Medicare Part D Exam

Part D Plans cover: a.Prescription drugs b.Biologics-drugs from natural sources c.Insulin d.Medical supplies-associated with injection of insulin e.Certain vaccines not covered by Part B f.All of the above

All of the above

The standard benefit structure phases includes: a.A deductible and initial coverage phase b.A coverage gap phase c.A catastrophic coverage phase that applies after the beneficiary reaches the annual out-of-pocket threshold d.All of the Above

All of the above

What type(s) of plan(s) are Part D drug coverage? a.Stand-alone Prescription Drug Plans (PDP) b.Medicare Advantage-Prescription Drug (MA-PD) Plans c.Costs-PD Plans d.All of the above

All of the above

Part D Drug Benefits covers the following items: a.prescriptions for drugs b.diabetic supplies c.vaccines d.All of the above

All of the above.

How long is the late enrollment penalty in effect for a beneficiary that has Medicare prescription drug coverage? a.As long as the beneficiary has Medicare prescription drug coverage b.For the first 2-3 months-worth of premiums c.63 days

As long as the beneficiary has Medicare prescription drug coverage (A)

Every formulary must include at least two drugs in each therapeutic category: what type of drugs are needed? a.Biologics & Medical b.Prescription & non-prescription c.Generic and Brand d.None of the above

Generic and Brand (C)

Lower tiers cost less than Higher tiers in the cost-sharing tool. Select one: True False

TRUE

Medicare Part D Drug Coverage is only available through private companies? Select one: True False

TRUE

Part D Plan Sponsors must allow enrollees to appeal coverage determinations, decisions on exceptions, or requests concerning tiering or formularies. Select one: True False

TRUE

Those with a Cost plan or MA PFFS may obtain benefits through their plan (if offered) or through a standalone PDP Select one: True False

TRUE

To be eligible for Part D you must be entitled to Part A and/or under Part B, and be a U.S. citizen or lawfully present in the United States on or before the enrollment effective date. Select one: True False

TRUE

TrOOP exclusions include Over-the-counter (OTC) and other non-Part D drugs Select one: True False

TRUE

TrOOP is calculated annually and benefits typically include beneficiary payments for Part D prescription drugs. Select one: True False

TRUE

Beneficiaries enrolled in an MA HMO or PPO may only obtain Part D benefits through_________. a.A standalone PDP b.Their HMO or PPO plan

Their HMO or PPO plan (b)