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AHIP AHM-540 Exam - Topic 4 Question 28 Discussion

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

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

Suggested Answer: C

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8 comments · newest first
RO
Rocco 1 year ago
Yup, that's how it works. No formulary, no copay discount!
YO
Yoko 1 year ago
Really? I thought there might be some discount for non-formulary drugs.
SH
Sharee 1 year ago
Definitely $75, no doubt about it.
EV
Evette 1 year ago
Wait, so he has to pay $75? That seems unfair!
CL
Claribel 1 year ago
The drug wasn't in the formulary, so he pays full price.
TH
Thurman 1 year 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.
CY
Cyndy 1 year 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.
LU
Luke 1 year 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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