& Answers (Grade A+)
Patients have 7-month initial enrollment period to sign up for Part A
and/or Part B -
correct answer ✅-Begins 3 months before they turn 65
-Includes the month they turn 65
-Ends 3 months after the month of being 65
What is the enrollment date? -
correct answer ✅October 15 - December 7
Medicare Part A -
correct answer ✅is hospital insurance, hospice, etc, doesn't cover
outpatient prescriptions
Medicare Part B -
correct answer ✅medical insurance. It helps to pay for doctors'
services, outpatient hospital care, and physical therapy. It covers a
limited # prescriptions
Medicare Part C (Medicare Advantage) -
correct answer ✅optional, premium payment required
participation in part A and B required
provides coverage that a Medigap Plan would provide
, CPJE PNN - Law B.2 Exam Questions
& Answers (Grade A+)
Medicare Part D "donut hole" -
correct answer ✅covers the cap in the coverage. Part D coverage is
optional and added on to "original Medicare" Prescriptions with
Part D are processed just like any other insurance company.
What is the requirement of enrolling Medicare Part D -
correct answer ✅Must be enrolled in Medicare Part A or Part B
Medi-Cal Tamper Resistant Prescriptions -
correct answer ✅All written Medicaid or Medi-Cal outpatient
prescriptions (also applies to non-prescription medications) must
be written on a special tamper-resistant prescription blanks
Rebates/Discounts for Referrals -
correct answer ✅It is strictly against the law to:
- offer gift or money to prescribers for sending a customer to a
particular pharmacy
-offer gifts or monetary reimbursements to pharmacies for sending
their patients