Question
1
Marks: 1
Mr. Wingate is a newly enrolled Medicare Part D beneficiary and one of your clients. In addition to drugs on his plan’s formulary he takes several other medications. These include a prescription drug not on his plan’s formulary, over-the-counter medications for colds and ...
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Course (2024 Module 3:
Part D) Transcript
Module 3 Final Review
Review of attempt 1
Started on Saturday, May 1, 2023, 12:56 PM
Complete Saturday, May 1, 2023, 01:20 PM
d on
Time 24 mins 21 secs
taken
Marks 19/20
Grade 95 out of a maximum of 100 (95%)
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,[Type text]
2024 AHIP Module 3.1.
Question
1
Marks: 1
Mr. Wingate is a newly enrolled Medicare Part D beneficiary
and one of your clients. In addition to drugs on his plan’s
formulary he takes several other medications. These include a
prescription drug not on his plan’s formulary, over-the-counter
medications for colds and allergies, vitamins, and drugs from
an Internet-based Canadian pharmacy to promote hair growth
and reduce joint swelling. His neighbor recently told him about
a concept called TrOOP and he asks you if any of his other
medications could count toward TrOOP should he ever reach
the Part D catastrophic limit. What should you say?
Choose one answer.
a. The cost of the
prescription drugs that are
not on his plan’s formulary
as well as the cost of the
drug(s) to reduce joint
swelling from the Canadian
pharmacy will count
toward TrOOP but the
other medications in
question will not
count toward TrOOP.
b. None of the costs of Mr. Correct: None of the costs of
Wingate’s other Mr. Wingate’s other
medications would medications would currently
currently count toward count toward TrOOP but he
TrOOP but he may wish to may wish to ask his plan for an
ask his plan for an exception to cover the
exception to cover the prescription not on its
prescription not on formulary. If he receives an
its formulary. exception under which the plan
covers the drug, it could count
toward TrOOP.
,[Type text]
2024 AHIP Module 3.1.
c. The cost of all
medications bought within
the United States not
covered by his plan would
count toward TrOOP. The
cost of the Canadian
bought medications would
not
count toward TrOOP.
d. The cost of the
prescription drug that is
not on his plan’s formulary
will count toward TrOOP
but the other medications
in question will not
count toward TrOOP.
Source: Module 3, Slide – True Out-of-Pocket Counts?
(TrOOP): What Counts, Slide - True Out-of-Pocket Costs
(TrOOP): What is Excluded? Correct
Marks for this submission: 1/1.
Question
2
Marks: 1
Mr. Shapiro gets by on a very small amount of fixed income.
He has heard there may be extra help paying for Part D
prescription drugs for Medicare beneficiaries with limited
income. He wants to know whether he might qualify. What
should you tell him?
Choose one answer.
a. The extra help is
available only to
Medicare beneficiaries
who are enrolled in
Medicaid. He should
apply for coverage
under his state’s
Medicaid program to
access the extra
help with his drug costs.
, [Type text]
2024 AHIP Module 3.1.
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