AHIP 2025 MODULE 3 QUESTIONS WITH
CORRECT ANSWERS
Mr. Zachow's Options - correct answer-
He can request a formulary exception to get coverage for his Part D drug.
Considerations for Mr. Rice - correct answer-
His retiree plan must take him backRif he prefers it within 63 days of leaving the employer's plan.
Medicare Prescription Payment Plan - correct answer-Spreads out cost-
sharing payments but does not reduce total owed.
Mrs. Lopez's Situation - correct answer-
She can enroll in a Part D plan if offered by her cost plan or choose a standalone PDP.
Understanding TrOOP - correct answer-TrOOP counts toward the Medicare Part D catastrophic limit.
Advice for Ms. Edwards - correct answer-She can fill prescriptions at non-
network pharmacies, but it may cost more.
Transition Period for Mrs. Roswell - correct answer-Every Part D plan must cover a one-
month fill of her existing medications during a 90-day transition period.
Explaining Plan Variances to Mr. Jacob - correct answer-
Part D plans can have different costs but must meet government standards.
Tools Used by Part D Plans - correct answer-Plans have formularies, tiered co-
payments, and step therapy to manage costs.
Coverage for Specialized Medications - correct answer-
Medicare Part D plans do not cover specialized multivitamins or hair regrowth prescriptions.
CORRECT ANSWERS
Mr. Zachow's Options - correct answer-
He can request a formulary exception to get coverage for his Part D drug.
Considerations for Mr. Rice - correct answer-
His retiree plan must take him backRif he prefers it within 63 days of leaving the employer's plan.
Medicare Prescription Payment Plan - correct answer-Spreads out cost-
sharing payments but does not reduce total owed.
Mrs. Lopez's Situation - correct answer-
She can enroll in a Part D plan if offered by her cost plan or choose a standalone PDP.
Understanding TrOOP - correct answer-TrOOP counts toward the Medicare Part D catastrophic limit.
Advice for Ms. Edwards - correct answer-She can fill prescriptions at non-
network pharmacies, but it may cost more.
Transition Period for Mrs. Roswell - correct answer-Every Part D plan must cover a one-
month fill of her existing medications during a 90-day transition period.
Explaining Plan Variances to Mr. Jacob - correct answer-
Part D plans can have different costs but must meet government standards.
Tools Used by Part D Plans - correct answer-Plans have formularies, tiered co-
payments, and step therapy to manage costs.
Coverage for Specialized Medications - correct answer-
Medicare Part D plans do not cover specialized multivitamins or hair regrowth prescriptions.
