Health Care > AHIP > AHIP Module 3 Question and Answers V2 (2022/2023) 100% Correct Answers (All)

AHIP Module 3 Question and Answers V2 (2022/2023) 100% Correct Answers

Document Content and Description Below

CARLINI has heard that Medicare Rx plans are only offered through private companies under a program known as MA, NOT by the government. He likes Original Medicare and does NOT want to sign up for an ... MA product, but he also wants Rx coverage. (Medicare Part D Rx coverage, basics, eligibility) Correct Answer: Mr. Carlini can stay with Original Medicare and ALSO enroll in a Medicare Rx plan through a private company that has contracted with the government to provide only such drug coverage to eligible Medicare beneficiaries. MULCAHY is concerned that she may not qualify for enrollment in a Medicare Rx plan because, although she is entitled to Part A, she is not enrolled under Medicare Part B. What should you tell her? (Medicare Part D Rx coverage, basics, eligibility) Correct Answer: Everyone who is entitled to Part A or enrolled under Part B is eligible to enroll in a Medicare Rx plan. As long as Mrs. Mulcahy is entitled to Part A, she DOESN'T need to enroll under Part B before enrolling in a Rx plan. ALL plans must cover at least the standard Part D coverage or its actuarial equivalent. What costs would a beneficiary incur for Rx drugs in 2016 under the standard coverage? (Medicare Part D Rx coverage, basics, eligibility) Correct Answer: Standard Part D coverage would require payment of an annual deductible, 25% cost sharing up to the coverage gap, a portion of costs for both generic and brand name drugs in the coverage gap, and co-pays or co-insurance after the coverage gap. ANDREWS is preparing a budget for next year because she takes quite a few Rx's, she will reach the coverage gap, and wants to be sure she has enough money set aside for those months. She received assistance calculating her projected expenses from her daughter who is a pharmacist, but she doesn't think the calculations are correct because her out of pocket expenses would be lower than last year. (Medicare Part D Rx coverage, basics, eligibility) Correct Answer: It would NOT be unusual for her costs to be a bit less because each year until 2020, an enrollee's share of the drug costs in the coverage gap are less. JACOB understands that there is a standard Medicare Part D Rx 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? (Medicare Part D Rx coverage, basics, eligibility) Correct Answer: Medicare Part D drug plans may have different benefit structures, but on average, they must ALL be at least as good as the standard model established by the government. What types of tools can Medicare Part D Rx plan use that affect the way their enrollees can access medications? (Part D management tools; covered drugs/formulary) Correct Answer: Part D plans do NOT have to cover all medications. As a result, their formularies, or lists of covered drugs, will vary from plan to plan. In addition, they can use cost containment techniques such as tiered co-payments and prior authorizations. [Show More]

Last updated: 1 year ago

Preview 1 out of 3 pages

Reviews( 0 )

Recommended For You

 Health Care> AHIP > AHIP Module 3 Question and Answers (Latest 2022/2023) 100% Correct Answers (All)

preview
AHIP Module 3 Question and Answers (Latest 2022/2023) 100% Correct 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

$3.5

 *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

 Health Care> AHIP > AHIP Final Exam Test Questions & Answers (2022/2023) A+ GRADED (All)

preview
AHIP Final Exam Test Questions & Answers (2022/2023) A+ GRADED

AHIP Final Exam Test Questions & Answers (2022/2023) A+ GRADED Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wonder...

By professor chue , Uploaded: Sep 27, 2022

$16

 Health Care> AHIP > AHIP Questions and Answers 2022/2023 with Complete Solution (All)

preview
AHIP Questions and Answers 2022/2023 with Complete Solution

Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What shou...

By Gathiru Elizabeth , Uploaded: Mar 21, 2023

$11

 Health Care> AHIP > AHIP QUESTIONS AND ANSWERS 2021 (All)

preview
AHIP QUESTIONS AND ANSWERS 2021

AHIP QUESTIONS AND ANSWERS 2021 Mr. Schmidt would like to plan for retirement and has asked you what is covered under Original Fee-for-Service (FFS) Medicare? What could you tell him? Choose o...

By Excellentpass , Uploaded: Aug 11, 2022

$9

 *NURSING> AHIP > AHIP STUDY GUIDE QUESTIONS AND ANSWERS 2022/2023 MODULE 1-5 (All)

preview
AHIP STUDY GUIDE QUESTIONS AND ANSWERS 2022/2023 MODULE 1-5

Module 1 1.Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it im...

By Excellentpass , Uploaded: Aug 11, 2022

$9

 *NURSING> AHIP > AHIP Final Exam Test Questions and Answers (2022/2023) (Verified Answers by GOLD rated Expert, (All)

preview
AHIP Final Exam Test Questions and Answers (2022/2023) (Verified Answers by GOLD rated Expert,

AHIP Final Exam Test Questions and Answers (2022/2023) (Verified Answers by GOLD rated Expert, Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through...

By Beststudies , Uploaded: Aug 09, 2022

$10

 Law> AHIP > AHIP STUDY GUIDE QUESTIONS&ANSWERS 2022 (All)

preview
AHIP STUDY GUIDE QUESTIONS&ANSWERS 2022

. Ms. Moore plans to retire when she turns 65 in a few months. She is in excellent health and will have considerable income when she retires. She is concerned that her income will make it impossible...

By MAYEXPERT , Uploaded: Aug 04, 2022

$14

 Law> AHIP > AHIP Final Exam Test Questions and Answers (2022/2023) (All)

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

Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis through massage therapy. She is concerned about whether or not Medicare will cover these items and servic...

By MAYEXPERT , Uploaded: Aug 04, 2022

$16.5

 Law> AHIP > 2022 AHIP Study Guide (including FWA, Discrimination & Compliance) (All)

preview
2022 AHIP Study Guide (including FWA, Discrimination & Compliance)

Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain coverage under Medicare. What should you...

By MAYEXPERT , Uploaded: Aug 04, 2022

$12.5

$4.00

Add to cart

Instant download

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

OR

GET ASSIGNMENT HELP
107
0

Document information


Connected school, study & course



About the document


Uploaded On

Nov 07, 2022

Number of pages

3

Written in

Seller


seller-icon
ETSY

Member since 1 year

6 Documents Sold


Additional information

This document has been written for:

Uploaded

Nov 07, 2022

Downloads

 0

Views

 107

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·