AHIP 2022 Module 3 Questions and
Answers 100% Verified
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?
✔✔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? ✔✔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. ✔✔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? ✔✔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? ✔✔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.
Answers 100% Verified
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?
✔✔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? ✔✔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. ✔✔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? ✔✔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? ✔✔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.
