AHIP MODULE 3
AHIP MODULE 3 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 answer 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. What type of tools scan Medicare Part D prescription drug plans use that affect the way their enrollees can access medications - correct answer Part D plans do not have to cover all medications. As a result, their formularies, or lists of covered drugs, will vary from plan to plan. In addition, they can use cost containment techniques such as tiered co-payments and prior authorization. Mrs. Edwards is enrolled in a Medicare advantage plan that includes prescription drug plan coverage. She is traveling and wishes to fill two of the prescriptions
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- AHIP 2023
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- January 8, 2024
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