AHIP 2024 Module 3 - Medicare Part D Prescription Drug
Coverage
Question 1: Mr. Carlini is concerned about getting prescription drug coverage without enrolling in a
Medicare Advantage plan. What should he know?
Answer: Mr. Carlini can stay with Original Medicare and also enroll in a Medicar...
AHIP 2024 Module 3 - Medicare Part D Prescription Drug
Coverage
Question 1: Mr. Carlini is concerned about getting prescription drug coverage without enrolling in a
Medicare Advantage plan. What should he know?
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.
Question 2: Mrs. Mulcahy is concerned that she may not qualify for a Medicare prescription drug plan
because she's not enrolled under Part B. What should you tell her?
Answer: 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.
Question 3: Mrs. Lopez is enrolled in a cost plan and lost creditable coverage. She wants to enroll 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.
Question 4: Which of the following statements about Medicare Part D are correct?
Answer: c. I, II, and III only. Part D plans must enroll any eligible beneficiary who applies regardless of
health status 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.
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