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Mr. Zachow has a Mr. Zachow has a right to request a formulary
condition for which three exception to obtain coverage for his Part D drug. He
drugs are available. He or his physician could obtain the standardized request
has tried two but had an form on the plan's website, fill it out, and submit it to
allergic reaction to them. his plan.
Only the third drug works
for him and it is not on his
Part D plan's formulary.
What could you tell him to
do?
, Mr. Rice is 68, actively Mr. Rice's retiree plan is required to take him back if,
working, and has within 63 days of having voluntarily quit the
coverage for medical employer's plan, he decides that he prefers it to his
services and medications Medicare Part D plan.
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?
Mrs. Hernandez is one of Part D enrollees can opt into the Medicare
your clients. She has read Prescription Payment Plan at the beginning of the
that there is a new plan year or any point during the year.
program that may help her
manage prescription drug
costs. What do you tell her
about the Medicare
Prescription Payment
Plan?