2025 AHIP Module 3 Exam Questions and Verified Answers, 100%
Guarantee
1.Mr. Shapiro gets by on a very small amount of fixed income.
He has heard there may be extra help paying for Part D
prescription drugs for Medicare beneficiaries with limited
income. He wants to know whether he might qualify. What
should you tell him?
a. The extra help is available to beneficiaries whose income
and assets do not exceed annual limits specified by the
government.: a.The extra help is available to beneficiaries whose
income and assets do not exceed annual limits specified by the
government.
b. The government pays a per-beneficiary dollar amount to the
Medicare Part D prescription drug plans, to offset premiums for their
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35
,low-income enrollees in accor- dance with the plan's set criteria. Mr.
Shapiro should check with his plan to see if he qualifies.
c. The extra help is available only to Medicare beneficiaries who
are enrolled in Medicaid. He should apply for coverage under his
state's Medicaid program to access the extra help with his drug
costs.
d. He must apply for the extra help at the same time he applies for
enrollment in a Part D plan. If he missed this opportunity, he will not
be able to apply for the extra help again until the next annual
enrollment period.
2.Which of the following statements about Medicare Part D are
correct?
I. Part D plans must enroll any eligible beneficiary who applies
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,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.
a. I, II, and III only: a.I, II, and III only
b. I and II
only c.I, II, III,
and IV
d.I only
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35
, 3.Mrs. Imelda Diaz is a Medicare beneficiary enrolled in a MA-
PD plan you represent. Her neighbor recently suffered from a
painful case of shingles. Mrs. Diaz hopes to avoid such an
illness through vaccination. She asks you whether the cost of
shingles vaccination will be covered under the plan you
represent. What should you say?
4/
35
Guarantee
1.Mr. Shapiro gets by on a very small amount of fixed income.
He has heard there may be extra help paying for Part D
prescription drugs for Medicare beneficiaries with limited
income. He wants to know whether he might qualify. What
should you tell him?
a. The extra help is available to beneficiaries whose income
and assets do not exceed annual limits specified by the
government.: a.The extra help is available to beneficiaries whose
income and assets do not exceed annual limits specified by the
government.
b. The government pays a per-beneficiary dollar amount to the
Medicare Part D prescription drug plans, to offset premiums for their
1/
35
,low-income enrollees in accor- dance with the plan's set criteria. Mr.
Shapiro should check with his plan to see if he qualifies.
c. The extra help is available only to Medicare beneficiaries who
are enrolled in Medicaid. He should apply for coverage under his
state's Medicaid program to access the extra help with his drug
costs.
d. He must apply for the extra help at the same time he applies for
enrollment in a Part D plan. If he missed this opportunity, he will not
be able to apply for the extra help again until the next annual
enrollment period.
2.Which of the following statements about Medicare Part D are
correct?
I. Part D plans must enroll any eligible beneficiary who applies
2/
35
,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.
a. I, II, and III only: a.I, II, and III only
b. I and II
only c.I, II, III,
and IV
d.I only
3/
35
, 3.Mrs. Imelda Diaz is a Medicare beneficiary enrolled in a MA-
PD plan you represent. Her neighbor recently suffered from a
painful case of shingles. Mrs. Diaz hopes to avoid such an
illness through vaccination. She asks you whether the cost of
shingles vaccination will be covered under the plan you
represent. What should you say?
4/
35
