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2024 AHIP Module 3 Complete Questions Answers Solved 100 Correct
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2024 AHIP Module 3 Complete Questions & Answers (Solved) 100% Correct
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2024 AHIP Module 3 Complete Questions &Answers (Solved) 100% Correct
1). Mrs. 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?
Ans: 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).
2). 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?
Ans: 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.
3). 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?
Ans: 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.
4). 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?
Ans: 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.
5). 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?
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, Ans: In general, he must select a single Part D premium payment mechanism that will
be used throughout the year.
6). Mr. shapiro gets by on a very small amount of fixed income. he has heard there may be
extra help paying for part d prescription drugs for medicare beneficiaries with limited
income. he wants to know whether he might qualify. what should you tell him?
Ans: The extra help is available to beneficiaries whose income and assets do not
exceed annual limits specified by the government.
7). 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 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.
Ans: I, II, and III only
8). Mrs. quinn has just turned 65, is in excellent health and has a relatively high income. she
uses no medications and sees no reason to spend money on a medicare prescription drug
plan if she does not need the coverage. she currently does not have creditable coverage.
what could you tell her about the implications of such a decision?
Ans: If she does not sign up for a Medicare prescription drug plan as soon as she is
eligible to do so, and if she does sign up at a later date, her premium will be permanently
increased by 1% of the national average premium for every month that she was not
covered.
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