AHIP 2024 Module 3 - Part D and Other Coverage
Question 1: Mrs. Fiore has drug coverage through the VA and is considering enrolling in a Medicare
prescription drug plan. What issues should she consider?
Answer: She should compare the coverage to see if the Medicare Part D plan offers better b...
AHIP 2024 Module 3 - Part D and Other Coverage
Question 1: Mrs. Fiore has drug coverage through the VA and is considering enrolling in a Medicare
prescription drug plan. What issues should she consider?
Answer: She should compare the coverage to see if the Medicare Part D plan offers better benefits and
coverage than the VA for the specific medications she needs and whether any additional benefits are
worth the Part D premium costs.
Question 2: Mr. Hutchinson has drug coverage through his former employer's retiree plan and is
concerned about the Part D premium penalty. What should you tell him?
Answer: If the drug coverage he has is not expected to pay, on average, at least as much as Medicare's
standard Part D coverage expects to pay, then he will need to enroll in Medicare Part D during his initial
eligibility period to avoid the late enrollment penalty.
Question 3: Mr. Rice has coverage for medical services and medications through his employer's retiree
plan, but it doesn't cover two important medications. What should he consider before making a change?
Answer: If Mr. Rice drops his drug coverage through the retiree plan, he may not be able to get it back
and he also may lose his medical health coverage.
Question 4: Mr. Shultz qualified for Medicare while still working and had creditable employer group
coverage. He decided not to enroll in a Part D plan during his initial eligibility period. How would you
advise him now that he has lost his employer group coverage?
Answer: Mr. 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. McIntire is enrolled in her state's Medicaid plan and has just become eligible for Medicare as well.
What can she expect will happen with respect to her drug coverage?
Choose one answer.
a. She will continue to obtain her drug coverage through Medicaid.
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