AHIP Final Exam Test Questions and Answers Rated A+ Latest
Updated 2024
Mrs. ,Mulcahy, ,age ,65, ,is ,concerned ,that ,she ,may ,not ,qualify ,for
,enrollment ,in ,a ,Medicare ,prescription ,drug ,plan ,because, ,although ,she ,is
,entitled ,to ,Part ,A, ,she ,is ,not enrolled ,under ,Medicare ,Part ,B. ,What
,should ,you ,tell ,her?correct ,answers An ,individual,who ,is ,entitled ,to ,Part ,A
,or ,enrolled ,under ,Part ,B ,is ,eligible ,to ,enroll ,in ,a ,Medicare prescription
,drug ,plan. ,As ,long ,as ,Mrs. ,Mulcahy ,is ,entitled ,to ,Part ,A, ,she ,does ,not
,need,to ,enroll ,under ,Part ,B ,before ,enrolling ,in ,a ,prescription ,drug ,plan.
What ,types ,of ,tools ,can ,Medicare ,Part ,D ,prescription ,drug ,plans ,use ,that
,affect ,the ,way,their ,enrollees ,can ,access ,medications?correct ,answers 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.
All ,plans ,must ,cover ,at ,least ,the ,standard ,Part ,D ,coverage ,or ,its ,actuarial
,equivalent. Which ,of ,the ,following ,statements ,best ,describes ,some ,of ,the
,costs ,a ,beneficiary ,would,incur ,for ,prescription ,drugs ,under ,the ,standard
,coverage?correct ,answers Standard ,Part,D ,coverage ,would ,require
,payment ,of
,an ,annual ,deductible, ,and ,once ,past ,the ,catastrophic ,coverage ,threshold,
,,the
,beneficiary ,pays ,whichever ,is ,greater ,of ,either ,the co-pays ,for ,generic
,and
,brand ,name ,drugs ,or ,coinsurance ,of ,5%.
,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. ,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.
Mr. ,Hutchinson ,has ,drug ,coverage ,through ,his ,former ,employer's ,retiree
,plan. ,He ,is concerned ,about ,the ,Part ,D ,premium ,penalty ,if ,he ,does ,not
,enroll ,in ,a ,Medicare prescription ,drug ,plan, ,but ,does ,not ,want ,to ,purchase
, ,extra ,coverage ,that ,he ,will ,not need. ,What ,should ,you ,tell ,him?correct
,answers If ,the ,drug ,coverage ,he ,has ,is ,not expected ,to ,pay, ,on ,average,
,at
,least ,as ,much ,as ,Medicare's ,standard ,Part ,D ,coverage,expects ,to ,pay,
,then
,he ,will ,need ,to ,enroll ,in ,Medicare ,Part ,D ,during ,his ,initial ,eligibility
Updated 2024
Mrs. ,Mulcahy, ,age ,65, ,is ,concerned ,that ,she ,may ,not ,qualify ,for
,enrollment ,in ,a ,Medicare ,prescription ,drug ,plan ,because, ,although ,she ,is
,entitled ,to ,Part ,A, ,she ,is ,not enrolled ,under ,Medicare ,Part ,B. ,What
,should ,you ,tell ,her?correct ,answers An ,individual,who ,is ,entitled ,to ,Part ,A
,or ,enrolled ,under ,Part ,B ,is ,eligible ,to ,enroll ,in ,a ,Medicare prescription
,drug ,plan. ,As ,long ,as ,Mrs. ,Mulcahy ,is ,entitled ,to ,Part ,A, ,she ,does ,not
,need,to ,enroll ,under ,Part ,B ,before ,enrolling ,in ,a ,prescription ,drug ,plan.
What ,types ,of ,tools ,can ,Medicare ,Part ,D ,prescription ,drug ,plans ,use ,that
,affect ,the ,way,their ,enrollees ,can ,access ,medications?correct ,answers 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.
All ,plans ,must ,cover ,at ,least ,the ,standard ,Part ,D ,coverage ,or ,its ,actuarial
,equivalent. Which ,of ,the ,following ,statements ,best ,describes ,some ,of ,the
,costs ,a ,beneficiary ,would,incur ,for ,prescription ,drugs ,under ,the ,standard
,coverage?correct ,answers Standard ,Part,D ,coverage ,would ,require
,payment ,of
,an ,annual ,deductible, ,and ,once ,past ,the ,catastrophic ,coverage ,threshold,
,,the
,beneficiary ,pays ,whichever ,is ,greater ,of ,either ,the co-pays ,for ,generic
,and
,brand ,name ,drugs ,or ,coinsurance ,of ,5%.
,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. ,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.
Mr. ,Hutchinson ,has ,drug ,coverage ,through ,his ,former ,employer's ,retiree
,plan. ,He ,is concerned ,about ,the ,Part ,D ,premium ,penalty ,if ,he ,does ,not
,enroll ,in ,a ,Medicare prescription ,drug ,plan, ,but ,does ,not ,want ,to ,purchase
, ,extra ,coverage ,that ,he ,will ,not need. ,What ,should ,you ,tell ,him?correct
,answers If ,the ,drug ,coverage ,he ,has ,is ,not expected ,to ,pay, ,on ,average,
,at
,least ,as ,much ,as ,Medicare's ,standard ,Part ,D ,coverage,expects ,to ,pay,
,then
,he ,will ,need ,to ,enroll ,in ,Medicare ,Part ,D ,during ,his ,initial ,eligibility
