Health Care > AHIP > AHIP 2022 Module 3 QUESTIONS AND ANSWERS (All)

AHIP 2022 Module 3 QUESTIONS AND ANSWERS

Document Content and Description Below

AHIP 2022 Module 3 QUESTIONS AND ANSWERS Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but when he 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? Correct Answer: Part D plans must cover at least the Part D standard benefits or its actuarial equivalent. They are not required to offer 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? Correct Answer: 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 in limited circumstances. II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but may choose to have one. III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain Part D benefits through a standalone PDP. IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a standalone PDP or through their plan. Correct Answer: Beneficiaries enrolled in an MA-PPO may not obtain Part D benefits through a standalone PDP or through their plan. They must obtain them through their plan by enrolling in an MA-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? Correct Answer: 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 Medicare Advantage (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. Mr. Hutchinson has drug coverage through his former employer's retiree plan. He is concerned about the Part D premium 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? Correct Answer: To avoid a late enrollment penalty, Mr. Hutchinson must have "creditable" coverage. If he does not, he must enroll in Medicare Part D during his initial eligibility period to avoid a late enrollment penalty. Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. She has recently lost creditable coverage previously available through her husband's employer. She is interested in enrolling in a Medicare Part D prescription drug plan (PDP). What should you tell her? Correct Answer: If a Part D benefit is offered through her plan she may choose to enroll in that plan or a standalone PDP. 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? Correct Answer: None of the costs of Mr. Wingate's other medications would currently count toward TrOOP but he may wish to ask his plan for an exception to cover the prescription not on its formulary. Mr. Shultz was still working when he first qualified for Medicare. At that time, he had employer group coverage that was creditable. During his initial Part D eligibility period, he decided not to enroll because he was satisfied with his drug coverage. It is now a year later and Mr. Shultz has lost his employer group coverage within the last two weeks. How would you advise him? Correct Answer: Mr. Schultz should enroll in a Part D plan before he has a 63-day break in coverage in order to avoid a premium penalty. Mr. Bickford did not quite qualify for the extra help low-income subsidy under the Medicare Part D Prescription Drug program and he is wondering if there is any other option he has for obtaining help with his considerable drug costs. What should you tell him? Correct Answer: He could check with the manufacturers of his medications to see if they offer an assistance program to help people with limited means to obtain the medications they need. Alternatively, he could check to see whether his state has a pharmacy assistance program to help him with his expenses. Mrs. Quinn has just turned 65, is in excellent health and has a relatively high income. She uses no medications and sees no reason to spend money on a Medicare prescription drug plan if she does not need the coverage. She currently does not have creditable coverage. What could you tell her about the implications of such a decision? Correct Answer: If she does not sign up for a Medicare prescription drug plan as soon as she is eligible to do so, and if she does sign up at a later date, her premium will be permanently increased by 1% of the national average premium for every month that she was not covered. Ms. Edwards is enrolled in a Medicare Advantage plan that includes prescription drug plan (PDP) coverage. She is traveling and wishes to fill two of the prescriptions that she has lost. How would you advise her? Correct Answer: She may fill prescriptions for covered drugs at non-network pharmacies, but likely at a higher cost than paid at an in-network pharmacy. [Show More]

Last updated: 1 year ago

Preview 1 out of 3 pages

Also available in bundle (1)

Bundle for AHIP Tests Compilation | Everything you need!!

Bundle for AHIP Tests Compilation | Everything you need!!

By Crum 1 year ago

$20.5

32  

Reviews( 0 )

Recommended For You

 Health Care> AHIP > AHIP Module 3 QUESTIONS AND ANSWERS (All)

preview
AHIP Module 3 QUESTIONS AND ANSWERS

AHIP Module 3 QUESTIONS AND ANSWERS Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a program known as Medicare Advantage (MA), not by t...

By Crum , Uploaded: Aug 01, 2022

$7

 Health Care> AHIP > AHIP 2020-2021 Module 3 QUESTIONS AND ANSWERS (All)

preview
AHIP 2020-2021 Module 3 QUESTIONS AND ANSWERS

AHIP 2020-2021 Module 3 QUESTIONS AND ANSWERS One of your clients, Lauren Nichols, has heard about a Medicare concept from one of her neighbors called TrOOP. She asks you to explain it. What do you...

By Crum , Uploaded: Aug 01, 2022

$7

 *NURSING> AHIP > AHIP Module 3 Questions and Answers | Verified Answer 2022/2023 (All)

preview
AHIP Module 3 Questions and Answers | Verified Answer 2022/2023

AHIP Module 3 Questions and Answers | Verified Answer 2022/2023

By DENNIS RIXX , Uploaded: Aug 16, 2022

$12

 *NURSING> AHIP > AHIP Module 3 Questions and Answers | Verified Answer 2022/2023 (All)

preview
AHIP Module 3 Questions and Answers | Verified Answer 2022/2023

AHIP Module 3 Questions and Answers | Verified Answer 2022/2023/////AHIP Module 3 Questions and Answers | Verified Answer 2022/2023

By Rixx Dennis , Uploaded: Aug 16, 2022

$10.5

 *NURSING> AHIP > Ahip Module 3 Questions And Answers 2022 (All)

preview
Ahip Module 3 Questions And Answers 2022

Ahip Module 3 Questions And Answers 2022

By ELIANA , Uploaded: Aug 20, 2022

$7

 Health Care> AHIP > AHIP 2020-2021 Module 3 QUESTIONS AND ANSWERS (All)

preview
AHIP 2020-2021 Module 3 QUESTIONS AND ANSWERS

One of your clients, Lauren Nichols, has heard about a Medicare concept from one of her neighbors called TrOOP. She asks you to explain it. What do you say? Correct Answer: d. TrOOP stands for true...

By ETSY , Uploaded: Nov 07, 2022

$4

 Health Care> AHIP > AHIP 2022 Module 3 QUESTIONS AND ANSWERS (All)

preview
AHIP 2022 Module 3 QUESTIONS AND ANSWERS

Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but when he looks at information on various plans available in his area, he sees a wide range in what they ch...

By ETSY , Uploaded: Nov 07, 2022

$4

 Health Care> AHIP > AHIP Module 3 QUESTIONS AND ANSWERS (All)

preview
AHIP Module 3 QUESTIONS AND ANSWERS

Mr. Carlini has heard that Medicare prescription drug plans are only offered through private companies under a program known as Medicare Advantage (MA), not by the government. He likes Original Medi...

By ETSY , Uploaded: Nov 07, 2022

$4.5

 *NURSING> AHIP > NGN ATI Professional Nursing QUESTION AND ANS LATEST 2023 GRADED A+ (All)

preview
NGN ATI Professional Nursing QUESTION AND ANS LATEST 2023 GRADED A+

1.Clara Barton is known for: a.becoming the first black public health nurse. b.establishing the Henry Street Settlement. c.founding the American Red Cross. d.publicizing the inadequacies of hospit...

By skpass , Uploaded: Jun 22, 2023

$17

 *NURSING> AHIP > AHIP Final Exam Test Questions and Answers (2022/2023) (Verified Answers) (All)

preview
AHIP Final Exam Test Questions and Answers (2022/2023) (Verified Answers)

AHIP Final Exam Test Questions and Answers (2022/2023) (Verified Answers) AHIP Final Exam Test Questions and Answers (2022/2023) (Verified Answers) AHIP Final Exam Test Questions and Answers (2022/202...

By Rixx Dennis , Uploaded: Aug 15, 2022

$12

$7.00

Add to cart

Instant download

Can't find what you want? Try our AI powered Search

OR

GET ASSIGNMENT HELP
195
0

Document information


Connected school, study & course



About the document


Uploaded On

Aug 01, 2022

Number of pages

3

Written in

Seller


seller-icon
Crum

Member since 1 year

59 Documents Sold


Additional information

This document has been written for:

Uploaded

Aug 01, 2022

Downloads

 0

Views

 195

Document Keyword Tags

THE BEST STUDY GUIDES

Avoid resits and achieve higher grades with the best study guides, textbook notes, and class notes written by your fellow students

custom preview

Avoid examination resits

Your fellow students know the appropriate material to use to deliver high quality content. With this great service and assistance from fellow students, you can become well prepared and avoid having to resits exams.

custom preview

Get the best grades

Your fellow student knows the best materials to research on and use. This guarantee you the best grades in your examination. Your fellow students use high quality materials, textbooks and notes to ensure high quality

custom preview

Earn from your notes

Get paid by selling your notes and study materials to other students. Earn alot of cash and help other students in study by providing them with appropriate and high quality study materials.

WHAT STUDENTS SAY ABOUT US


What is Browsegrades

In Browsegrades, a student can earn by offering help to other student. Students can help other students with materials by upploading their notes and earn money.

We are here to help

We're available through e-mail, Twitter, Facebook, and live chat.
 FAQ
 Questions? Leave a message!

Follow us on
 Twitter

Copyright © Browsegrades · High quality services·