AHIP Module 3 Exam
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 prescri...
AHIP Module 3 Exam
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?
A. To obtain prescription drug coverage, Mr. Carlini must enroll in an MA plan. The plan will
cover his Part A and Part B services, as well as provide him with the desired prescription
drug coverage.
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.
C. Mr. Carlini can keep Original Medicare, but if he does not sign up for an MA plan that
includes prescription drug coverage, he will only be able to obtain prescription drug
coverage through a Medigap plan.
D. Mr. Carlini can obtain drug coverage through the Federal government’s fallback
plans, which are designed to provide an alternative to privately sponsored Medicare
Advantage plans.
2. 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?
A. In general, he must select a single Part D premium payment mechanism that will be
used throughout the year.
B. During 2017, many people experienced significant problems with deductions from their
Social Security check for their Part D premium. As a result, this method of payment is no
longer an option for Part D premium payments.
C. In general, to pay his Part D premium, he only can have automatic withdrawals made
from a checking account, so he will need to transfer the funds prior to beginning such
withdrawals.
D. As long as he fills out the paperwork to begin withholding from his Social Security check at
least 63 days before such withholding should begin, he can change his method of Part
D premium payment and withholding will begin the month after his savings account is
exhausted.
3. 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?
A. Mr. McCarthy’s annual cost-sharing for insulin alone could be in excess of $1,000.
B. Mr. McCarthy’s insulin costs will be covered in full once he reaches catastrophic
coverage under the prescription drug plan. Before that phase, he will be responsible for
the full retail cost of his insulin.
C. Mr. McCarthy’s insulin costs will be capped at $50 for a one-month supply beginning in
2026.
D. Mr. 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.
This study source was downloaded by 100000873423108 from CourseHero.com on 10-11-2023 05:39:47 GMT -05:00
, 4. Mr. Hutchinson has drug coverage through his former employer’s retiree plan. He is concerned
about the Part D premium penalty if he does not enroll in a Medicare prescription drug plan,
but does not want to purchase extra coverage that he will not need. What should you tell
him?
A. He should drop the employer coverage and enroll in a Medicare prescription drug plan.
Employer plans are almost always more costly for beneficiaries and most do not cover the
same range of drugs available from a Medicare prescription drug plan.
This study source was downloaded by 100000873423108 from CourseHero.com on 10-11-2023 05:39:47 GMT -05:00
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