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AHIP - Module Quizzes( With Complete Top Solution Rated A)

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AHIP 2022 Module 3 QUIZ Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but whenhe looks at information on various plans available in his area, he sees a wide range in what they charge for deductibles, premiums, and cost sharing. How can you explain this...

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  • August 23, 2022
  • 4
  • 2022/2023
  • Exam (elaborations)
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AHIP 2022 Module 3 QUIZ
Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but whenhe looks
at information on various plans available in his area, he sees a wide range in what they charge for
deductibles, premiums, and cost sharing. How can you explain this to him? - Part D plansmust cover at least
the Part D standard benefits or its actuarial equivalent. They are not required tooffer the standard plan.


Question text

Mr. Torres has a small savings account. He would like to pay for his monthly Part D premiums with an
automatic monthly withdrawal from his savings account until it is exhausted, and then have his premiums
withheld from his Social Security check. What should you tell him? - In general, he must select a single Part D
premium payment mechanism that will be used throughout the year.


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 inlimited
circumstances.

II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but may chooseto have
one.

III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain Part Dbenefits
through a standalone PDP.

IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a standalone PDP or through
their plan. - Beneficiaries enrolled in an MA-PPO may not obtain Part D benefits through astandalone PDP or
through their plan. They must obtain them through their plan by enrolling in anMA-PD.


Mrs. Mulcahy, age 65, 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? - Mrs. Mulcahy can enroll in Part D because she is entitled to Part A. The rules for Part D are
different from those that apply to eligibility for MedicareAdvantage (Part C). Individuals entitled to Part A
and/or enrolled in Part B are eligible to enroll in Part D. In contrast, to enroll in an MA plan an individual
must be eligible for Part A and enrolled in Part B.

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