AHIP 2023 Module 3 QUIZ

Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but whenhe 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? - Part D plansmust cover at least the Part D standard benefits or its actuarial equivalent. They are not required tooffer the standard plan. Question text Mr. Torres has a small savings account. He would like to pay for his monthly Part D premiums with an automatic monthly withdrawal from his savings account until it is exhausted, and then have his premiums withheld from his Social Security check. What should you tell him? - In general, he must select a single Part D premium payment mechanism that will be used throughout the year. 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 inlimited circumstances. II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but may chooseto have one. III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain Part Dbenefits through a standalone PDP. IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a standalone PDP or through their plan. - Beneficiaries enrolled in an MA-PPO may not obtain Part D benefits through astandalone PDP or through their plan. They must obtain them through their plan by enrolling in anMA-PD. Mrs. Mulcahy, age 65, 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? - Mrs. Mulcahy can enroll in Part D because she is entitled to Part A. The rules for Part D are different from those that apply to eligibility for MedicareAdvantage (Part C). Individuals entitled to Part A and/or enrolled in Part B are eligible to enroll in Part D. In contrast, to enroll in an MA plan an individual must be eligible for Part A and enrolled in Part B