Exam (elaborations)
AHIP 2023 Module 3
- Course
- Institution
Exam of 4 pages for the course AHIP 2023 Module 3 at AHIP 2023 Module 3 (AHIP 2023 Module 3)
[Show more]
Content preview
AHIP 2023 MODULE 3 QUESTIONS ANDANSWERS GRADED A+
rMrs. Roswell is a new Medicare beneficiary who has just retired from retail work. She is interested in
selecting a Medicare Part D prescription drug plan. She takes a number of medications and is concerned
that she has not been able to identify a plan that covers all of her medications. She does not want to
make an abrupt change to new drugs that would be covered and asks what she should do. What should
you tell her? - 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.
Mr. Rice is 68, actively working and has coverage for medical services and medications through his
employer's group health plan. He is entitled to premium free Part A and thinking of enrolling in Part B
and switching to an MA-PD because he is paying a very large part of his group coverage premium and it
does not provide coverage for a number of his medications. Which of the following is NOT a
consideration when making the change? - Mr. Rice's retiree plan is required to take him back if, within 63
days of having voluntarily quit the employer's plan, he decides that he prefers it to his Medicare Part D
plan.
Ms. Edwards is enrolled in a Medicare Advantage plan that includes prescription drug plan (PDP)
coverage. She is traveling and wishes to fill two of the prescriptions that she has lost. How would you
advise her? - She may fill prescriptions for covered drugs at non-network pharmacies, but likely at a
higher cost than paid at an in-network pharmacy.
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. - I, II, and III only
Mrs. Allen has a rare condition for which two different brand name drugs are the only available
treatment. She is concerned that since no generic prescription drug is available and these drugs are very
high cost, she will not be able to find a Medicare Part D prescription drug plan that covers either one of
them. What should you tell her? - Medicare prescription drug plans are required to cover drugs in each
therapeutic category. She should be able to enroll in a Medicare prescription drug plan that covers the
medications she needs.
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
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 knowledgeNest. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79650 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now