2025 AHIP Module 3 Exam Questions and Verified Answers,
100% Guarantee
1. Mr. Shapiro gets by on a very small amount of fixed income. He has heard
there may be extra help paying for Part D prescription drugs for Medicare
beneficiaries with limited income. He wants to know whether he might qualify.
What should you tell him?
a. The extra help is available to beneficiaries whose income and assets do not
exceed annual limits specified by the government.: a.The extra help is available
to beneficiaries whose income and assets do not exceed annual limits specified by
the government.
1/
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, b. The government pays a per-beneficiary dollar amount to the Medicare Part D
prescription drug plans, to offset premiums for their low-income enrollees in
accor- dance with the plan's set criteria. Mr. Shapiro should check with his plan to
see if he qualifies.
c. The extra help is available only to Medicare beneficiaries who are enrolled in
Medicaid. He should apply for coverage under his state's Medicaid program to
access the extra help with his drug costs.
d. He must apply for the extra help at the same time he applies for enrollment in a
Part D plan. If he missed this opportunity, he will not be able to apply for the
extra help again until the next annual enrollment period.
2. Which of the following statements about Medicare Part D are correct?
2/
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, 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.
a. I, II, and III only: a.I, II, and III only
b. I and II only
c.I, II, III, and IV
3/
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, d.I only
3. Mrs. Imelda Diaz is a Medicare beneficiary enrolled in a MA-PD plan you
represent. Her neighbor recently suffered from a painful case of shingles.
Mrs. Diaz hopes to avoid such an illness through vaccination. She asks you
whether the cost of shingles vaccination will be covered under the plan you
represent. What should you say?
4/
4 of 35 30/08/2024, 18
100% Guarantee
1. Mr. Shapiro gets by on a very small amount of fixed income. He has heard
there may be extra help paying for Part D prescription drugs for Medicare
beneficiaries with limited income. He wants to know whether he might qualify.
What should you tell him?
a. The extra help is available to beneficiaries whose income and assets do not
exceed annual limits specified by the government.: a.The extra help is available
to beneficiaries whose income and assets do not exceed annual limits specified by
the government.
1/
1 of 35 30/08/2024, 18
, b. The government pays a per-beneficiary dollar amount to the Medicare Part D
prescription drug plans, to offset premiums for their low-income enrollees in
accor- dance with the plan's set criteria. Mr. Shapiro should check with his plan to
see if he qualifies.
c. The extra help is available only to Medicare beneficiaries who are enrolled in
Medicaid. He should apply for coverage under his state's Medicaid program to
access the extra help with his drug costs.
d. He must apply for the extra help at the same time he applies for enrollment in a
Part D plan. If he missed this opportunity, he will not be able to apply for the
extra help again until the next annual enrollment period.
2. Which of the following statements about Medicare Part D are correct?
2/
2 of 35 30/08/2024, 18
, 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.
a. I, II, and III only: a.I, II, and III only
b. I and II only
c.I, II, III, and IV
3/
3 of 35 30/08/2024, 18
, d.I only
3. Mrs. Imelda Diaz is a Medicare beneficiary enrolled in a MA-PD plan you
represent. Her neighbor recently suffered from a painful case of shingles.
Mrs. Diaz hopes to avoid such an illness through vaccination. She asks you
whether the cost of shingles vaccination will be covered under the plan you
represent. What should you say?
4/
4 of 35 30/08/2024, 18
