more comprehensive plans.
CA
Carin 1 year ago
I feel like the $400 option might be common in some plans, but I can't recall if it applies to Phillip's situation.
QU
Queenie 1 year ago
I think I saw a practice question similar to this one, and it had a $300 limit. Could that be the right answer here?
AN
Antonette 1 year ago
I remember studying COB provisions, but I'm not entirely sure how the nonduplication works in this case.
HA
Hailey 1 year ago
Hmm, I'm a little unsure about this one. I know perpetuity is related to annuities that go on forever, but I'm not totally confident that's the right answer. I'll have to think it through carefully.
RA
Rashida 1 year ago
Hmm, I'm not totally sure about this one. Portfolio management principles... let me think. I know there are a few key ones, but I'm drawing a blank on the specifics right now. Guess I'll have to make an educated guess.
TE
Tequila 1 year ago
I'm not too familiar with the Avaya GREP tool, so I'm not entirely confident in my answer. I'll have to review the information about it again before making a decision.
RO
Rosenda 1 year ago
Hmm, let me consult my magic 8-ball... 'Reply hazy, try again later.' Well, that's not helpful!
BE
Berry 1 year ago
I bet the answer is $420 - because that's the only number that's really 'high' in this context.
BI
Billy 1 year ago
This question is really making me wish I had a crystal ball to see the right answer.
AL
Allene 1 year ago
↳ replying to Billy
D) $900
SH
Shayne 1 year ago
↳ replying to Billy
C) $400
JA
Jaleesa 1 year ago
↳ replying to Billy
B) $300
HU
Hubert 1 year ago
↳ replying to Billy
A) $0
PA
Patria 1 year ago
Wait, did they just throw in a health plan as the secondary plan? That's a new twist!
FA
Fabiola 1 year ago
Oof, the nonduplication of benefits clause is a real curveball. I better brush up on my COB knowledge.
WI
Wilda 1 year ago
↳ replying to Fabiola
B) $300
DI
Dick 1 year ago
↳ replying to Fabiola
I think the answer is A) $0 because the nonduplication of benefits clause means that the secondary plan will not pay benefits if the primary plan has already paid the full amount.
EL
Eleonore 1 year ago
↳ replying to Fabiola
B) $300
GW
Gwenn 1 year ago
↳ replying to Fabiola
A) $0
LA
Laurel 1 year ago
↳ replying to Fabiola
I know, COB can get pretty tricky.
MY
Myra 1 year ago
↳ replying to Fabiola
A) $0
ST
Stanford 2 years ago
Hmm, this sounds like a tricky coordination of benefits question. I'm going to think it through carefully.
GE
Gene 1 year ago
↳ replying to Stanford
B) $300
WI
Willie 1 year ago
↳ replying to Stanford
I think the answer is A) $0 because the primary plan will cover everything first before the secondary plan kicks in.
TH
Thurman 2 years ago
↳ replying to Stanford
A) $0
HE
Herschel 2 years ago
I'm not sure, but I think it might be C) $400. Can someone explain why they think it's D) $900?
LI
Lisha 2 years ago
I agree with King, D) $900 makes sense because it's the highest amount.
KI
King 2 years ago
I think the answer is D) $900.
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