Exam (elaborations)
Ahip 2024 /2025 module 3 already graded A+
- Course
- Institution
Ahip 2024 /2025 module 3 already graded A+
[Show more]
Content preview
Ahip 2024 module 3Which of the following statements about Medicare Part D are correct? - ANSI, II, and III only
-I. Part D plans must enroll any eligible beneficiary who applies regardless of 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.
Mr. Schultz was still working when he first qualified for Medicare. At that time, he had employer
group coverage that was creditable. During his initial Part D eligibility period, he decided not to
enroll because he was satisfied with his drug coverage. It is now a year later and Mr. Schultz
has lost his employer group coverage within the last two weeks. How would you advise him? -
ANSMr. Schultz should enroll in a Part D plan before he has a 63-day break in coverage in
order to avoid a premium penalty.
Mrs. Fiore is a retired federal worker with coverage under a Federal Employee Health Benefits
(FEHB) plan that includes creditable drug coverage. She is ready to turn 65 and become
Medicare eligible for the first time. What issues might she consider about whether to enroll in a
Medicare prescription drug plan? - ANSShe could compare the coverage to see if the Medicare
Part D plan offers better benefits and coverage than the FEHB plan for the specific medications
she needs and whether any additional benefits are worth the Part D premium costs on top of her
FEHB contribution.
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? - ANSThe 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?
- ANSYes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be eligible for
coverage under the Medicare prescription drug program.
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? - ANSIn
general, he must select a single Part D premium payment mechanism that will be used
throughout the year.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LegitPage. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
84866 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now