AHIP MODULE 3 ACTUAL EXAM COMPLETE 120 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
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Course
AHIP 2024-2025
Institution
AHIP 2024-2025
AHIP MODULE 3 ACTUAL EXAM
COMPLETE 120 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES
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 Medic...
you tell her? - Answer✔️✔️-b. If a Part D benefit is offered through her plan she may
choose in enroll in that plan or a standalone PDP. Correct
Which of the following statements about Medicare Part D are correct?
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. - Answer✔️✔️-b. I, II, and III only Correct
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? - Answer✔️✔️-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
Mrs. Andrews was preparing a budget for next year because she takes quite a few
prescription drugs, she will reach the coverage gap, and wants to be sure she has
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