AHIP Exam AHM-530 Topic 1 Question 60 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 60
Topic #: 1

Grant Pelham is covered by both a workers' compensation program and a group health plan provided by his employer. The Shipwright Health Plan administers both programs. Mr. Grant was injured while on the job and applied for benefits.

Because Mr. Pelham was injured on the job, he is entitled to receive benefits through workers' compensation. Under the terms of the state-mandated exclusive remedy doctrine included in the workers' compensation agreement, Mr. Pelham will most likely be prohibited from

AReceiving workers' compensation benefits unless he can show that the employer was at fault for his injury

BObtaining care from providers who are not members of a workers' compensation network

CSuing his employer for additional benefits

DClaiming benefits from both workers' compensation and his group health plan

Show Suggested Answer

Suggested Answer: C

by Lili at Oct 24, 2022, 01:18 PM

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