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AHIP MODULE 3 QUIZ 2025 QUESTIONS
AND QUESTIONS.
1. Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage
(MA), not by the government. He likes Original Medicare and does not want to
sign up for an MA product, but he also wants prescription drug coverage. What
should you tell him? - CORRECT ANSWER-b. Mr. Carlini can stay with
Original Medicare and also enroll in a Medicare prescription drug plan through
a private company that has contracted with the government to provide only such
drug coverage to eligible Medicare beneficiaries. Correct
2. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a
Medicare prescription drug plan because, although she is entitled to Part A, she
is not enrolled under Medicare Part B. What should you tell her? - CORRECT
ANSWER-d. Everyone who is entitled to Part A or enrolled under Part B is
eligible to enroll in a Medicare prescription drug plan. As long as Mrs. Mulcahy
is entitled to Part A, she does not need to enroll under Part B before enrolling in
a prescription drug plan. Correct
3. Mrs. Lopez is enrolled in a Medicare Advantage cost plan. 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? - CORRECT ANSWER-a. If a Part D benefit is offered
through her plan she may choose in enroll in that plan or a standalone PDP.
Correct
4. Which of the following statements about Medicare Part D are correct?
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.
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III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan
may only obtain Part D benefits through a standalone PDP.
IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits
through a standalone PDP or through their plan. - CORRECT
ANSWER-b. I, II, and III only Correct
5. All plans must cover at least the standard Part D coverage or its actuarial
equivalent. What costs would a beneficiary incur for prescription drugs in 2019
under the standard coverage? - CORRECT ANSWER-c. Standard Part D
coverage would require payment of an annual deductible, 25% cost-sharing up
to the coverage gap, a portion of costs for both generics and brand-name drugs
in the coverage gap, and co-pays or co-insurance after the coverage gap.
Correct
6. Mrs. Andrews was preparing a budget for next year because she takes quite a
few prescription drugs, she will reach the coverage gap, and wants to be sure
she has enough money set aside for those months. She received assistance
calculating her projected expenses from her daughter who is a pharmacist, but
she doesn't think the calculations are correct because her out-of-pocket
expenses would be lower than last year. She calls to ask if you can help. What
might you tell her? - CORRECT ANSWER-d. It would not be unusual for her
costs to be a bit less because the Bipartisan Budget Act of 2018 moved up the
date for closing the so-called "donut hole" for brand name drugs to 2019.
Correct
7. 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 ANSWER-a.
Medicare Part D drug plans may have different benefit structures, but on
average, they must all be at least as good as the standard model established by
the government. Correct
8. 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
her prescriptions that she has lost. How would you advise her? - CORRECT
ANSWER-d. She may fill prescriptions for covered drugs at non-network
AHIP MODULE 3 QUIZ 2025 QUESTIONS
AND QUESTIONS.
1. Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage
(MA), not by the government. He likes Original Medicare and does not want to
sign up for an MA product, but he also wants prescription drug coverage. What
should you tell him? - CORRECT ANSWER-b. Mr. Carlini can stay with
Original Medicare and also enroll in a Medicare prescription drug plan through
a private company that has contracted with the government to provide only such
drug coverage to eligible Medicare beneficiaries. Correct
2. Mrs. Mulcahy is concerned that she may not qualify for enrollment in a
Medicare prescription drug plan because, although she is entitled to Part A, she
is not enrolled under Medicare Part B. What should you tell her? - CORRECT
ANSWER-d. Everyone who is entitled to Part A or enrolled under Part B is
eligible to enroll in a Medicare prescription drug plan. As long as Mrs. Mulcahy
is entitled to Part A, she does not need to enroll under Part B before enrolling in
a prescription drug plan. Correct
3. Mrs. Lopez is enrolled in a Medicare Advantage cost plan. 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? - CORRECT ANSWER-a. If a Part D benefit is offered
through her plan she may choose in enroll in that plan or a standalone PDP.
Correct
4. Which of the following statements about Medicare Part D are correct?
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.
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III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan
may only obtain Part D benefits through a standalone PDP.
IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits
through a standalone PDP or through their plan. - CORRECT
ANSWER-b. I, II, and III only Correct
5. All plans must cover at least the standard Part D coverage or its actuarial
equivalent. What costs would a beneficiary incur for prescription drugs in 2019
under the standard coverage? - CORRECT ANSWER-c. Standard Part D
coverage would require payment of an annual deductible, 25% cost-sharing up
to the coverage gap, a portion of costs for both generics and brand-name drugs
in the coverage gap, and co-pays or co-insurance after the coverage gap.
Correct
6. Mrs. Andrews was preparing a budget for next year because she takes quite a
few prescription drugs, she will reach the coverage gap, and wants to be sure
she has enough money set aside for those months. She received assistance
calculating her projected expenses from her daughter who is a pharmacist, but
she doesn't think the calculations are correct because her out-of-pocket
expenses would be lower than last year. She calls to ask if you can help. What
might you tell her? - CORRECT ANSWER-d. It would not be unusual for her
costs to be a bit less because the Bipartisan Budget Act of 2018 moved up the
date for closing the so-called "donut hole" for brand name drugs to 2019.
Correct
7. 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 ANSWER-a.
Medicare Part D drug plans may have different benefit structures, but on
average, they must all be at least as good as the standard model established by
the government. Correct
8. 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
her prescriptions that she has lost. How would you advise her? - CORRECT
ANSWER-d. She may fill prescriptions for covered drugs at non-network
