2024 AHIP MODULE 3 EXAM WITH
CORRECT ANSWERS
Which of the following statements about Medicare Part D are correct? -
CORRECT-ANSWERSI, 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.
Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-
for-Service (PFFS) plan. All types of PFFS plans are available in her area.
Which options could Mrs. Roberts consider before selecting a PFFS plan? -
CORRECT-ANSWERSA Medicare Advantage Prescription Drug (MA-PD) PFFS
plan that combines medical benefits and Part D prescription drug coverage,
a PFFS plan offering only medical benefits, or a PFFS plan in combination
with a stand-alone prescription drug plan.
Mr. Bickford did not quite qualify for the extra help low-income subsidy under
the Medicare Part D Prescription Drug program and he is wondering if there
is any other option he has for obtaining help with his considerable drug
costs. What should you tell him? - CORRECT-ANSWERSHe could check with
the manufacturers of his medications to see if they offer an assistance
program to help people with limited means obtain the medications they
need. Alternatively, he could check to see whether his state has a pharmacy
assistance program to help him with his expenses.
Charles McCarthy is a Medicare beneficiary who suffers from diabetes. Mr.
McCarthy is considering enrollment in a MA-PD plan that you represent. He
asks you whether his insulin costs will be covered. What should you say? -
CORRECT-ANSWERSMr. McCarthy's insulin costs for a one-month supply
cannot be more than $35 in any coverage phase under the prescription drug
plan beginning in 2023.
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-
ANSWERSMedicare Part D drug plans may have different benefit structures,
CORRECT ANSWERS
Which of the following statements about Medicare Part D are correct? -
CORRECT-ANSWERSI, 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.
Mrs. Roberts has Original Medicare and would like to enroll in a Private Fee-
for-Service (PFFS) plan. All types of PFFS plans are available in her area.
Which options could Mrs. Roberts consider before selecting a PFFS plan? -
CORRECT-ANSWERSA Medicare Advantage Prescription Drug (MA-PD) PFFS
plan that combines medical benefits and Part D prescription drug coverage,
a PFFS plan offering only medical benefits, or a PFFS plan in combination
with a stand-alone prescription drug plan.
Mr. Bickford did not quite qualify for the extra help low-income subsidy under
the Medicare Part D Prescription Drug program and he is wondering if there
is any other option he has for obtaining help with his considerable drug
costs. What should you tell him? - CORRECT-ANSWERSHe could check with
the manufacturers of his medications to see if they offer an assistance
program to help people with limited means obtain the medications they
need. Alternatively, he could check to see whether his state has a pharmacy
assistance program to help him with his expenses.
Charles McCarthy is a Medicare beneficiary who suffers from diabetes. Mr.
McCarthy is considering enrollment in a MA-PD plan that you represent. He
asks you whether his insulin costs will be covered. What should you say? -
CORRECT-ANSWERSMr. McCarthy's insulin costs for a one-month supply
cannot be more than $35 in any coverage phase under the prescription drug
plan beginning in 2023.
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-
ANSWERSMedicare Part D drug plans may have different benefit structures,
