Ahip 2024 module 3 Questions and
Correct Answers
Which of the following statements about Medicare Part D are correct? - correct answers:I, II, and III only
-I. Part D plans must enroll any eligible beneficiary who applies regardless of health status except in
limited circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but may choose to
have one.
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain Part D benefits
through a standalone PDP.
Mr. Schultz was still working when he first qualified for Medicare. At that time, he had employer group
coverage that was creditable. During his initial Part D eligibility period, he decided not to enroll because
he was satisfied with his drug coverage. It is now a year later and Mr. Schultz has lost his employer group
coverage within the last two weeks. How would you advise him? - correct answers:Mr. Schultz should
enroll in a Part D plan before he has a 63-day break in coverage in order to avoid a premium penalty.
Mrs. Fiore is a retired federal worker with coverage under a Federal Employee Health Benefits (FEHB)
plan that includes creditable drug coverage. She is ready to turn 65 and become Medicare eligible for the
first time. What issues might she consider about whether to enroll in a Medicare prescription drug plan?
- correct answers:She could compare the coverage to see if the Medicare Part D plan offers better
benefits and coverage than the FEHB plan for the specific medications she needs and whether any
additional benefits are worth the Part D premium costs on top of her FEHB contribution.
Mrs. Fields wants to know whether applying for the Part D low income subsidy will be worth the time to
fill out the paperwork. What could you tell her? - correct answers:The Part D low income subsidy could
substantially lower her overall costs. She can apply by contacting her state Medicaid office, or calling the
Social Security Administration.
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer
retiree plan. She is not enrolled in Part B. Since the employer plan does not cover prescription drugs, she
wants to enroll in a Medicare prescription drug plan. Will she be able to? - correct answers:Yes. Mrs.
Walters must be entitled to Part A or enrolled in Part B to be eligible for coverage under the Medicare
prescription drug program.
Correct Answers
Which of the following statements about Medicare Part D are correct? - correct answers:I, II, and III only
-I. Part D plans must enroll any eligible beneficiary who applies regardless of health status except in
limited circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but may choose to
have one.
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain Part D benefits
through a standalone PDP.
Mr. Schultz was still working when he first qualified for Medicare. At that time, he had employer group
coverage that was creditable. During his initial Part D eligibility period, he decided not to enroll because
he was satisfied with his drug coverage. It is now a year later and Mr. Schultz has lost his employer group
coverage within the last two weeks. How would you advise him? - correct answers:Mr. Schultz should
enroll in a Part D plan before he has a 63-day break in coverage in order to avoid a premium penalty.
Mrs. Fiore is a retired federal worker with coverage under a Federal Employee Health Benefits (FEHB)
plan that includes creditable drug coverage. She is ready to turn 65 and become Medicare eligible for the
first time. What issues might she consider about whether to enroll in a Medicare prescription drug plan?
- correct answers:She could compare the coverage to see if the Medicare Part D plan offers better
benefits and coverage than the FEHB plan for the specific medications she needs and whether any
additional benefits are worth the Part D premium costs on top of her FEHB contribution.
Mrs. Fields wants to know whether applying for the Part D low income subsidy will be worth the time to
fill out the paperwork. What could you tell her? - correct answers:The Part D low income subsidy could
substantially lower her overall costs. She can apply by contacting her state Medicaid office, or calling the
Social Security Administration.
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer
retiree plan. She is not enrolled in Part B. Since the employer plan does not cover prescription drugs, she
wants to enroll in a Medicare prescription drug plan. Will she be able to? - correct answers:Yes. Mrs.
Walters must be entitled to Part A or enrolled in Part B to be eligible for coverage under the Medicare
prescription drug program.
