AHIP Module 3 Answers 100% Verified
Mr. Carlini has heard that Medicare prescription drug
plans are only offered through private companies b. Mr. Carlini can stay with Original Medicare
under a program known as Medicare Advantage (MA), and also enroll in a Medicare prescription
not by the government. He likes Original Medicare and drug plan through a private company that has
does not want to sign up for an MA product, but he contracted with the government to provide
also wants prescription drug coverage. only such drug coverage to eligible Medicare
What should you tell him? beneficiaries. Correct
Mrs. Mulcahy is concerned that she may not qualify for
enrollment in a Medicare prescription drug plan a. Everyone who is entitled to Part A or
because, although she is entitled to Part A, she is not enrolled under Part B is eligible to enroll in a
enrolled under Medicare Part B. What should you tell Medicare prescription drug plan. As long as
Mrs. Mulcahy is entitled to Part A, she does
her?
not need to enroll under Part B before
enrolling in a prescription drug plan.
Correct
Mrs. Lopez is enrolled in a Medicare Advantage cost
plan. She has recently lost creditable coverage
b. If a Part D benefit is offered through her
previously available through her husband’s employer.
plan she may choose in enroll in that plan or a
She is interested in enrolling in a Medicare Part D
standalone PDP. Correct
prescription drug plan (PDP). What should you tell
her?
, AHIP Module 3 Answers 100% Verified
Which of the following statements about Medicare b. I, II, and III only Correct
Part D are correct? I. Part D plans must enroll any
eligible beneficiary who applies regardless of health
status except in limited circumstances. II. Private fee-
for-service (PFFS) plans are not required to use a
pharmacy network but may choose to have one. III.
Beneficiaries enrolled in a MA-Medical Savings
Account (MSA) plan may only obtain Part D benefits
through a
standalone PDP. IV. Beneficiaries enrolled in a MA-PPO
may obtain Part D benefits through a standalone PDP
or through their plan.
All plans must cover at least the standard Part D
c. Standard Part D coverage would require
coverage or its actuarial equivalent. What costs would
payment of an annual deductible, 25% cost-
a beneficiary incur for prescription drugs in 2019
sharing up to the coverage gap, a portion of
under the standard coverage?
costs for both generics and brand-name
drugs in the coverage gap, and co-pays or
co-insurance after the coverage gap.
Correct
Mr. Carlini has heard that Medicare prescription drug
plans are only offered through private companies b. Mr. Carlini can stay with Original Medicare
under a program known as Medicare Advantage (MA), and also enroll in a Medicare prescription
not by the government. He likes Original Medicare and drug plan through a private company that has
does not want to sign up for an MA product, but he contracted with the government to provide
also wants prescription drug coverage. only such drug coverage to eligible Medicare
What should you tell him? beneficiaries. Correct
Mrs. Mulcahy is concerned that she may not qualify for
enrollment in a Medicare prescription drug plan a. Everyone who is entitled to Part A or
because, although she is entitled to Part A, she is not enrolled under Part B is eligible to enroll in a
enrolled under Medicare Part B. What should you tell Medicare prescription drug plan. As long as
Mrs. Mulcahy is entitled to Part A, she does
her?
not need to enroll under Part B before
enrolling in a prescription drug plan.
Correct
Mrs. Lopez is enrolled in a Medicare Advantage cost
plan. She has recently lost creditable coverage
b. If a Part D benefit is offered through her
previously available through her husband’s employer.
plan she may choose in enroll in that plan or a
She is interested in enrolling in a Medicare Part D
standalone PDP. Correct
prescription drug plan (PDP). What should you tell
her?
, AHIP Module 3 Answers 100% Verified
Which of the following statements about Medicare b. I, II, and III only Correct
Part D are correct? I. Part D plans must enroll any
eligible beneficiary who applies regardless of health
status except in limited circumstances. II. Private fee-
for-service (PFFS) plans are not required to use a
pharmacy network but may choose to have one. III.
Beneficiaries enrolled in a MA-Medical Savings
Account (MSA) plan may only obtain Part D benefits
through a
standalone PDP. IV. Beneficiaries enrolled in a MA-PPO
may obtain Part D benefits through a standalone PDP
or through their plan.
All plans must cover at least the standard Part D
c. Standard Part D coverage would require
coverage or its actuarial equivalent. What costs would
payment of an annual deductible, 25% cost-
a beneficiary incur for prescription drugs in 2019
sharing up to the coverage gap, a portion of
under the standard coverage?
costs for both generics and brand-name
drugs in the coverage gap, and co-pays or
co-insurance after the coverage gap.
Correct
