Question

a pharmacy technician is filling a prescription for insulin for a patient who receives medicare benefits. which of the following medicare programs should the technician bill for this prescription?

part c
part b
part d
part a

Explanation:

Identify the core billing scenario

Using the Medicare Programs knowledge point

• The patient is receiving insulin.
• The patient is covered under Medicare.
• We need to determine which Medicare Part covers standard outpatient prescription drugs like insulin.

Analyze Medicare Part coverage rules

Using the Medicare Programs knowledge point

• Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
• Part B covers outpatient medical services, durable medical equipment (DME), and certain preventive services. It covers insulin only if it is administered via an external insulin pump (which is classified as DME).
• Part C (Medicare Advantage) is an alternative private plan option combining Parts A, B, and usually D.
• Part D is the dedicated outpatient prescription drug benefit. Standard self-administered insulin (vials, pens) is billed under Part D.

Select the correct billing program

Using the Medicare Programs knowledge point

• Since the prompt describes a standard prescription for insulin being filled at a pharmacy, it falls under the standard outpatient prescription drug benefit.
• Therefore, the technician must bill Medicare Part D.

Answer:

• Part C
• Part B
• (C) Part D (Correct answer)
• Part A