AHIP MODULE 3 Exam Questions With
Correct Answers
Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. 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). Wha...
Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. 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? - answer✔✔If a Part D
benefit is offered through her plan she may choose to enroll in that plan or a standalone PDP.
Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part
D Prescription Drug program and he is wondering if there is any other option he has for
obtaining help with his considerable drug costs. What should you tell him? - answer✔✔He could
check with the manufacturers of his medications to see if they offer an assistance program to
help people with limited means to obtain the medications they need. Alternatively, he could
check to see whether his state has a pharmacy assistance program to help him with his expenses.
Which of the following individuals is most likely to be eligible to enroll in a Part D Plan? -
answer✔✔Jose, a grandfather who was granted asylum and has worked in the United States for
many years.
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? - answer✔✔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.
Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but
when he looks at information on various plans available in his area, he sees a wide range in what
they charge for deductibles, premiums, and cost sharing. How can you explain this to him? -
answer✔✔Medicare Part D drug plans may have different benefit structures, but on average,
they must all be at least as good as the standard model established by the government.
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? -
answer✔✔In general, he must select a single Part D premium payment mechanism that will be
used throughout the year.
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