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AHIP Module 3 Already Rated A

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AHIP Module 3 Already Rated A Question 1: Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a program known as Medicare Advantage (MA). What should you tell him? a. He can stay with Original Medicare and enroll in a Medicare prescript...

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  • July 19, 2024
  • 4
  • 2023/2024
  • Exam (elaborations)
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AHIP Module 3 Already Rated A
Question 1: Mr. Carlini has heard that Medicare prescription drug plans are only offered through private
companies under a program known as Medicare Advantage (MA). What should you tell him?



a. He can stay with Original Medicare and 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.

b. He needs to enroll in a Medicare Advantage plan to get prescription drug coverage.

c. He can only enroll in a Medicare prescription drug plan if he enrolls in a Medicare Advantage plan.



Correct answer: a. He can stay with Original Medicare and 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 enrollment in a Medicare
prescription drug plan because she is not enrolled under Part B. What should you tell her?



a. She needs to enroll under Part B before enrolling in a prescription drug plan.

b. 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 she is entitled to Part A, she does not need to enroll under Part B
before enrolling in a prescription drug plan.

c. She needs to wait until she turns 65 to enroll in a prescription drug plan.



Correct answer: b. 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 she is entitled to Part A, she does not need to enroll under
Part B before enrolling in a prescription drug plan.



Under what conditions can a Medicare prescription drug plan reduce its coverage for a given drug during
the first 60 days of the year? ✔️a. When a formulary change is in response to a drug's removal from the
market. Correct



Which of the following steps may a Part D sponsor adopt for beneficiaries who are at risk of misusing or
abusing frequently abused drugs?

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