AHIP MODULE 3 ACTUAL EXAM 2024-2025
COMPLETE 120 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES|ALREADY GRADED A+
Terms in this set (28)
All plans must cover at least c. Standard Part D coverage would require payment of
the standard Part D an annual deductible, 25% cost-sharing up to the
coverage or its actuarial coverage gap, a portion of costs for both generics and
equivalent. What costs brand-name drugs in the coverage gap, and co-pays or
would a beneficiary incur co-insurance after the coverage gap. Correct
for prescription drugs in
2019 under the standard
coverage?
Mr. and Mrs. Vaughn both b. Medicare prescription drug plans are not permitted to
take a specialized cover the prescription medications the Vaughns are
multivitamin prescription interested in under Part D coverage, however, plans may
each day. Mr. Vaughn takes cover them as supplemental benefits and the Vaughn's
a prescription for helping to could look into that possibility. Correct
regrow his hair. They are
anxious to have their
Medicare prescription drug
plan cover these drug
needs. What should you tell
them?
, Mr. Bickford did not quite b. He could check with the manufacturers of his
qualify for the extra help medications to see if they offer an assistance program to
low-income subsidy under help people with limited means obtain the medications
the Medicare Part D they need. Alternatively, he could check to see whether
Prescription Drug program his state has a pharmacy assistance program to help him
and he is wondering if there with his expenses. Correct
is any other option he has
for obtaining help with his
considerable drug costs.
What should you tell him?
Mr. Carlini has heard that b. Mr. Carlini can stay with Original Medicare and also
Medicare prescription drug enroll in a Medicare prescription drug plan through a
plans are only offered private company that has contracted with the
through private companies government to provide only such drug coverage to
under a program known as eligible Medicare beneficiaries. Correct
Medicare Advantage (MA),
not by the government. He
likes Original Medicare and
does not want to sign up for
an MA product, but he also
wants prescription drug
coverage. What should you
tell him?
Mr. Hutchinson has drug d. If the drug coverage he has is not expected to pay, on
coverage through his average, at least as much as Medicare's standard Part D
former employer's retiree coverage expects to pay, then he will need to enroll in
plan. He is concerned Medicare Part D during his initial eligibility period to
about the Part D premium avoid the late enrollment penalty. Correct
penalty if he does not
enroll in a Medicare
prescription drug plan, but
does not want to purchase
extra coverage that he will
not need. What should you
tell him?
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