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Anthem Part D Plans Assessment 2021

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Which of the following statements about creditable prescription drug coverage is true? - ANSWER All of the above statements are true. Which statement is NOT true about Low Income Assistance for Part D plans? - ANSWER Qualifications for low-income assistance are reviewed every 3 years Members have reduced cost-share amounts on certain formulary tiers when utilizing preferred pharmacies. - ANSWER True Initial Coverage is calculated by adding the amount paid by the member (including any deductible) and the amount paid by the ______ for covered prescription drugs. - ANSWER Plan Catastrophic Coverage begins once the member reaches the _____ threshold. - ANSWER TrOOP Which of the statements below is true about the Deductible phase? - ANSWER All of the above statements are true Which statement does not represent a Formulary Transition Requirement? - ANSWER All of the above represent a Formulary Transition Requirement The Late Enrollment Penalty (LEP) does not apply to Low-Income Subsidy (LIS) members or members with creditable coverage. - ANSWER True Which choice is not a drug tier option addressed in the presentation? - ANSWER Preferred Supplemental Carriers may not pay for prescriptions if members use an Out-Of-Network pharmacy (except in certain cases). Which choice does not represent a certain case that would allow for Out-Of-Network reimbursement? - ANSWER All of the above represent a case for Out-Of-Network reimbursement Which choice does not represent a Medicare standard benefit phase? - ANSWER TrOOP Coverage phase Which choice does not represent a drug exception option? - ANSWER A late enrollment exception - when a member requests to obtain a Medicare covered prescription drug outside of the standard election period timeframes To be eligible for a Stand alone Part D plan, the enrollee must be entitled to Part A or enrolled in Part B, and reside in the drug plan's service area. - ANSWER True Which of the following is not a condition for drugs covered under Part D? - ANSWER Used for any medically acceptable reason including off label use

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