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AHIP MODULE 3 QUESTIONS WITH COMPLETE ANSWERS

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AHIP MODULE 3 QUESTIONS WITH COMPLETE ANSWERS

Institution
Ahip
Course
Ahip

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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?


Give this one a try later!


c. Unless she chooses a Medicare Part D prescription drug plan on her
own, she will be automatically enrolled in one available in her area. Correct




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 under the
standard coverage?


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c. Standard Part D coverage would require payment of an annual
deductible, 25% cost-sharing up to the coverage gap, a portion of costs for

, both generics and brand-name drugs in the coverage gap, and co-pays or
co-insurance after the coverage gap. Correct




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.


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b. I, II, and III only Correct




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?


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a. 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. Correct

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