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AHIP Module 3 Exam 2025 Questions With Completed & Verified Solutions.
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AHIP Module 3 Exam 2025 Questions With Completed & Verified Solutions.
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AHIP Module 3What were some changes made in the 2023-2024 year? - ANS - Capped insulin cost sharing at
$35
- Eliminating cost sharing for vaccines
- Eliminating 5% coinsurance requirement
What does Medicare Part D cover? - ANS Prescription drugs, diabetic supplies, and vaccines
What Medicare plans include Part D benefits? - ANS 1) Standalone Prescription Drug Plans
(PDPs)
2) MA PD plans
3) Cost PD plans
4) Medicare-Medicaid plans
5) PACE plans
Medicare Part D Eligibility - ANS Entilted to Part A AND/OR enrolled in Part B
US citizen or lawfully present in USA
How can beneficiaries who have MA MSAs get drugs? - ANS THrough standalone PDP
How can beneficiaries who have a cost plan get drugs? - ANS THrough their plan or standalone
PDP
How can beneficiaries who have a HMO or PPO get their drugs? - ANS Through their plan
How can beneficiaries who have a Medicare-Medicaid plan get their drugs? - ANS Through their
plan
What drugs are covered under Part D? - ANS Prescription drugs
Biologics (vaccines)
Insulin + Insulin equipment
Vaccines not covered by Part B
What is a formulary? - ANS A list of drugs which they cover (usually two in each category)
Describe the tiering system of drugs - ANS Tier 1: Generic drugs
Tier 2: Preferred brand name drugs
Tier 3: Non-preferred brand name drugs
Tier 4: High cost drugs or specialty drugs
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