AHIP 2024 - MODULE 3 NEW WRITTEN UPDATE
Mrs. Fields wants to know whether applying for the Part D low-income subsidy will be worth
the time to fill out the paperwork. What could you tell her? - ANS The Part D low-income
subsidy could substantially lower her overall costs. She can apply by contacting her state
Medicaid office or calling the Social Security Administration.
Which of the following individuals is most likely to be eligible to enroll in a Part D Plan? - ANS
Jose, a grandfather who was granted asylum and has worked in the United States for many
years.
Mr. Carlini has heard that Medicare prescription drug plans are only offered through private
companies under a program known as Medicare Advantage (MA), not by the government. He
likes Original Medicare and does not want to sign up for an MA product, but he also wants
prescription drug coverage. What should you tell him? - ANS Mr. Carlini can stay with Original
Medicare and also enroll in a Medicare prescription drug plan through a private company that
has contracted with the government to provide only such drug coverage to eligible Medicare
beneficiaries.
Mr. Torres has a small savings account. He would like to pay for his monthly Part D premiums
with an automatic monthly withdrawal from his savings account until it is exhausted, and then
have his premiums withheld from his Social Security check. What should you tell him? - ANS In
general, he must select a single Part D premium payment mechanism that will be used
throughout the year.
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug
coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what
circumstances can she do this? - ANS If the Medicare Advantage plan is a Private Fee-for-Service
(PFFS) plan that does not offer drug coverage or a Medical Savings Account plan, Mrs.
Berkowitz can do this.
Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. She has recently lost creditable
coverage previously available through her husband's employer. She is interested in enrolling in
a Medicare Part D prescription drug plan (PDP). What should you tell her? - ANS If a Part D
benefit is offered through her plan she may choose to enroll in that plan or a standalone PDP.
Mrs. Fiore is a retired federal worker with coverage under a Federal Employee Health Benefits
(FEHB) plan that includes creditable drug coverage. She is ready to turn 65 and become
Medicare eligible for the first time. What issues might she consider about whether to enroll in a
Medicare prescription drug plan? - ANS She could compare the coverage to see if the Medicare
Part D plan offers better benefits and coverage than the FEHB plan for the specific medications
This study source was downloaded by 100000873423108 from CourseHero.com on 10-11-2023 05:40:12 GMT -05:00
https://www.coursehero.com/file/211485358/AHIP-2024-MODULE-3-NEW-WRITTEN-UPDATEpdf/
Mrs. Fields wants to know whether applying for the Part D low-income subsidy will be worth
the time to fill out the paperwork. What could you tell her? - ANS The Part D low-income
subsidy could substantially lower her overall costs. She can apply by contacting her state
Medicaid office or calling the Social Security Administration.
Which of the following individuals is most likely to be eligible to enroll in a Part D Plan? - ANS
Jose, a grandfather who was granted asylum and has worked in the United States for many
years.
Mr. Carlini has heard that Medicare prescription drug plans are only offered through private
companies under a program known as Medicare Advantage (MA), not by the government. He
likes Original Medicare and does not want to sign up for an MA product, but he also wants
prescription drug coverage. What should you tell him? - ANS Mr. Carlini can stay with Original
Medicare and also enroll in a Medicare prescription drug plan through a private company that
has contracted with the government to provide only such drug coverage to eligible Medicare
beneficiaries.
Mr. Torres has a small savings account. He would like to pay for his monthly Part D premiums
with an automatic monthly withdrawal from his savings account until it is exhausted, and then
have his premiums withheld from his Social Security check. What should you tell him? - ANS In
general, he must select a single Part D premium payment mechanism that will be used
throughout the year.
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug
coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what
circumstances can she do this? - ANS If the Medicare Advantage plan is a Private Fee-for-Service
(PFFS) plan that does not offer drug coverage or a Medical Savings Account plan, Mrs.
Berkowitz can do this.
Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. She has recently lost creditable
coverage previously available through her husband's employer. She is interested in enrolling in
a Medicare Part D prescription drug plan (PDP). What should you tell her? - ANS If a Part D
benefit is offered through her plan she may choose to enroll in that plan or a standalone PDP.
Mrs. Fiore is a retired federal worker with coverage under a Federal Employee Health Benefits
(FEHB) plan that includes creditable drug coverage. She is ready to turn 65 and become
Medicare eligible for the first time. What issues might she consider about whether to enroll in a
Medicare prescription drug plan? - ANS She could compare the coverage to see if the Medicare
Part D plan offers better benefits and coverage than the FEHB plan for the specific medications
This study source was downloaded by 100000873423108 from CourseHero.com on 10-11-2023 05:40:12 GMT -05:00
https://www.coursehero.com/file/211485358/AHIP-2024-MODULE-3-NEW-WRITTEN-UPDATEpdf/
