Exam (elaborations)
Stuvia-1857522-ahip-module-3-questions-and-answers-verified-answer-2022.docx questions with correct answers 100% verified
- Course
- Institution
S questions with correct answers 100% verified
[Show more]
Seller
Follow
Markel
Reviews received
Content preview
AHIP Module 32022/2023
1.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?: 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.
Correct
2. 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?: d.
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. Correct
3. Mrs. Lopez is enrolled in a Medicare Advantage cost plan. She has recently
lost creditable coverage previously available through her husband's
employ- er. 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. Correct
4. Which of the following statements about Medicare Part D are correct?
1/5
, 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.: b. I, II, and III only Correct
5. All plans must cover at least the standard Part D coverage or its
actuarial equivalent. What costs would a beneficiary incur for prescription
drugs in 2019 under the standard coverage?: c. Standard Part D coverage
would require payment of an annual deductible, 25% cost-sharing up
to the coverage gap, a portion of costs for both generics and brand-
name drugs in the coverage gap, and co-pays or co-insurance after
the coverage gap. Correct
2/5
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Markel. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78252 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now