AHIP 2026 MODULE 3 EXAM
Actual Questions and Verified Answers
With 20 Questions and Answers
1. Mr. Zachow has a condition for which three drugs are available. He
has tried two but had an allergic reaction to them. Only the third drug
works for him and it is not on his Part D plan's formulary.What could
you tell him to do
Ans>> Mr. Zachow has a right to request a formulary exception to obtain coverage
for his Part D drug. He or his physician could obtain the standardized request form on
the plan's website, fill it out, and submit it to his plan.
2. Mr. Rice is 68, actively working, and has coverage for medical services
and medications through his employer's group health plan. He is entitled
to premium free Part A and thinking of enrolling in Part B and switching
to an MA-PD because he is paying a very large part of his group coverage
premium, and it does not provide coverage for a number of his
medications.Which of the following is NOT a consideration when making
the change
Ans>> Mr. Rice's retiree plan is required to take him back if, within 63 days of having
1/
4
, voluntarily quit the employer's plan, he decides that he prefers it to his Medicare Part
2/
4
Actual Questions and Verified Answers
With 20 Questions and Answers
1. Mr. Zachow has a condition for which three drugs are available. He
has tried two but had an allergic reaction to them. Only the third drug
works for him and it is not on his Part D plan's formulary.What could
you tell him to do
Ans>> Mr. Zachow has a right to request a formulary exception to obtain coverage
for his Part D drug. He or his physician could obtain the standardized request form on
the plan's website, fill it out, and submit it to his plan.
2. Mr. Rice is 68, actively working, and has coverage for medical services
and medications through his employer's group health plan. He is entitled
to premium free Part A and thinking of enrolling in Part B and switching
to an MA-PD because he is paying a very large part of his group coverage
premium, and it does not provide coverage for a number of his
medications.Which of the following is NOT a consideration when making
the change
Ans>> Mr. Rice's retiree plan is required to take him back if, within 63 days of having
1/
4
, voluntarily quit the employer's plan, he decides that he prefers it to his Medicare Part
2/
4
