EMT MODULE 3 EXAM REVIEW VERIFIED
ANSWERS GRADED A+ 100% CORRECT
REVISED EDITION
◉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? Answer: Mr. Rice's retiree plan is required to take
him back if, within 63 days of having voluntarily quit the employer's
plan, he decides that he prefers it to his Medicare Part D plan.
◉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? Answer: Part D
enrollees can opt into the Medicare Prescription Payment Plan at the
beginning of the plan year or any point during the year.
◉Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. She
has recently lost creditable coverage previously available through her
husband's employer. She is interested in enrolling in a Medicare Part D
prescription drug plan (PDP). What should you tell her? Answer: If a
, Part D benefit is offered through her plan she may choose to enroll in
that plan or a standalone PDP.
◉One of your clients, Lauren Nichols, has heard about a Medicare
concept from one of her neighbors called TrOOP. She asks you to
explain it. What do you say? Answer: TrOOP stands for true out-of-
pocket costs that count toward the Medicare Part D catastrophic limit
and include not only expenses paid by a beneficiary but also in some
instances amounts paid by or through qualified State Pharmaceutical
Assistance Programs.
◉Ms. Edwards is enrolled in a Medicare Advantage plan that includes
prescription drug plan (PDP) coverage. She is traveling and wishes to
fill two of the prescriptions that she has lost. How would you advise her?
Answer: She may fill prescriptions for covered drugs at non-network
pharmacies, but likely at a higher cost than paid at an in-network
pharmacy.
◉Mrs. Roswell is a new Medicare beneficiary who has just retired from
retail work. She is interested in selecting a Medicare Part D prescription
drug plan. She takes several medications and is concerned that she has
not been able to identify a plan that covers all of her medications. She
does not want to make an abrupt change to new drugs that would be
covered and asks what she should do. What should you tell her?
Answer: Every Part D drug plan is required to cover a single one-month
fill of her existing medications sometime during a 90-day transition
period.
ANSWERS GRADED A+ 100% CORRECT
REVISED EDITION
◉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? Answer: Mr. Rice's retiree plan is required to take
him back if, within 63 days of having voluntarily quit the employer's
plan, he decides that he prefers it to his Medicare Part D plan.
◉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? Answer: Part D
enrollees can opt into the Medicare Prescription Payment Plan at the
beginning of the plan year or any point during the year.
◉Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. She
has recently lost creditable coverage previously available through her
husband's employer. She is interested in enrolling in a Medicare Part D
prescription drug plan (PDP). What should you tell her? Answer: If a
, Part D benefit is offered through her plan she may choose to enroll in
that plan or a standalone PDP.
◉One of your clients, Lauren Nichols, has heard about a Medicare
concept from one of her neighbors called TrOOP. She asks you to
explain it. What do you say? Answer: TrOOP stands for true out-of-
pocket costs that count toward the Medicare Part D catastrophic limit
and include not only expenses paid by a beneficiary but also in some
instances amounts paid by or through qualified State Pharmaceutical
Assistance Programs.
◉Ms. Edwards is enrolled in a Medicare Advantage plan that includes
prescription drug plan (PDP) coverage. She is traveling and wishes to
fill two of the prescriptions that she has lost. How would you advise her?
Answer: She may fill prescriptions for covered drugs at non-network
pharmacies, but likely at a higher cost than paid at an in-network
pharmacy.
◉Mrs. Roswell is a new Medicare beneficiary who has just retired from
retail work. She is interested in selecting a Medicare Part D prescription
drug plan. She takes several medications and is concerned that she has
not been able to identify a plan that covers all of her medications. She
does not want to make an abrupt change to new drugs that would be
covered and asks what she should do. What should you tell her?
Answer: Every Part D drug plan is required to cover a single one-month
fill of her existing medications sometime during a 90-day transition
period.
