#1
Which government program provides prescription drug coverage for Medicare beneficiaries?
Medicare Part D
ExplanationMedicare Part D provides prescription drug coverage for Medicare beneficiaries.
#2
What is the purpose of Medicare Part D?
Prescription drug coverage
ExplanationThe purpose of Medicare Part D is to provide prescription drug coverage.
#3
Which of the following is not covered by Medicare Part D?
Over-the-counter drugs
ExplanationOver-the-counter drugs are not covered by Medicare Part D.
#4
What is the purpose of the Initial Coverage Limit in Medicare Part D?
To limit the total drug costs covered by the plan
ExplanationThe Initial Coverage Limit in Medicare Part D is designed to limit the total drug costs covered by the plan.
#5
Which phase of Medicare Part D coverage involves the beneficiary paying 25% of the prescription drug costs?
Initial Coverage Period
ExplanationDuring the Initial Coverage Period, the beneficiary pays 25% of the prescription drug costs.
#6
What is the purpose of the Medicare Prescription Drug Plan Finder tool?
To compare and enroll in Medicare Part D plans
ExplanationThe purpose of the Medicare Prescription Drug Plan Finder tool is to allow beneficiaries to compare and enroll in Medicare Part D plans.
#7
In Medicare Part D, what is the coverage gap often referred to as?
Donut hole
ExplanationThe coverage gap in Medicare Part D is often referred to as the Donut Hole.
#8
Which government agency administers Medicare Part D?
Centers for Medicare & Medicaid Services (CMS)
ExplanationThe Centers for Medicare & Medicaid Services (CMS) administers Medicare Part D.
#9
In Medicare Part D, what is the purpose of the Annual Enrollment Period?
To enroll in a Medicare Part D plan or make changes to existing coverage
ExplanationThe Annual Enrollment Period in Medicare Part D allows beneficiaries to enroll in a plan or make changes to existing coverage.
#10
Which of the following is a cost-sharing feature in Medicare Part D?
Coverage gap
ExplanationThe coverage gap is a cost-sharing feature in Medicare Part D.
#11
Which of the following is true about the Extra Help program for Medicare Part D?
It helps lower-income individuals with prescription drug costs
ExplanationThe Extra Help program for Medicare Part D assists lower-income individuals with prescription drug costs.
#12
What is the purpose of Medication Therapy Management (MTM) programs in Medicare Part D?
To optimize medication use and improve therapeutic outcomes
ExplanationThe purpose of Medication Therapy Management (MTM) programs in Medicare Part D is to optimize medication use and improve therapeutic outcomes.
#13
What is the 'catastrophic coverage' in Medicare Part D?
Coverage for expensive drugs after out-of-pocket spending limit
ExplanationCatastrophic coverage in Medicare Part D provides coverage for expensive drugs after reaching the out-of-pocket spending limit.
#14
What is the 'benchmark plan' in Medicare Part D?
The lowest-cost plan in a region used to calculate Extra Help
ExplanationThe benchmark plan in Medicare Part D is the lowest-cost plan in a region used to calculate Extra Help.
#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
ExplanationThe Special Enrollment Period (SEP) in Medicare Part D permits beneficiaries to enroll or make changes outside of the regular enrollment periods.
#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
ExplanationThe purpose of the 'Five-Star Special Enrollment Period' in Medicare Part D is to allow enrollment in a five-star rated plan at any time.
#17
What is the purpose of the Part D Explanation of Benefits (EOB) statement?
To detail prescription drug costs and usage
ExplanationThe purpose of the Part D Explanation of Benefits (EOB) statement is to detail prescription drug costs and usage.