Entertaining AHIP 2025 Exam Questions With Correct Answers
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Course
AHIP
Institution
AHIP
Entertaining AHIP 2025 Exam Questions
With Correct Answers
Medicare Prescription Payment Plan - answerBeginning in 2025, the prescription drug law,
known as the Inflation Reduction Act, requires all Medicare prescription drug plans (Medicare
Part D plans) — including both standalone Medicare ...
Entertaining AHIP 2025 Exam Questions
With Correct Answers
Medicare Prescription Payment Plan - answer✔✔Beginning in 2025, the prescription drug law,
known as the Inflation Reduction Act, requires all Medicare prescription drug plans (Medicare
Part D plans) — including both standalone Medicare prescription drug plans and Medicare
Advantage plans with prescription drug coverage — to offer enrollees the option to pay out-of-
pocket prescription drug costs in the form of capped monthly payments instead of all at once at
the pharmacy.
Benefits of Medicare Prescription Payment Plan - answer✔✔Expanding benefits, lowering drug
costs, and improving the sustainability of the Medicare program
What is the Medicare Prescription Payment Plan? - answer✔✔Offers Part D enrollees the option
to pay out-of-pocket prescription drug costs in the form of capped monthly payments instead of
all at once to the pharmacy under the Medicare Prescription Payment Plan.
How does the Medicare Prescription Payment Plan work? - answer✔✔For beneficiaries facing
high costs on their prescriptions, it provides them with the option of paying out-of-pocket drug
costs in installments. It does not offer a discount, just manageable payments
A client enjoys a comfortable retirement income. He recently had surgery and expected that he
would have certain services and items covered by the plan with minimal out-of-pocket costs
because his MA-PD coverage has been very good. However, when he received the bill, he was
surprised to see large charges in excess of his maximum out-of-pocket limit that included some
services and items he thought would be fully covered. He called you to ask what he could do?
What could you tell him? - answer✔✔Medicare Advantage (MA) plan enrollees have a right to
obtain a review (appeal) to certain decisions about health care payment, coverage of services, or
prescription drug coverage. Medicare health plans must provide enrollees with a written
description of the appeals process.
A client is enrolled in her state's Medicaid program in addition to Medicare. What should she be
aware of when considering enrollment in a Medicare Advantage (MA) plan? - answer✔✔The
client is a dual-eligible. Dual-eligible beneficiaries may enroll in any type of MA plan except a
MA Medical Savings Account (MSA) plan.
A beneficiary recently lost her employer group health and drug coverage and now she wants to
enroll in a PPO that does not include drug coverage. What should you tell her about obtaining
d. I and II only - answer✔✔I, II, and IV only
Happy 420Camper, age 65, is entitled to Part A but has not yet enrolled in Part B. She is
considering enrollment in a Medicare Advantage plan (Part C). What should you advise Happy
to do before she can enroll in a Medicare Advantage plan? - answer✔✔Eligibility to enroll in a
Medicare Advantage plan requires entitlement to benefits under Part A and enrollment in Part B.
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