AHIP AHM-540 Exam - Topic 4 Question 28 Discussion

Actual exam question for AHIP's AHM-540 exam

Question #: 28
Topic #: 4

Maxwell Midler's health plan operates a drug formulary that includes a typical three-tier copayment structure with required copayments of $5, $10, and $25. Mr. Midler recently filled a prescription for a $75 drug that was not included in the formulary. According to the plan's formulary copayment structure, the amount that Mr. Midler was required to pay for his prescription was

A$5

B$10

C$25

D$75

Show Suggested Answer

Suggested Answer: C

by Shenika at May 08, 2022, 09:06 PM

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Rocco

6 months ago

Yup, that's how it works. No formulary, no copay discount!

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Yoko

6 months ago

Really? I thought there might be some discount for non-formulary drugs.

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Sharee

7 months ago

Definitely $75, no doubt about it.

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Evette

7 months ago

Wait, so he has to pay $75? That seems unfair!

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Claribel

7 months ago

The drug wasn't in the formulary, so he pays full price.

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Thurman

7 months ago

Hmm, I'm a bit unsure about "Set NAC State to Radius NAC" and "Set DHCP Addr. Assignment to Required." Those don't seem as directly related to the dual SSID requirement. I'll have to double-check the details on those.

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Cyndy

7 months ago

Okay, I've got it. Fast tracking increases risk, but it doesn't necessarily change the critical path or add duration buffers. I'm going with A.

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Luke

7 months ago

I'm not entirely sure, but I think WCCP might help with congestion too. Option A sounds familiar from last week's study session.

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