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AHIP AHM-540 Exam - Topic 4 Question 28 Discussion

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
C) $25
A) $5
B) $10
D) $75

AHIP AHM-540 Exam - Topic 4 Question 28 Discussion

Actual exam question for AHIP's AHM-540 exam
Question #: 28
Topic #: 4
[All AHM-540 Questions]

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

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Suggested Answer: C

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

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Rocco
9 months ago
Yup, that's how it works. No formulary, no copay discount!
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Yoko
9 months ago
Really? I thought there might be some discount for non-formulary drugs.
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Sharee
10 months ago
Definitely $75, no doubt about it.
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Evette
10 months ago
Wait, so he has to pay $75? That seems unfair!
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Claribel
10 months ago
The drug wasn't in the formulary, so he pays full price.
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Thurman
10 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
10 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
10 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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