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

Show Suggested Answer

Suggested Answer: D

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

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Lavera

6 months ago

Actually, I believe D) Most current health plan prescription drug plans are service plans is the correct option.

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Cora

6 months ago

I feel like C) Most major medical plans follow a service approach makes more sense.

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Phuong

6 months 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

7 months 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

7 months ago

Actually, I think the correct answer is D, most current health plan prescription drug plans are service plans.

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Chuck

7 months ago

I remember learning that the answer is C, most major medical plans follow a service approach.

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Tegan

8 months ago

I disagree, I believe the answer is A, payments under the reimbursement method are not subject to copayment.

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Eura

8 months ago

I think the answer is B, payments under the reimbursement approach are based on a structured schedule.

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