AHIP EXAM ALL MODULES
QUIZZES | QUESTIONS AND
ANSWERS RATED A+ | LATEST
2024/2025
Mr. Hutchinson has drug coverage through his former
employer's retiree plan. He is concerned about the Part D
premium penalty if he does not enroll in a Medicare prescription
drug plan, but does not want to purchase extra coverage that
he will not need. What should you tell him? - Correct Answer - If
the drug coverage he has is not expected to pay, on average,
at least as much as Medicare 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
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? - Correct Answer - If a part D benefit is offered
,through her plan she may choose to enroll in that plan or a
standalone PDP
Mr. Schultz was still working when he first qualified for
Medicare. At that time, he had employer group coverage that
was credible. During his initial part D eligibility period decided
not to enroll because he was satisfied with his drug coverage. It
is now a year later and Mr. Schultz has lost his employer group
coverage within the last two weeks. How would you advise
him? - Correct Answer - Mr. Schultz should enroll in a part D
plan before he has had a 63 day break in coverage in order to
avoid a premium penalty
Mr. Shapiro gets by on a very small fixed income. He has heard
there may be extra help paying for Part D prescription drugs for
Medicare beneficiaries with limited income. He wants to know
whether he might qualify. What should you tell him? - Correct
Answer - The extra help is available to beneficiaries whose
income and assets do not exceed annual limits specified by the
government
which of the following statements about Medicare part D are
correct? - Correct Answer - I. Part D plans must enroll any
,eligible beneficiary who applies regardless of health status
except in limited circumstances, II. private fee for service plans
are not required to use a pharmacy network but may choose to
have one, III. beneficiaries enrolled in a MA-medical savings
account plan (MSA) may only obtain part D benefits through a
standalone PDP
Mrs. 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? - Correct 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
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 & 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? - Correct Answer - 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
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? - Correct Answer - 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
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? - Correct 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
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