AHIP STUDY GUIDE QUESTIONS AND ANSWERS(MODULE 1,2,3,4 AND 5) 2022-2023Module 3
1. Mr. Zachow has a condition for which three drugs are available. He has tried two but had an allergic reaction to them. Only the third drug works for him and it is not on his Part D plan’s formulary. What could you tell him to do?
Mr. Zachow has a right to request a formulary exception to obtain coverage for his Part D drug. He or his physician could obtain the standardized request form on the plan’s website, fill it out, and submit it to his plan.
2. Mrs. Berkowitz wants to enroll in a Medicare Advantage plan that does not include drug coverage and also enroll in a stand-alone Medicare prescription drug plan. Under what circumstances can she do this?
If the Medicare Advantage plan is a Private Fee-for-Service (PFFS) plan that does not offer drug coverage or a Medical Savings Account plan, Mrs. Berkowitz can do this.
3. 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.
I, II, and III only
ati ati comprehensive predictor ati pharmacology proctored community health comprehensive fundamentals health care health care / nursing health care/ nursing healthcare hesi hesi rn exit leadership maternal newborn med surg medical surgical mental health nurs nursing nursing & health nutrition pediatrics pharmacology test bank tncc
Het is een fijne en uitgebreide website met helpende documenten en samenvattingen!
Super hulp bij het studeren en bespaart veel kostbare tijd.
Altijd tevreden over Knoowy! Reeds vele samenvattingen gedownload maar ook geüpload.
Zeer goed in gebruik en betrouwbaar. Zelf zou ik er ook samenvattingen op plaatsen.
Het uploaden en verkopen van mijn documenten verloopt altijd super vlot, alles word eigenlijk al door Knoowy geregeld! Leuk dat medestudenten ook iets aan mijn documenten hebben!
Je spaart enorm veel tijd uit door gebruik te maken van deze samenvattingen!
Weer een goede ervaring met Knoowy. Makkelijk en snel een nette samenvatting.
Bespaart héél veel opzoekwerk en stress ook zeer overzichtelijk en gebruiksvriendelijk.