AHIP Module 3 (Latest 2023 / 2024)
(ACTUAL TEST ) Questions and Answers (Solved)
• 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?:
- 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 • 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?:
- 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 1 / 2
plan. Correct • Mrs. Lopez is enrolled in a Medicare Advantage cost plan. She has recently lost creditable coverage previously available through her husband's employ- er. She is interested in enrolling in a Medicare Part D prescription drug plan (PDP). What
should you tell her?:
- If a Part D benefit is offered through her plan she may choose in enroll in that
- Part D plans must enroll any eligible beneficiary who applies regardless of
plan or a standalone PDP. Correct • Which of the following statements about Medicare Part D are correct?
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.IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a
standalone PDP or through their plan.: b. I, II, and III only Correct
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