AHIP MEDICARE CERTIFICATION: MODULE 3
EXAM ASSESSMENT
1. What key change did the Inflation Reduction Act (IRA) introduce regarding
Medicare prescription drug coverage?
A) It reduces the eligibility age for Medicare to 60.
B) It caps out-of-pocket expenses for prescription drugs at $2,000.
C) It eliminates the requirement for Part D plans.
D) It increases prescription drug prices by 10%.
Answer:
B) It caps out-of-pocket expenses for prescription drugs at $2,000.
Rationale:
The Inflation Reduction Act (IRA) introduced a $2,000 out-of-pocket cap for prescription
drugs under Medicare, effective in 2025.
2. How does the Inflation Reduction Act (IRA) impact the cost of insulin under
Medicare?
A) It eliminates the need for insulin coverage.
B) It sets a cap of $35 per month for insulin for Medicare beneficiaries.
C) It increases the coverage for insulin to $500 per month.
D) It requires insulin to be covered by only Medicare Part B.
Answer:
B) It sets a cap of $35 per month for insulin for Medicare beneficiaries.
Rationale:
The IRA limits the cost of insulin to $35 per month for Medicare beneficiaries, providing
significant savings for those needing insulin.
3. The Medicare Prescription Payment Plan (M3P) introduced by the IRA provides
which of the following?
A) A cap on prescription drug prices for beneficiaries.
B) Coverage for vision and dental services.
C) A new premium tax credit for beneficiaries.
D) A rebate for beneficiaries who exceed the out-of-pocket cap.
, Answer:
A) A cap on prescription drug prices for beneficiaries.
Rationale:
The M3P, as part of the IRA, establishes a cap on prescription drug prices to reduce costs for
Medicare beneficiaries.
4. How does the Inflation Reduction Act (IRA) impact Medicare's coverage of vaccines?
A) It eliminates vaccine coverage for Medicare beneficiaries.
B) It provides free coverage for vaccines for all Medicare beneficiaries.
C) It only covers flu vaccines for individuals over 65.
D) It requires co-pays for vaccines under Medicare Part B.
Answer:
B) It provides free coverage for vaccines for all Medicare beneficiaries.
Rationale:
The IRA ensures that vaccines, including those for shingles and other diseases, are covered at
no cost to Medicare beneficiaries.
5. The Inflation Reduction Act (IRA) allows for the negotiation of which type of
Medicare drug costs?
A) Costs for generics only.
B) Part D drug costs for all beneficiaries.
C) Part B drugs for high-cost medications.
D) Prescription drugs for only low-income beneficiaries.
Answer:
C) Part B drugs for high-cost medications.
Rationale:
The IRA allows Medicare to negotiate the prices of high-cost prescription drugs covered
under Medicare Part B, aiming to reduce drug prices for beneficiaries.
6. What change does the IRA make to the Medicare Part D donut hole?
A) It removes the donut hole entirely.
B) It reduces the cost-sharing requirement for beneficiaries within the donut hole.
C) It increases the donut hole amount to $10,000.
D) It introduces a new deductible for Part D plans.
EXAM ASSESSMENT
1. What key change did the Inflation Reduction Act (IRA) introduce regarding
Medicare prescription drug coverage?
A) It reduces the eligibility age for Medicare to 60.
B) It caps out-of-pocket expenses for prescription drugs at $2,000.
C) It eliminates the requirement for Part D plans.
D) It increases prescription drug prices by 10%.
Answer:
B) It caps out-of-pocket expenses for prescription drugs at $2,000.
Rationale:
The Inflation Reduction Act (IRA) introduced a $2,000 out-of-pocket cap for prescription
drugs under Medicare, effective in 2025.
2. How does the Inflation Reduction Act (IRA) impact the cost of insulin under
Medicare?
A) It eliminates the need for insulin coverage.
B) It sets a cap of $35 per month for insulin for Medicare beneficiaries.
C) It increases the coverage for insulin to $500 per month.
D) It requires insulin to be covered by only Medicare Part B.
Answer:
B) It sets a cap of $35 per month for insulin for Medicare beneficiaries.
Rationale:
The IRA limits the cost of insulin to $35 per month for Medicare beneficiaries, providing
significant savings for those needing insulin.
3. The Medicare Prescription Payment Plan (M3P) introduced by the IRA provides
which of the following?
A) A cap on prescription drug prices for beneficiaries.
B) Coverage for vision and dental services.
C) A new premium tax credit for beneficiaries.
D) A rebate for beneficiaries who exceed the out-of-pocket cap.
, Answer:
A) A cap on prescription drug prices for beneficiaries.
Rationale:
The M3P, as part of the IRA, establishes a cap on prescription drug prices to reduce costs for
Medicare beneficiaries.
4. How does the Inflation Reduction Act (IRA) impact Medicare's coverage of vaccines?
A) It eliminates vaccine coverage for Medicare beneficiaries.
B) It provides free coverage for vaccines for all Medicare beneficiaries.
C) It only covers flu vaccines for individuals over 65.
D) It requires co-pays for vaccines under Medicare Part B.
Answer:
B) It provides free coverage for vaccines for all Medicare beneficiaries.
Rationale:
The IRA ensures that vaccines, including those for shingles and other diseases, are covered at
no cost to Medicare beneficiaries.
5. The Inflation Reduction Act (IRA) allows for the negotiation of which type of
Medicare drug costs?
A) Costs for generics only.
B) Part D drug costs for all beneficiaries.
C) Part B drugs for high-cost medications.
D) Prescription drugs for only low-income beneficiaries.
Answer:
C) Part B drugs for high-cost medications.
Rationale:
The IRA allows Medicare to negotiate the prices of high-cost prescription drugs covered
under Medicare Part B, aiming to reduce drug prices for beneficiaries.
6. What change does the IRA make to the Medicare Part D donut hole?
A) It removes the donut hole entirely.
B) It reduces the cost-sharing requirement for beneficiaries within the donut hole.
C) It increases the donut hole amount to $10,000.
D) It introduces a new deductible for Part D plans.
