#1
Which government program provides prescription drug coverage for Medicare beneficiaries?
Medicaid
Medicare Part A
Medicare Part D
Medicare Advantage
#2
What is the purpose of Medicare Part D?
Hospital coverage
Prescription drug coverage
Doctor visits
Long-term care
#3
Which of the following is not covered by Medicare Part D?
Generic drugs
Brand-name drugs
Over-the-counter drugs
Specialty drugs
#4
What is the purpose of the Initial Coverage Limit in Medicare Part D?
To limit the number of prescriptions per month
To limit the total drug costs covered by the plan
To limit the types of drugs covered
To limit coverage for specific medical conditions
#5
Which phase of Medicare Part D coverage involves the beneficiary paying 25% of the prescription drug costs?
Initial Coverage Period
Coverage Gap (Donut Hole)
Catastrophic Coverage
Deductible Phase
#6
What is the purpose of the Medicare Prescription Drug Plan Finder tool?
To find doctors accepting Medicare
To compare Medicare Advantage plans
To compare and enroll in Medicare Part D plans
To locate pharmacies that accept Medicare
#7
In Medicare Part D, what is the coverage gap often referred to as?
Deductible
Donut hole
Co-payment
Premium
#8
Which government agency administers Medicare Part D?
Centers for Medicare & Medicaid Services (CMS)
Food and Drug Administration (FDA)
Social Security Administration (SSA)
Department of Health and Human Services (HHS)
#9
In Medicare Part D, what is the purpose of the Annual Enrollment Period?
To sign up for Medicare Part A
To switch between Medicare Advantage and Original Medicare
To enroll in a Medicare Part D plan or make changes to existing coverage
To apply for Medicaid
#10
Which of the following is a cost-sharing feature in Medicare Part D?
Premium
Deductible
Coverage gap
Catastrophic coverage
#11
Which of the following is true about the Extra Help program for Medicare Part D?
It provides coverage for all prescription drugs at no cost
It helps lower-income individuals with prescription drug costs
It covers only brand-name drugs
It is available to all Medicare beneficiaries
#12
What is the purpose of Medication Therapy Management (MTM) programs in Medicare Part D?
To limit the number of prescriptions a beneficiary can have
To encourage over-the-counter drug use
To optimize medication use and improve therapeutic outcomes
To provide free samples of prescription drugs
#13
What is the 'catastrophic coverage' in Medicare Part D?
Coverage for pre-existing conditions
Coverage for expensive drugs after out-of-pocket spending limit
Emergency coverage
Coverage for preventive care
#14
What is the 'benchmark plan' in Medicare Part D?
The lowest-cost plan in a region used to calculate Extra Help
The highest-cost plan in a region used for premium comparison
A plan that covers only generic drugs
A plan with no coverage gap
#15
What is the significance of the SEP (Special Enrollment Period) in Medicare Part D?
It allows beneficiaries to enroll or make changes outside of the regular enrollment periods
It exempts beneficiaries from paying any premiums
It provides coverage only for specialized drugs
It extends the Annual Enrollment Period
#16
What is the purpose of the 'Five-Star Special Enrollment Period' in Medicare Part D?
To enroll beneficiaries in a five-star rated plan at any time
To extend the Annual Enrollment Period
To provide extra coverage during catastrophic events
To limit the number of prescriptions per month
#17
What is the purpose of the Part D Explanation of Benefits (EOB) statement?
To provide a summary of medical services received
To explain changes in Medicare premiums
To detail prescription drug costs and usage
To request additional information from beneficiaries