100% Correct answers Updated 2025
Mr. Bickford did not quite qualify for the extra help low-income subsidy under the
Medicare Part D Prescription Drug program and he is wondering if there is any other
option he has for obtaining help with his considerable drug costs. What should you tell
him? - CORRECT ANSWERS-He could check with the manufacturers of his
medications to see if they offer an assistance program to help people with limited
means obtain the medications they need. Alternatively, he could check to see whether
his state has a pharmacy assistance program to help him with his expenses.
Charles McCarthy is a Medicare beneficiary who suffers from diabetes. Mr. McCarthy is
considering enrollment in a MA-PD plan that you represent. He asks you whether his
insulin costs will be covered. What should you say? - CORRECT ANSWERS-Mr.
McCarthy's insulin costs for a one-month supply cannot be more than $35 in any
coverage phase under the prescription drug plan beginning in 2023.
Mr. Jacob understands that there is a standard Medicare Part D prescription drug
benefit, but when he looks at information on various plans available in his area, he sees
a wide range in what they charge for deductibles, premiums and cost sharing. How can
you explain this to him? - CORRECT ANSWERS-Medicare Part D drug plans may have
different benefit structures, but on average, they must all be at least as good as the
standard model established by the government.
Which of the following individuals is most likely to be eligible to enroll in a Part D Plan? -
CORRECT ANSWERS-Jose, a grandfather who was granted asylum and has worked in
the United States for many years.
Mrs. Quinn has just turned 65, is in excellent health and has a relatively high income.
She uses no medications and sees no reason to spend money on a Medicare
prescription drug plan if she does not need the coverage. She currently does not have
creditable coverage. What could you tell her about the implications of such a decision? -
CORRECT ANSWERS-If she does not sign up for a Medicare prescription drug plan as
soon as she is eligible to do so, if she does sign up at a later date, her premium will be
permanently increased by 1% of the national average premium for every month that she
was not covered.
Mrs. Cantwell is enrolled in a prescription drug plan. She has heard about something
called True-Out-Pocket costs or "TrOOP" and asks you if any of the following count
toward reaching the catastrophic coverage phase. What do you say? - CORRECT
ANSWERS-