BCBS of Kansas Medicare Part D Training

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1. What is the Part D deductible for 2025?(Required)

$445

$305

$545

$590

2. What is the monetary level that causes the member to reach their MOOP?(Required)

$8,000

$2,000

$4,130

$5,030

3. Which of the choices is not an option for creditable prescription drug coverage?(Required)

Employer Group Retiree plans

Union Group plans

Veterans Administration health coverage (VA benefits)

Medicare Advantage (MA only) health plans

4. What is the difference between Medicare’s Standard Benefit design and the BCBSKS Blue MedicareRX Plus (PDP) plan design?(Required)

The Out-Of-Pocket Threshold for Catastrophic Coverage

The plan deductible

The Initial Coverage Level or Limit amount

Both A and C

5. The Late Enrollment Penalty (LEP) does not apply to Low-income Subsidy (LIS) members or members with credible coverage.(Required)

True

False

6. Drugs can either fall under Part B or Part D (depending on the drug and where services are administered) but cannot be covered under both.(Required)

True

False

7. Which statement is not true?(Required)

All Part D formulary drugs are grouped into tiers

All Part D formulary plans have 6 drug tiers

The Tier 1 label on the value plan is called “Preferred Generic”

Specialty drugs are medications frequently given by injection or infusion and often require special packaging, mailing and storage.

8. Which statement is not true?(Required)

The Out-Of-Pocket Threshold is $5,030

Member cost sharing may differ depending upon eligibility for Low Income Subsidy

The Specialty tier is Tier 5

People with limited incomes may qualify for Extra Help to pay for the prescription drug costs

9. What is the BCBSKS Blue MedicareRX Essential (PDP) plan deductible for 2025?(Required)

$545

$590

$425

10. Which statement is not true?(Required)

A beneficiary will pay $300 more in 2024 to reach the Initial Coverage Limit than they did in 2023

Specialty Tier drugs are covered at a percentage, not a flat copayment

The plan deductible could be $0 or $590, depending on the plan

Once members reach $2000 out of pocket for their drugs during the year, they will move into the Coverage Gap and pay a 5% co pay for their drugs for the remainder of the year.

11. Which statement is true about BCBSKS Blue MedicareRX Plus (PDP) plans?(Required)

Preferred Generic drugs have a $0.00 copay for a 30 day supply when using a network pharmacy with preferred cost-sharing

The Plus plans have only five drug tiers

Both A and B are true

None of the above are true

12. Which of the following plans offers 90-supply for Specialty drugs?(Required)

Blue MedicareRX Value

Blue MedicareRX Plus

Blue MedicareRX Essential

None of the above

13. A ___________ applies if coverage ends after a member’s effective date.(Required)

Cancellation

Disenrollment

Verification

Utilization restriction

14. Which of the following situations is NOT a reason for involuntary disenrollment?(Required)

Moving out of plan service area

Loss of entitlement to either Medicare Part A or Part B

Member not lawfully present in the United States

Member’s temporary absence from service area for six consecutive months on a PDP

15. Cancellation requests are initiated by the member and can be received either verbally or in writing.(Required)

True

False

16. Members can be disenrolled at mid-month.(Required)

True

False

17. Which is not a true Part D benefit phase in 2025?(Required)

Coverage Gap

Catastrophic Coverage

Initial Coverage

Both A and B

18. Which benefit phase has been eliminated in 2025?(Required)

Deductible

Initial Coverage

Coverage Gap

None of the Above

19. The definition – “A prescription drug that is invented by a manufacturer and is sold under the manufacturer’s chosen name”—most likely corresponds to which drug category?(Required)

Specialty Generic

Preferred Brand

Generic

None of the Above

20. Which statement is not accurate?(Required)

Drugs on our plans are organized into different tiers

Your cost depends on which drug tier your drug is found in

Generic prescription drugs will typically cost you less than drugs that are considered Brand

All of the above are accurate

You have one or more of the questions answered incorrectly.

BCBS of Kansas Medicare Part D Training

2025 Medicare Part D Training