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Exam (elaborations)

AHIP 2024 Module 3 Verified Answers

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AHIP 2024 Module 3 Verified Answers Question 1: When selecting a Medicare Part D plan, Mrs. Roswell is concerned about finding a plan that covers all her medications. What should she know? Answer: Every Part D drug plan is required to cover a single one-month fill of her existing medications ...

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  • July 19, 2024
  • 4
  • 2023/2024
  • Exam (elaborations)
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AHIP 2024 Module 3 Verified Answers
Question 1: When selecting a Medicare Part D plan, Mrs. Roswell is concerned about finding a plan that
covers all her medications. What should she know?



Answer: Every Part D drug plan is required to cover a single one-month fill of her existing medications
sometime during a 90-day transition period.



Question 2: Mr. Rice is considering enrolling in Medicare Part B and switching to an MA-PD plan due to
his large out-of-pocket expenses for his group health plan. What should he consider?



Answer: He should weigh the pros and cons of switching to an MA-PD plan, including whether his retiree
plan will take him back if he changes his mind.



Question 3: Mrs. Edwards is traveling and needs to refill her prescriptions. What should she know about
filling prescriptions outside of her network?



Answer: She may fill prescriptions at non-network pharmacies, but likely at a higher cost than at an in-
network pharmacy.



Question 4: Which of the following statements about Medicare Part D are correct?



A) Part D plans must enroll any eligible beneficiary who applies regardless of health status except in
limited circumstances.

B) Private fee-for-service (PFFS) plans are not required to use a pharmacy network but may choose to
have one.

C) Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain Part D benefits
through a standalone PDP.

D) Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a standalone PDP or through
their plan.



Correct answers: A, B, and C

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