AHIP 2022 Module 3 (questions&answers)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 ra
...
AHIP 2022 Module 3 (questions&answers)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.
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