#1
When can individuals initially enroll in Medicare Part D?
During the annual Open Enrollment Period
ExplanationEnrollment during designated period.
#2
Which of the following is not covered by Medicare Part D?
Over-the-counter medications
ExplanationExclusion of OTC drugs.
#3
Which government agency administers Medicare Part D?
Centers for Medicare & Medicaid Services (CMS)
ExplanationAdministration by CMS.
#4
What is the late enrollment penalty for Medicare Part D?
10% of the monthly premium
ExplanationPenalty for delayed enrollment.
#5
Which of the following is NOT a stage of Medicare Part D coverage?
Initial Enrollment
ExplanationExclusion of initial enrollment stage.
#6
What is the 'donut hole' in Medicare Part D coverage?
A coverage gap where the individual pays more for prescription drugs
ExplanationCoverage gap with increased costs.
#7
Can individuals change their Medicare Part D plan outside of the Open Enrollment Period?
Yes, but only if they have a special circumstance
ExplanationLimited changes outside regular period.
#8
What is the purpose of the Initial Coverage Limit in Medicare Part D?
To set the maximum amount of drug costs before entering the coverage gap
ExplanationMaximum pre-gap drug costs.
#9
During the coverage gap ('donut hole') in Medicare Part D, what percentage of prescription drug costs does the individual typically pay for brand-name drugs?
45%
ExplanationPercentage of brand-name drug costs.
#10
What is the purpose of the Medicare Part D Annual Notice of Change (ANOC)?
To notify individuals of changes to their Medicare Part D plan for the upcoming year
ExplanationNotification of plan changes.
#11
What is the Extra Help program related to Medicare Part D?
A program that offers assistance with prescription drug costs for those with limited income and resources
ExplanationFinancial assistance program.
#12
Which of the following individuals is automatically enrolled in Medicare Part D?
Individuals who have Medicaid
ExplanationAutomatic enrollment for Medicaid recipients.
#13
What is the purpose of the Medicare Part D formulary?
To list all covered prescription drugs and their costs
ExplanationListing of covered drugs.
#14
What is the purpose of the Medicare Part D Explanation of Benefits (EOB) statement?
To detail prescription drug costs and payments made by the plan
ExplanationStatement detailing drug costs and payments.
#15
Which of the following individuals may be eligible for both Medicare and Medicaid, also known as dual-eligibility?
Individuals with low income and limited resources
ExplanationEligibility based on income and resources.