AHIP Module 3 Already Rated A+
Question 1: Which of the following statements about Medicare Part D is/are correct?
Answer: I, II, and III. Part D plans must enroll any eligible beneficiary who applies, except in limited
circumstances. Private fee-for-service (PFFS) plans are not required to u...
AHIP Module 3 Already Rated A+
Question 1: Which of the following statements about Medicare Part D is/are correct?
Answer: I, II, and III. Part D plans must enroll any eligible beneficiary who applies, except in limited
circumstances. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but may
choose to have one. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain
Part D benefits through a standalone PDP.
Question 2: I'm considering switching from my employer's retiree plan to a Medicare Part D plan
because my medications aren't covered. What should I consider before making a change?
Answer: If you drop your drug coverage through the retiree plan, you may not be able to get it back, and
you also may lose your medical health coverage.
Question 3: What types of tools can Medicare Part D prescription drug plans use to affect the way their
enrollees can access medications?
Answer: Part D plans do not have to cover all medications. As a result, their formularies, or lists of
covered drugs, will vary from plan to plan. In addition, they can use cost containment techniques such as
tiered co-payments and prior authorization.
Question 4: I have a rare condition that requires two high-cost brand-name drugs. Can I find a Medicare
Part D plan that covers these medications?
Answer: Yes, Medicare prescription drug plans are required to cover drugs in each therapeutic category.
You should be able to enroll in a Medicare prescription drug plan that covers the medications you need.
Question 5: I have VA coverage for my medications. Should I consider enrolling in a Medicare Part D
plan?
Answer: Compare the coverage to see if the Medicare Part D plan offers better benefits and coverage
for the specific medications you need, and whether any additional benefits are worth the Part D
premium costs.
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