AHIP 2025 Final Exam 50 questions
Study online at https://quizlet.com/_fgegtv
1. Mrs. Turner is comparing her employer's retiree Original Medicare covers ambu-
insurance to Original Medicare and would like lance services.
to know which of the following services Original
Medicare will cover if the appropriate criteria are
met. What could you tell her?
2. Mrs. Duarte is enrolled in Original Medicare Parts Mrs. Duarte should file an ap-
A and B. She has recently reviewed her Medicare peal of this initial determination
Summary Notice (MSN) and disagrees with a deter- within 120 days of the date she
mination that partially denied one of her claims for received the MSN in the mail.
services. What advice would you give her?
3. Mrs. Geisler's neighbor told her she should look Part D covers prescription
at her Part D options during the annual Medicare drugs and she should look at
enrollment period because the features of Part D her premiums, formulary, and
might have changed. Mrs. Geisler can't remember cost-sharing among other fac-
what Part D is so she called you to ask what her tors to see if they have changed.
neighbor was talking about. What could you tell
her?
4. Mrs. Park is an elderly retiree. Mrs. Park has a low She should contact her state
fixed income. What could you tell Mrs. Park that Medicaid agency to see if she
might be of assistance? qualifies for one of several
programs that can help with
Medicare costs for which she is
responsible.
5. Mrs. Quinn recently turned 66 and decided after Part B primarily covers physi-
many years of work to retire and begin receiv- cian services. She will be pay-
ing Social Security benefits. Shortly thereafter Mrs. ing a monthly premium and, ex-
Quinn received a letter informing her that she had cept for many preventive and
been automatically enrolled in Medicare Part B. screening tests, generally will
, AHIP 2025 Final Exam 50 questions
Study online at https://quizlet.com/_fgegtv
She wants to understand what this means. What have 20% co-payments for these
should you tell Mrs. Quinn? services, in addition to an annu-
al deductible.
6. Anita Magri will turn age 65 in August 2023. Anita You are sorry to disappoint Ani-
intends to enroll in Original Medicare Part A and ta, but a Medigap F plan is no
Part B. She would also like to enroll in a Medicare longer available to those who
Supplement (Medigap) plan. Anita's older neighbor turn age 65 after January 1,
Mel has told her about the Medigap Plan F in which 2020. Anita might instead con-
he is enrolled. It not only provides foreign travel sider other Medigap plans that
emergency benefits but also covers his Medicare offer foreign travel benefits but
Part B deductible. Anita comes to you for advice. do not cover the Part B de-
What should you tell her? ductible.
7. Mr. Singh would like drug coverage but does not Mr. Singh can enroll in a
want to be enrolled in a Medicare Advantage plan. stand-alone prescription drug
What should you tell him? plan and continue to be covered
for Part A and Part B services
through Original Fee-for-Ser-
vice Medicare.
8. Mrs. Chen will be 65 soon, has been a citizen for Most individuals who are citi-
twelve years, has been employed full time, and zens and age 65 or over are
paid taxes during that entire period. She is con- covered under Part A by virtue
cerned that she will not qualify for coverage under of having paid Medicare tax-
part A because she was not born in the United es while working, though some
States. What should you tell her? may be covered as a result of
paying monthly premiums.
9. Mr. Xi will soon turn age 65 and has come to you Beneficiaries under Original
for advice as to what services are provided under Medicare have no cost-sharing
Original Medicare. What should you tell Mr. Xi that for most preventive services.
Study online at https://quizlet.com/_fgegtv
1. Mrs. Turner is comparing her employer's retiree Original Medicare covers ambu-
insurance to Original Medicare and would like lance services.
to know which of the following services Original
Medicare will cover if the appropriate criteria are
met. What could you tell her?
2. Mrs. Duarte is enrolled in Original Medicare Parts Mrs. Duarte should file an ap-
A and B. She has recently reviewed her Medicare peal of this initial determination
Summary Notice (MSN) and disagrees with a deter- within 120 days of the date she
mination that partially denied one of her claims for received the MSN in the mail.
services. What advice would you give her?
3. Mrs. Geisler's neighbor told her she should look Part D covers prescription
at her Part D options during the annual Medicare drugs and she should look at
enrollment period because the features of Part D her premiums, formulary, and
might have changed. Mrs. Geisler can't remember cost-sharing among other fac-
what Part D is so she called you to ask what her tors to see if they have changed.
neighbor was talking about. What could you tell
her?
4. Mrs. Park is an elderly retiree. Mrs. Park has a low She should contact her state
fixed income. What could you tell Mrs. Park that Medicaid agency to see if she
might be of assistance? qualifies for one of several
programs that can help with
Medicare costs for which she is
responsible.
5. Mrs. Quinn recently turned 66 and decided after Part B primarily covers physi-
many years of work to retire and begin receiv- cian services. She will be pay-
ing Social Security benefits. Shortly thereafter Mrs. ing a monthly premium and, ex-
Quinn received a letter informing her that she had cept for many preventive and
been automatically enrolled in Medicare Part B. screening tests, generally will
, AHIP 2025 Final Exam 50 questions
Study online at https://quizlet.com/_fgegtv
She wants to understand what this means. What have 20% co-payments for these
should you tell Mrs. Quinn? services, in addition to an annu-
al deductible.
6. Anita Magri will turn age 65 in August 2023. Anita You are sorry to disappoint Ani-
intends to enroll in Original Medicare Part A and ta, but a Medigap F plan is no
Part B. She would also like to enroll in a Medicare longer available to those who
Supplement (Medigap) plan. Anita's older neighbor turn age 65 after January 1,
Mel has told her about the Medigap Plan F in which 2020. Anita might instead con-
he is enrolled. It not only provides foreign travel sider other Medigap plans that
emergency benefits but also covers his Medicare offer foreign travel benefits but
Part B deductible. Anita comes to you for advice. do not cover the Part B de-
What should you tell her? ductible.
7. Mr. Singh would like drug coverage but does not Mr. Singh can enroll in a
want to be enrolled in a Medicare Advantage plan. stand-alone prescription drug
What should you tell him? plan and continue to be covered
for Part A and Part B services
through Original Fee-for-Ser-
vice Medicare.
8. Mrs. Chen will be 65 soon, has been a citizen for Most individuals who are citi-
twelve years, has been employed full time, and zens and age 65 or over are
paid taxes during that entire period. She is con- covered under Part A by virtue
cerned that she will not qualify for coverage under of having paid Medicare tax-
part A because she was not born in the United es while working, though some
States. What should you tell her? may be covered as a result of
paying monthly premiums.
9. Mr. Xi will soon turn age 65 and has come to you Beneficiaries under Original
for advice as to what services are provided under Medicare have no cost-sharing
Original Medicare. What should you tell Mr. Xi that for most preventive services.
