AHIP 2024 FINAL EXAM NEWEST 2024-2025 ACTUAL
EXAM WITH ALL 1000+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Mr. Bickford did not quite qualify for the extra help low-income subsidy under the
Medicare Part D Prescription Drug program and he is wondering if there is any
other option he has for obtaining help with his considerable drug costs.
What should you tell him? - ANSWER---He could check with the manufacturers
of his medications to see if they offer an assistance program to help people with
limited means obtain the medications they need. Alternatively, he could check to
see whether his state has a pharmacy assistance program to help him with his
expenses.
Mrs. Fiore was in the Army for 35 years and is now retired. She has drug coverage
through the VA. What issues might she consider with regard to whether to enroll in
a Medicare prescription drug plan? - ANSWER---She could compare the coverage
to see if the Medicare Part D plan offers better benefits and coverage than the VA
for the specific medications she needs and whether any additional benefits are
worth the Part D premium costs.
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? - ANSWER---If the drug coverage he has is
not expected to pay, on average, at least as much as Medicare's standard Part D
coverage expects to pay, then he will need to enroll in Medicare Part D during his
initial eligibility period to avoid the late enrollment penalty.
Mr. Rice has coverage for medical services and medications through his
employer's retiree plan. He is considering switching to a Medicare prescription
drug plan because his retiree plan does not cover two important medications.
, AHIP 2024 FINAL EXAM NEWEST 2024-2025 ACTUAL
EXAM WITH ALL 1000+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
What should he consider before making a change? - ANSWER---If Mr. Rice drops
his drug coverage through the retiree plan, he may not be able to get it back and he
also may lose his medical health coverage.
Ms. Edwards is enrolled in a Medicare Advantage plan that includes prescription
drug plan (PDP) coverage. She is traveling and wishes to fill two of her
prescriptions hat she has lost. How would you advise her? - ANSWER---She may
fill prescriptions for covered drugs at non-network pharmacies, but likely at a
higher cost than paid at an in-network pharmacy.
Mr. Shultz 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. Shultz has lost his employer group
coverage. How would you advise him? - ANSWER---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. McIntire is enrolled in her state's Medicaid plan and has just become eligible
for Medicare as well. What can she expect will happen with respect to her drug
coverage? - ANSWER---Unless she chooses a Medicare Part D prescription drug
plan on her own, she will be automatically enrolled in one available in her area.
Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage (MA),
not by the government. He likes Original Medicare and does not want to sign up
for an MA product, but he also wants prescription drug coverage. What should you
tell him? - ANSWER---Mr. Carlini can stay with Original Medicare and also enroll
in a Medicare prescription drug plan through a private company that has contracted
, AHIP 2024 FINAL EXAM NEWEST 2024-2025 ACTUAL
EXAM WITH ALL 1000+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
with the government to provide only such drug coverage to eligible Medicare
beneficiaries.
What types of tools can Medicare Part D prescription drug plans use that affect the
way their enrollees can access medications? - ANSWER---Part D plans do not
have to cover all medications. As a result, their formularies, or lists of covered
drugs, will vary from plan to plan. In addition, they can use cost containment
techniques such as tiered co-payments and prior authorization.
Mr. and Mrs. Vaughn both take a specialized multivitamin prescription each day.
Mr. Vaughn takes a prescription for helping to regrow his hair. They are anxious to
have their Medicare prescription drug plan cover these drug needs.
What should you tell them? - ANSWER---Medicare prescription drug plans are not
permitted to cover the prescription medications the Vaughns are interested in under
Part D coverage, however, plans may cover them as supplemental benefits and the
Vaughn's could look into that possibility.
Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. She has recently
lost creditable coverage previously available through her husband's employer. She
is interested in enrolling in a Medicare Part D prescription drug plan (PDP). What
should you tell her? - ANSWER---If a Part D benefit is offered through her plan
she may choose to enroll in that plan or a standalone PDP.
Mrs. Grant uses several very expensive drugs and anticipates that she will enter
catastrophic coverage at some point during the year. To help her determine when
she is likely to qualify for catastrophic coverage, she asked which expenses count
toward the out-of-pocket limit that qualifies her for catastrophic coverage.
Which one of the following would count? - ANSWER---Prescription drugs she
purchases when in the Part D coverage gap.
, AHIP 2024 FINAL EXAM NEWEST 2024-2025 ACTUAL
EXAM WITH ALL 1000+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
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? -
ANSWER---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. Fiore was in the Army for 35 years and is now retired. She has drug coverage
through the VA. What issues might she consider with regard to whether to enroll in
a Medicare prescription drug plan? - ANSWER---She could compare the coverage
to see if the Medicare Part D plan offers better benefits and coverage than the VA
for the specific medications she needs and whether any additional benefits are
worth the Part D premium costs.
Mr. Rice has coverage for medical services and medications through his
employer's retiree plan. He is considering switching to a Medicare prescription
drug plan because his retiree plan does not cover two important medications.
What should he consider before making a change? - ANSWER---If Mr. Rice drops
his drug coverage through the retiree plan, he may not be able to get it back and he
also may lose his medical health coverage
Mrs. McIntire is enrolled in her state's Medicaid plan and has just become eligible
for Medicare as well. What can she expect will happen with respect to her drug
coverage? - ANSWER---Unless she chooses a Medicare Part D prescription drug
plan on her own, she will be automatically enrolled in one available in her area.
All plans must cover at least the standard Part D coverage or its actuarial
equivalent. What costs would a beneficiary incur for prescription drugs in 2019
EXAM WITH ALL 1000+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
Mr. Bickford did not quite qualify for the extra help low-income subsidy under the
Medicare Part D Prescription Drug program and he is wondering if there is any
other option he has for obtaining help with his considerable drug costs.
What should you tell him? - ANSWER---He could check with the manufacturers
of his medications to see if they offer an assistance program to help people with
limited means obtain the medications they need. Alternatively, he could check to
see whether his state has a pharmacy assistance program to help him with his
expenses.
Mrs. Fiore was in the Army for 35 years and is now retired. She has drug coverage
through the VA. What issues might she consider with regard to whether to enroll in
a Medicare prescription drug plan? - ANSWER---She could compare the coverage
to see if the Medicare Part D plan offers better benefits and coverage than the VA
for the specific medications she needs and whether any additional benefits are
worth the Part D premium costs.
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? - ANSWER---If the drug coverage he has is
not expected to pay, on average, at least as much as Medicare's standard Part D
coverage expects to pay, then he will need to enroll in Medicare Part D during his
initial eligibility period to avoid the late enrollment penalty.
Mr. Rice has coverage for medical services and medications through his
employer's retiree plan. He is considering switching to a Medicare prescription
drug plan because his retiree plan does not cover two important medications.
, AHIP 2024 FINAL EXAM NEWEST 2024-2025 ACTUAL
EXAM WITH ALL 1000+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
What should he consider before making a change? - ANSWER---If Mr. Rice drops
his drug coverage through the retiree plan, he may not be able to get it back and he
also may lose his medical health coverage.
Ms. Edwards is enrolled in a Medicare Advantage plan that includes prescription
drug plan (PDP) coverage. She is traveling and wishes to fill two of her
prescriptions hat she has lost. How would you advise her? - ANSWER---She may
fill prescriptions for covered drugs at non-network pharmacies, but likely at a
higher cost than paid at an in-network pharmacy.
Mr. Shultz 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. Shultz has lost his employer group
coverage. How would you advise him? - ANSWER---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. McIntire is enrolled in her state's Medicaid plan and has just become eligible
for Medicare as well. What can she expect will happen with respect to her drug
coverage? - ANSWER---Unless she chooses a Medicare Part D prescription drug
plan on her own, she will be automatically enrolled in one available in her area.
Mr. Carlini has heard that Medicare prescription drug plans are only offered
through private companies under a program known as Medicare Advantage (MA),
not by the government. He likes Original Medicare and does not want to sign up
for an MA product, but he also wants prescription drug coverage. What should you
tell him? - ANSWER---Mr. Carlini can stay with Original Medicare and also enroll
in a Medicare prescription drug plan through a private company that has contracted
, AHIP 2024 FINAL EXAM NEWEST 2024-2025 ACTUAL
EXAM WITH ALL 1000+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
with the government to provide only such drug coverage to eligible Medicare
beneficiaries.
What types of tools can Medicare Part D prescription drug plans use that affect the
way their enrollees can access medications? - ANSWER---Part D plans do not
have to cover all medications. As a result, their formularies, or lists of covered
drugs, will vary from plan to plan. In addition, they can use cost containment
techniques such as tiered co-payments and prior authorization.
Mr. and Mrs. Vaughn both take a specialized multivitamin prescription each day.
Mr. Vaughn takes a prescription for helping to regrow his hair. They are anxious to
have their Medicare prescription drug plan cover these drug needs.
What should you tell them? - ANSWER---Medicare prescription drug plans are not
permitted to cover the prescription medications the Vaughns are interested in under
Part D coverage, however, plans may cover them as supplemental benefits and the
Vaughn's could look into that possibility.
Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. She has recently
lost creditable coverage previously available through her husband's employer. She
is interested in enrolling in a Medicare Part D prescription drug plan (PDP). What
should you tell her? - ANSWER---If a Part D benefit is offered through her plan
she may choose to enroll in that plan or a standalone PDP.
Mrs. Grant uses several very expensive drugs and anticipates that she will enter
catastrophic coverage at some point during the year. To help her determine when
she is likely to qualify for catastrophic coverage, she asked which expenses count
toward the out-of-pocket limit that qualifies her for catastrophic coverage.
Which one of the following would count? - ANSWER---Prescription drugs she
purchases when in the Part D coverage gap.
, AHIP 2024 FINAL EXAM NEWEST 2024-2025 ACTUAL
EXAM WITH ALL 1000+ QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |ALREADY
GRADED A+||BRAND NEW VERSION!!
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? -
ANSWER---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. Fiore was in the Army for 35 years and is now retired. She has drug coverage
through the VA. What issues might she consider with regard to whether to enroll in
a Medicare prescription drug plan? - ANSWER---She could compare the coverage
to see if the Medicare Part D plan offers better benefits and coverage than the VA
for the specific medications she needs and whether any additional benefits are
worth the Part D premium costs.
Mr. Rice has coverage for medical services and medications through his
employer's retiree plan. He is considering switching to a Medicare prescription
drug plan because his retiree plan does not cover two important medications.
What should he consider before making a change? - ANSWER---If Mr. Rice drops
his drug coverage through the retiree plan, he may not be able to get it back and he
also may lose his medical health coverage
Mrs. McIntire is enrolled in her state's Medicaid plan and has just become eligible
for Medicare as well. What can she expect will happen with respect to her drug
coverage? - ANSWER---Unless she chooses a Medicare Part D prescription drug
plan on her own, she will be automatically enrolled in one available in her area.
All plans must cover at least the standard Part D coverage or its actuarial
equivalent. What costs would a beneficiary incur for prescription drugs in 2019
