Module Medicare Part D

Question 1

Medicare signed into law

Answer 1

President Lyndon Johnson 1965

Question 2

Balanced Budget Act 1997

Answer 2

created the Medicare “Choice Plans” (Advantage Plans) addressed the possibility of a prescription drug benefits-did not enact one

Question 3

Medicare Part D plan

Answer 3

bill passed in Nov 2003 for servicing to begin in Jan 2006

Question 4

Benefit plan parameters-phases?

Answer 4

Deductible Phase
Initial Coverage Phase
Coverage Gap(“Donut Hole”) Phase
Catastrophic Phase

Question 5

Deductible Phase

Answer 5

Where the patient pays 100% of drug costs

Question 6

Initial Coverage Phase

Answer 6

The patient pays 25% and the plan pays 75% of the cost of drugs

Question 7

Coverage Gap (“Donut Hole”) Phase

Answer 7

The patient again pays a greater % of drugs costs

Question 8

Catastrophic Phase

Answer 8

The plan pays 95% and the patient pays 5% of the drug costs

Question 9

Patients TOTAL drug costs DO NOT include

Answer 9

Part D premiums paid by the patient