Name: Score:
20 Multiple choice questions
Term 1 of 20
Mrs. Hernandez is one of your clients. She has read that there is a new program that may help her
manage prescription drug costs. What do you tell her about the Medicare Prescription Payment
Plan?
The Medicare Prescription Payment Plan is available only during the annual enrollment
period.
Part D enrollees must enroll in the Medicare Prescription Payment Plan at the beginning of
each month.
Part D enrollees can opt into the Medicare Prescription Payment Plan at the beginning of
the plan year or any point during the year.
Part D enrollees can only opt into the Medicare Prescription Payment Plan at the end of the
plan year.
Term 2 of 20
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?
Medicare Advantage is a way of covering all the Original Medicare benefits through private
health insurance companies.
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.
Medicare prescription drug plans are not permitted to cover the prescription medications
the Vaughns are interested in under Part D coverage, however, plans may cover them as
supplemental benefits and the Vaughns could look into that possibility.
Medicare Advantage Plans may offer extra benefits that Original Medicare does not offer
such as vision, hearing, and dental services. It must include a maximum out-of-pocket limit
on Part A and Part B services.
, Term 3 of 20
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income level. She wishes to
enroll in a MA MSA plan that she heard about from her neighbor. She also wants to have
prescription drug coverage since her doctor recently prescribed several expensive medications.
Currently, she is enrolled in Original Medicare and a standalone Part D plan. How would you
advise Mrs. Chi?
Mrs. Chi is ineligible for a Ma Msa plan because she is ineligible for medicaid Due To her
income level.
Medigap plans do not cover Original Medicare benefits, but they coordinate with Original
Medicare coverage.
Mrs. Chi may enroll in a MA MSA plan and remain in her current standalone Part D
prescription drug plan.
She can enroll in the PPO, but she will not be able to purchase a stand-alone Medicare Part
D prescription drug plan.
Term 4 of 20
Mr. Alonso receives some help paying for his two generic prescription drugs from his employer's
retiree coverage, but he wants to compare it to a Part D prescription drug plan. He asks you what
costs he would generally expect to encounter when enrolling into a standard Medicare Part D
prescription drug plan. What should you tell him?
He generally would pay only a monthly premium and deductible. medicare covers all other
costs
He generally would pay only a per-prescription co-payment. medicare covers all other
costs.
He generally would pay a monthly premium, annual deductible, and per-prescription cost-
sharing.
He generally would pay only a monthly premium. medicare covers all other costs
20 Multiple choice questions
Term 1 of 20
Mrs. Hernandez is one of your clients. She has read that there is a new program that may help her
manage prescription drug costs. What do you tell her about the Medicare Prescription Payment
Plan?
The Medicare Prescription Payment Plan is available only during the annual enrollment
period.
Part D enrollees must enroll in the Medicare Prescription Payment Plan at the beginning of
each month.
Part D enrollees can opt into the Medicare Prescription Payment Plan at the beginning of
the plan year or any point during the year.
Part D enrollees can only opt into the Medicare Prescription Payment Plan at the end of the
plan year.
Term 2 of 20
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?
Medicare Advantage is a way of covering all the Original Medicare benefits through private
health insurance companies.
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.
Medicare prescription drug plans are not permitted to cover the prescription medications
the Vaughns are interested in under Part D coverage, however, plans may cover them as
supplemental benefits and the Vaughns could look into that possibility.
Medicare Advantage Plans may offer extra benefits that Original Medicare does not offer
such as vision, hearing, and dental services. It must include a maximum out-of-pocket limit
on Part A and Part B services.
, Term 3 of 20
Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income level. She wishes to
enroll in a MA MSA plan that she heard about from her neighbor. She also wants to have
prescription drug coverage since her doctor recently prescribed several expensive medications.
Currently, she is enrolled in Original Medicare and a standalone Part D plan. How would you
advise Mrs. Chi?
Mrs. Chi is ineligible for a Ma Msa plan because she is ineligible for medicaid Due To her
income level.
Medigap plans do not cover Original Medicare benefits, but they coordinate with Original
Medicare coverage.
Mrs. Chi may enroll in a MA MSA plan and remain in her current standalone Part D
prescription drug plan.
She can enroll in the PPO, but she will not be able to purchase a stand-alone Medicare Part
D prescription drug plan.
Term 4 of 20
Mr. Alonso receives some help paying for his two generic prescription drugs from his employer's
retiree coverage, but he wants to compare it to a Part D prescription drug plan. He asks you what
costs he would generally expect to encounter when enrolling into a standard Medicare Part D
prescription drug plan. What should you tell him?
He generally would pay only a monthly premium and deductible. medicare covers all other
costs
He generally would pay only a per-prescription co-payment. medicare covers all other
costs.
He generally would pay a monthly premium, annual deductible, and per-prescription cost-
sharing.
He generally would pay only a monthly premium. medicare covers all other costs
