MEDICARE AHIP MODULE 3 LATEST EXAM
2025.
Mrs. Walters is entitled to Part A and has medical coverage without drug
coverage through an employer retiree plan. She is not enrolled in Part B.
Since the employer plan does not cover prescription drugs, she wants to
enroll in a Medicare prescription drug plan. Will she be able to? - CorreCt
Answers -Yes. Mrs. Walters must be entitled to Part A and/or enrolled in
Part B to be eligible for coverage under the Medicare prescription drug
program
Mrs. McIntire is enrolled in her state's Medicaid plan and has just become
eligible for Medicare as well. What can she expect will happen to her drug
coverage? - CorreCt Answers -Unless she chooses a Medicare Part D
prescription drug plan on her own, she will be automatically enrolled in one
available in her area.
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.
Mr. Schultz was still working when he first qualified for Medicare. At that
time, he had employer group coverage that was creditable. During his
initial Part D eligibility period, he decided not to enroll because he was
satisfied with his drug coverage. It is now a year later and Mr. Schultz has
lost his employer group coverage within the last two weeks. How would you
, advise him? - CorreCt Answers -Mr. Schultz should enroll in a Part D plan
before he has a 63-day break in coverage in order to avoid a premium
penaltyMr. 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? - CorreCt Answers -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.
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? - CorreCt Answers -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.
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. 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 -I. Her annual PDP deductible
II. A drug manufacturer's discount for brand name drugs after her initial
coverage period
2025.
Mrs. Walters is entitled to Part A and has medical coverage without drug
coverage through an employer retiree plan. She is not enrolled in Part B.
Since the employer plan does not cover prescription drugs, she wants to
enroll in a Medicare prescription drug plan. Will she be able to? - CorreCt
Answers -Yes. Mrs. Walters must be entitled to Part A and/or enrolled in
Part B to be eligible for coverage under the Medicare prescription drug
program
Mrs. McIntire is enrolled in her state's Medicaid plan and has just become
eligible for Medicare as well. What can she expect will happen to her drug
coverage? - CorreCt Answers -Unless she chooses a Medicare Part D
prescription drug plan on her own, she will be automatically enrolled in one
available in her area.
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.
Mr. Schultz was still working when he first qualified for Medicare. At that
time, he had employer group coverage that was creditable. During his
initial Part D eligibility period, he decided not to enroll because he was
satisfied with his drug coverage. It is now a year later and Mr. Schultz has
lost his employer group coverage within the last two weeks. How would you
, advise him? - CorreCt Answers -Mr. Schultz should enroll in a Part D plan
before he has a 63-day break in coverage in order to avoid a premium
penaltyMr. 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? - CorreCt Answers -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.
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? - CorreCt Answers -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.
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. 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 -I. Her annual PDP deductible
II. A drug manufacturer's discount for brand name drugs after her initial
coverage period
