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2024 AHIP Module 3 Detailed Questions and Expert Answers 2024
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2024 AHIP Module 3 Detailed Questions and Expert Answers 2024
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2024 AHIP Module 3Mrs. Imelda Diaz is a Medicare beneficiary enrolled in a MA-PD plan you represent. Her neighbor
recently suffered from a painful case of shingles. Mrs. Diaz hopes to avoid such an illness through
vaccination. She asks you whether the cost of shingles vaccination will be covered under the plan you
represent. What should you say? - correct answer Yes, there is no cost sharing for the shingles vaccine
even in the deductible phase of her prescription drug plan because it is an adult vaccine recommended
by the Advisory Committee on Immunization Practices (AICP).
Mrs. Fields wants to know whether applying for the Part D low-income subsidy will be worth the time to
fill out the paperwork. What could you tell her? - correct answer The Part D low-income subsidy could
substantially lower her overall costs. She can apply by contacting her state Medicaid office or calling the
Social Security Administration.
Mrs. Walters is entitled to Part A and has medical coverage without drug coverage through an employer
retiree plan. She is not enrolled in Part B. Since the employer plan does not cover prescription drugs, she
wants to enroll in a Medicare prescription drug plan. Will she be able to? - correct answer Yes. Mrs.
Walters must be entitled to Part A and/or enrolled in Part B to be eligible for coverage under the
Medicare prescription drug program.
Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and
also enroll in a stand-alone Medicare prescription drug plan. Under what circumstances can she do this?
- correct answer If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not
offer drug coverage or a Medical Savings Account plan, Mrs. Berkowitz can do this.
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