AHIP Practice Exam

In what scenario can Mr. Lombardi enroll in a stand-alone prescription drug plan?

1. With the MA-only PPO plan

2. With another MA plan including drug coverage

3. With any Medigap plan

4. Only if he has Part A

The correct answer is: With another MA plan including drug coverage

When considering the enrollment in a stand-alone prescription drug plan, it is important to understand the relationship between Medicare Advantage (MA) plans and prescription drug coverage. A stand-alone prescription drug plan (PDP) is specifically designed to offer prescription drug coverage, which may not be included in all Medicare Advantage plans. In the scenario where Mr. Lombardi is enrolled in another Medicare Advantage plan that includes drug coverage, he would not be eligible to enroll in a stand-alone prescription drug plan. However, if he is enrolled in an MA-only plan that does not offer prescription drug coverage, he has the option to enroll in a PDP for his prescription medication needs. This means that if Mr. Lombardi is currently enrolled in an MA plan that does not provide drug coverage, he can indeed select a stand-alone prescription drug plan to ensure he has access to necessary medications. This account highlights the importance of the specific features of Mr. Lombardi's current plan and the eligibility that arises from it. The other scenarios presented, such as having an MA-only PPO plan or being enrolled in a Medigap plan, do not provide the necessary context for enrollment in a PDP, as Medigap plans are designed to supplement Original Medicare and not inherently offer drug coverage. Additionally