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AHIP 2024 Certification - Part 3 Exam Questions and Answers 2024( A+ GRADED 100% VERIFIED).
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AHIP 2024 Certification - Part 3 Exam Questions and Answers 2024( A+ GRADED 100% VERIFIED).
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AHIP Certification - Part 3b - ANS Mr. Carlini has heard that Medicare prescription drug plans are only
offered through private companies under a program known as Medicare
Advantage (MA), not by the government. He likes Original Medicare and does not
want to sign up for an MA product, but he also wants prescription drug coverage.
What should you tell him?
a. Mr. Carlini can keep Original Medicare, but if he does not sign up for an MA
plan that includes prescription drug coverage, he will only be able to obtain
prescription drug coverage through a Medigap plan.
b. Mr. Carlini can stay with Original Medicare and also enroll in a Medicare
prescription drug plan through a private company that has contracted with the
government to provide only such drug coverage to eligible Medicare
beneficiaries.
c. Mr. Carlini can obtain drug coverage through the Federal government's
fallback plans, which are designed to provide an alternative to privately
sponsored Medicare Advantage plans.
d. In order to obtain prescription drug coverage, Mr. Carlini must enroll in an MA
plan. The plan will cover his Part A and Part B services, as well as provide him
with the desired prescription drug coverage.
c - ANS Mrs. Mulcahy is concerned that she may not qualify for enrollment in a
Medicare prescription drug plan because, although she is entitled to Part A, she
is not enrolled under Medicare Part B. What should you tell her?
a. To qualify for enrollment into a Medicare prescription drug plan, Mrs. Mulcahy
must be entitled to Part A and enrolled under Part B. She should contact her local
Social Security office and make arrangements to enroll in Part B prior to selecting
a prescription drug plan.
b. As long as Mrs. Mulcahy is 65, eligibility for a Medicare prescription drug plan
is not dependent on entitlement to Part A or enrollment under Part B, so she
should not be concerned.
c. Everyone who is entitled to Part A or enrolled under Part B is eligible to enroll
in a Medicare prescription drug plan. As long as Mrs. Mulcahy is entitled to Part
, A, she does not need to enroll under Part B before enrolling in a prescription drug
plan.
d. Like all Medicare beneficiaries, Mrs. Mulcahy will be automatically enrolled
into a Medicare prescription drug plan when she turns 65. She will have a six
month window during which she can select a plan other than the one into which
she has been automatically enrolled.
a - ANS Mrs. Lopez is enrolled in a Medicare Advantage cost plan. She has
recently lost creditable coverage previously available through her husband's
employer. She is interested in enrolling in a Medicare Part D prescription drug
plan (PDP). What should you tell her?
a. If a Part D benefit is offered through her plan she may choose in enroll in that
plan or a standalone PDP.
b. Mrs. Lopez must first seek COBRA benefits under her husband's plan before
she can apply for Part D coverage.
c. If a Part D benefit is offered through her plan she must enroll in this plan.
d. Mrs. Lopez must enroll in either a HMO or PPO Medicare Advantage plan in
order to obtain Part D coverage.
d - ANS 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.
a. I and II only
b. I only
c. I, II, III, and IV
d. I, II, and III only
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