AHIP 2022 Module 3 QUIZ
Mr. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but whenhe 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? - Part D plansmust cover at least
the Part D standard benefits or its actuarial equivalent. They are not required tooffer 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? - 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 inlimited
circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but may chooseto have
one.
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain Part Dbenefits
through a standalone PDP.
IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a standalone PDP or through
their plan. - Beneficiaries enrolled in an MA-PPO may not obtain Part D benefits through astandalone PDP or
through their plan. They must obtain them through their plan by enrolling in anMA-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? - 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 MedicareAdvantage (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. Jacob understands that there is a standard Medicare Part D prescription drug benefit, but whenhe 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? - Part D plansmust cover at least
the Part D standard benefits or its actuarial equivalent. They are not required tooffer 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? - 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 inlimited
circumstances.
II. Private fee-for-service (PFFS) plans are not required to use a pharmacy network but may chooseto have
one.
III. Beneficiaries enrolled in a MA-Medical Savings Account (MSA) plan may only obtain Part Dbenefits
through a standalone PDP.
IV. Beneficiaries enrolled in a MA-PPO may obtain Part D benefits through a standalone PDP or through
their plan. - Beneficiaries enrolled in an MA-PPO may not obtain Part D benefits through astandalone PDP or
through their plan. They must obtain them through their plan by enrolling in anMA-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? - 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 MedicareAdvantage (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.
