AHIP Final Exam Answers
Mr. Jacob understands that there is a standard Medicare Part
D prescription drug benefit, but when he looks at information
on
... [Show More] 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?
Medicare Part D drug plans may have different
benefit structures, but on average, they must all be
at least as good as the standard model established
by the government.
Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through acupuncture.
She is concerned about whether or not Medicare will cover
these items and services. What should you tell her?
Medicare does not cover acupuncture, or, in
general, glasses or dentures.
Mr. Bickford did not quite qualify for the extra help low-income
subsidy under the Medicare Part D Prescription Drug program
and he is wondering if there is any other option he has for
obtaining help with his considerable drug costs. What should
you tell him?
He could check with the manufacturers of his
medications to see if they offer an assistance
program to help people with limited means obtain
the medications they need. Alternatively, he could
check to see whether his state has a pharmacy
assistance program to help him with his expenses.
Since 2004 Ms. Eisenberg has had a Medigap plan that
provides some drug coverage. She has received a letter from
her Medigap carrier informing her that her drug coverage is
not “creditable.” She wants to know what this means. What
should you tell her?
The letter is to inform her that the drug coverage
offered through her Medigap plan does not offer
drug coverage that is at least comparable to that
provided under the Medicare Part D prescription
drug program. If she does not have such creditable
coverage during periods when she is eligible for the [Show Less]