AHIP Module 3 FINAL Examination Questions With Correct Answers Latest 2025/2026 GRADED A+

AHIP Module 3 FINAL Examination Questions
With Correct Answers Latest 2025/2026
GRADED A+

1. Mr. Carlini has heard that Medicare prescription drug plans are only offered
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through private companies under a program known as Medicare Advantage (M
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A), not by the government. He likes Original Medicare and does not want to sign
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up for an MA product, but he also wants prescription drug coverage. What sho
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uld you tell him?: b. Mr. Carlini can stay with Original Medicare and also enroll in a Me
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dicare prescription drug plan through a private company that has contracted with the
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government to provide only such drug coverage to eligible Medicare beneficiaries. Co
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rrect
2. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a Me
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dicare prescription drug plan because, although she is entitled to Part A, sh
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e is not enrolled under Medicare Part B. What should you tell her?: d.
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Everyone who is entitled to Part A or enrolled under Part B is eligible to enroll in a Medi
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care prescription drug plan. As long as Mrs. Mulcahy is entitled to Part A, she does not
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need to enroll under Part B before enrolling in a prescription drug plan.
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Correct
3. Mrs. Lopez is enrolled in a Medicare Advantage cost plan. She has recently lo
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st creditable coverage previously available through her husband's employer. Sh
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e is interested in enrolling in a Medicare Part D prescription drug plan (PDP). What
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should you tell her?: a. If a Part D benefit is offered through her plan she may choose i
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, n enroll in that plan or a standalone PDP. Correct
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4. Which of the following statements about Medicare Part D are correct?
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I. Part D plans must enroll any eligible beneficiary who applies regardless of he
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alth status except in limited circumstances.
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II. Private fee-for- g




service (PFFS) plans are not required to use a pharmacy network but may ch
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oose to have one. g g g




III. Beneficiaries enrolled in a MA- g g g g




Medical Savings Account (MSA) plan may only obtain Part D benefits through
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a standalone PDP.
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IV. Beneficiaries enrolled in a MA- g g g g




PPO may obtain Part D benefits through a standalone PDP or through their pla
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n.: b. I, II, and III only Correct
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5. All plans must cover at least the standard Part D coverage or its actuarial equi
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valent. What costs would a beneficiary incur for prescription drugs in 2019 und
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er the standard coverage?: c. Standard Part D coverage would require payment of a
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n annual deductible, 25% cost-
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sharing up to the coverage gap, a portion of costs for both generics and brand-
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name drugs in the coverage gap, and co-pays or co-
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insurance after the coverage gap. Correct g g g g g




6. Mrs. Andrews was preparing a budget for next year because she takes quite a f
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ew prescription drugs, she will reach the coverage gap, and wants to be sure
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