AHIP Exam AHM-530 Topic 5 Question 82 Discussion

Actual exam question for AHIP's AHM-530 exam

Question #: 82
Topic #: 5

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:

APayments under the reimbursement method typically are not subject to any copayment or deductible requirements

BPayments under the reimbursement approach are typically based on a structured reimbursement schedule rather than on usual, customary, and reasonable (UCR) charges

CMost major medical plans follow a service approach

DMost current health plan prescription drug plans are service plans

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Suggested Answer: D

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

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