#1
Which of the following is true about Medicare Part D?
It covers hospitalization costs.
It provides coverage for prescription drugs.
It offers dental and vision benefits.
It only covers physician services.
#2
What is the 'Medicare Part D Extra Help' program designed for?
To provide additional coverage for preventive services.
To assist low-income beneficiaries with prescription drug costs.
To offer extra benefits for vision and dental care.
To extend coverage for hospitalization expenses.
#3
What is the purpose of the 'Medication Therapy Management' (MTM) program in Medicare Part D?
To limit the number of prescriptions for beneficiaries.
To provide extra coverage for over-the-counter medications.
To optimize drug therapy and improve medication adherence.
To replace the formulary system.
#4
What is the 'Initial Coverage Limit' in Medicare Part D?
The maximum amount beneficiaries pay for prescription drugs during the Initial Coverage Phase.
The minimum number of prescription drugs covered by a plan.
The deductible amount before any coverage begins.
The maximum number of prescriptions allowed per year.
#5
What is the purpose of the 'Medicare Part D Low-Income Subsidy' (LIS) program?
To limit the number of prescription drugs covered by a plan.
To provide financial assistance for low-income beneficiaries with prescription drug costs.
To exclude individuals with limited income from enrolling in Medicare Part D.
To offer extra coverage for preventive services.
#6
What is the purpose of the Medicare Part D coverage gap, also known as the 'donut hole'?
To limit the number of prescription drugs covered.
To provide extra coverage for preventive services.
To reduce out-of-pocket costs for beneficiaries.
To temporarily limit coverage before catastrophic coverage begins.
#7
Which government agency administers the Medicare Part D program?
Social Security Administration (SSA)
Centers for Medicare & Medicaid Services (CMS)
Department of Health and Human Services (HHS)
Federal Drug Administration (FDA)
#8
Which phase of Medicare Part D coverage involves beneficiaries paying a reduced amount for their prescription drugs?
Initial Coverage Phase
Coverage Gap (Donut Hole)
Catastrophic Coverage Phase
Deductible Phase
#9
What is the purpose of the Medicare Part D formulary?
To specify which prescription drugs are covered by a plan.
To determine the beneficiary's eligibility for coverage.
To provide information about the plan's premium costs.
To administer Medicare Advantage plans.
#10
During the Initial Coverage Phase of Medicare Part D, what is the responsibility of the beneficiary?
To pay the full cost of prescription drugs.
To pay a reduced amount for prescription drugs.
To meet the annual deductible before receiving coverage.
To navigate the Coverage Gap (Donut Hole).
#11
Which of the following individuals is automatically enrolled in Medicare Part D?
Everyone aged 65 or older.
Only individuals with high-income levels.
Those enrolled in Medicare Advantage plans.
No one is automatically enrolled; it's an opt-in program.
#12
What is the 'Initial Enrollment Period' for Medicare Part D?
The period when beneficiaries can switch plans each year.
The time when individuals first become eligible for Medicare.
The timeframe during which beneficiaries can enroll in a Part D plan without penalty.
The period when catastrophic coverage begins.
#13
Which of the following factors can affect the cost of Medicare Part D premiums?
Income level
Age
Health status
All of the above
#14
During the Coverage Gap (Donut Hole) phase, what percentage of the cost of brand-name drugs do beneficiaries typically pay?
#15
Which federal program provides prescription drug coverage for eligible individuals with limited income and resources?
Medicaid
Social Security Disability Insurance (SSDI)
Supplemental Security Income (SSI)
Veterans Health Administration (VHA)
#16
What is the purpose of the 'Annual Notice of Change' (ANOC) in Medicare Part D?
To inform beneficiaries of changes in plan coverage and costs for the upcoming year.
To provide a summary of the beneficiary's medication history.
To initiate the enrollment process for new beneficiaries.
To update the formulary for prescription drug coverage.
#17
Which federal agency oversees the appeals process for beneficiaries dissatisfied with Medicare Part D coverage decisions?
Federal Trade Commission (FTC)
Department of Justice (DOJ)
Centers for Medicare & Medicaid Services (CMS)
Food and Drug Administration (FDA)