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AHIP AHM-530 Exam - Topic 5 Question 82 Discussion

Reimbursement for prescription drugs and services in a third-party prescription drug plan typically follows one of two approaches: a reimbursement approach or a service approach. One true statement about these approaches is that:
D) Most current health plan prescription drug plans are service plans
A) Payments under the reimbursement method typically are not subject to any copayment or deductible requirements
B) Payments under the reimbursement approach are typically based on a structured reimbursement schedule rather than on usual, customary, and reasonable (UCR) charges
C) Most major medical plans follow a service approach

AHIP AHM-530 Exam - Topic 5 Question 82 Discussion

Actual exam question for AHIP's AHM-530 exam
Question #: 82
Topic #: 5
[All AHM-530 Questions]

Reimbursement for prescription drugs and services in a third-party prescription drug plan typically follows one of two approaches: a reimbursement approach or a service approach. One true statement about these approaches is that:

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Suggested Answer: D

by Stephane at Mar 10, 2024, 07:59 PM

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Tish
7 months ago
Structured reimbursement schedules are pretty common, yeah.
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Devorah
7 months ago
Wait, are there really no copays with the reimbursement method?
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Juan
7 months ago
Definitely, service plans are the norm nowadays.
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Marti
7 months ago
I thought reimbursement methods had copays too?
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Tracie
8 months ago
Most health plans do use a service approach, that's true.
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King
8 months ago
I believe that many current health plan prescription drug plans are indeed service plans, but I need to double-check that.
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Wai
8 months ago
I feel like most major medical plans do follow a service approach, but I can't recall the specifics right now.
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Maryann
8 months ago
I remember practicing a question about how reimbursement schedules work, and I think they often do use UCR charges.
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Jesusita
8 months ago
I think the reimbursement method usually involves some copayment, but I'm not entirely sure.
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Garry
8 months ago
Ah, I remember this topic from the lectures. The reimbursement method typically doesn't have copayments or deductibles, so I think option A is the correct answer. I feel good about this one.
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Coleen
8 months ago
Okay, let me see. I know the reimbursement approach is based on a structured schedule, while the service approach is more flexible. I'm leaning towards option B, but I'll double-check to make sure.
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India
8 months ago
Hmm, this is a tricky one. I'm not entirely sure about the differences between the two approaches. I'll need to think it through carefully and review my notes before selecting an answer.
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Meghan
9 months ago
I'm pretty confident about this one. The key is to focus on the differences between the reimbursement and service approaches. I think option B is the correct answer.
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Trina
9 months ago
Hmm, this seems like a tricky one. I'll need to think carefully about what can and can't be changed once an exclusion is saved.
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Artie
9 months ago
I'm pretty sure the answer is D. The "du" command is used to display the amount of disk space used by files and directories.
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Stephaine
9 months ago
Hmm, I'm not totally sure about the differences between these terms. I'll have to think this through carefully and try to eliminate the options that don't fit.
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Shawnda
9 months ago
Okay, I think I've got this. Since Wallace owned 40% of the company and it's not an S corp, the redemption should be treated as a long-term capital gain. The key is calculating the correct gain amount.
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Lavera
2 years ago
Actually, I believe D) Most current health plan prescription drug plans are service plans is the correct option.
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Cora
2 years ago
I feel like C) Most major medical plans follow a service approach makes more sense.
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Phuong
2 years ago
I disagree, I believe it is B) Payments under the reimbursement approach are typically based on a structured reimbursement schedule rather than on usual, customary, and reasonable (UCR) charges.
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Kimbery
2 years ago
I think the correct statement is A) Payments under the reimbursement method typically are not subject to any copayment or deductible requirements.
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Youlanda
2 years ago
Actually, I think the correct answer is D, most current health plan prescription drug plans are service plans.
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Chuck
2 years ago
I remember learning that the answer is C, most major medical plans follow a service approach.
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Tegan
2 years ago
I disagree, I believe the answer is A, payments under the reimbursement method are not subject to copayment.
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Eura
2 years ago
I think the answer is B, payments under the reimbursement approach are based on a structured schedule.
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