Ahip 2024 module 3/ 20
Questions and Answers/ Already
Solved/100% Accurate
Which of the following statements about Medicare Part D are correct? - -
I, II, and III only
-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.
-Mr. Schultz was still working when he first qualified for Medicare. At
that time, he had employer group coverage that was creditable. During
his initial Part D eligibility period, he decided not to enroll because he
was satisfied with his drug coverage. It is now a year later and Mr.
Schultz has lost his employer group coverage within the last two weeks.
How would you advise him? - -Mr. Schultz should enroll in a Part D plan
before he has a 63-day break in coverage in order to avoid a premium
penalty.
-Mrs. Fiore is a retired federal worker with coverage under a Federal
Employee Health Benefits (FEHB) plan that includes creditable drug
coverage. She is ready to turn 65 and become Medicare eligible for the
first time. What issues might she consider about whether to enroll in a
Medicare prescription drug plan? - -She could compare the coverage to
see if the Medicare Part D plan offers better benefits and coverage than
the FEHB plan for the specific medications she needs and whether any
additional benefits are worth the Part D premium costs on top of her
FEHB contribution.
-Mrs. Fields wants to know whether applying for the Part D low income
subsidy will be worth the time to fill out the paperwork. What could you
tell her? - -The Part D low income subsidy could substantially lower her
overall costs. She can apply by contacting her state Medicaid office, or
calling the Social Security Administration.
-Mrs. Walters is entitled to Part A and has medical coverage without
drug coverage through an employer retiree plan. She is not enrolled in
Part B. Since the employer plan does not cover prescription drugs, she
wants to enroll in a Medicare prescription drug plan. Will she be able to?
- -Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be
eligible for coverage under the Medicare prescription drug program.
-Mr. Torres has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal from
Questions and Answers/ Already
Solved/100% Accurate
Which of the following statements about Medicare Part D are correct? - -
I, II, and III only
-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.
-Mr. Schultz was still working when he first qualified for Medicare. At
that time, he had employer group coverage that was creditable. During
his initial Part D eligibility period, he decided not to enroll because he
was satisfied with his drug coverage. It is now a year later and Mr.
Schultz has lost his employer group coverage within the last two weeks.
How would you advise him? - -Mr. Schultz should enroll in a Part D plan
before he has a 63-day break in coverage in order to avoid a premium
penalty.
-Mrs. Fiore is a retired federal worker with coverage under a Federal
Employee Health Benefits (FEHB) plan that includes creditable drug
coverage. She is ready to turn 65 and become Medicare eligible for the
first time. What issues might she consider about whether to enroll in a
Medicare prescription drug plan? - -She could compare the coverage to
see if the Medicare Part D plan offers better benefits and coverage than
the FEHB plan for the specific medications she needs and whether any
additional benefits are worth the Part D premium costs on top of her
FEHB contribution.
-Mrs. Fields wants to know whether applying for the Part D low income
subsidy will be worth the time to fill out the paperwork. What could you
tell her? - -The Part D low income subsidy could substantially lower her
overall costs. She can apply by contacting her state Medicaid office, or
calling the Social Security Administration.
-Mrs. Walters is entitled to Part A and has medical coverage without
drug coverage through an employer retiree plan. She is not enrolled in
Part B. Since the employer plan does not cover prescription drugs, she
wants to enroll in a Medicare prescription drug plan. Will she be able to?
- -Yes. Mrs. Walters must be entitled to Part A or enrolled in Part B to be
eligible for coverage under the Medicare prescription drug program.
-Mr. Torres has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal from
