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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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  • August 13, 2024
  • 2
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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LEWIS12
AHIP Module 3

What 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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