AHIP FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE LATEST 2025/2026 ACTUAL EXAM 135 QUESTIONS WITH CORRECT ANSWERS 100% VERIFIED GRADED A+

AHIP FINAL EXAM, PRACTICE EXAM
AND STUDY GUIDE LATEST 2025/2026
ACTUAL EXAM 135 QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
Mrs.mShieldsmismcoveredmbymOriginalmMedicare.mShemsustainedmamhipmfracturemandmismbeingmsucce
ssfullymtreatedmformthatmcondition.mHowever,mshemandmhermphysiciansmfeelmthatmaftermhermlengthy
mhospitalmstay,mshemwillmneedmammonthmormtwomofmnursingmandmrehabilitativemcare.mWhatmshouldm


youmtellmthemmaboutmOriginalmMedicare'smcoveragemofmcareminmamskilledmnursingmfacility?m-
mCORRECTmANSWERSmMedicaremwillmcovermMrs.mShield'smskilledmnursingmservicesmprovidedmdurin


gmthemfirstm20mdaysmofmhermstay,maftermwhichmshemwouldmhavemamcopaymuntilmshemhasmbeenminmthe
mfacilitymform100mdays.




Mrs.mWestmwearsmglassesmandmdenturesmandmhasmenjoyedmconsiderablempainmreliefmfrommarthritis
mthroughmmassagemtherapy.mShemismconcernedmaboutmwhethermormnotmMedicaremwillmcovermthese


mitemsmandmservices.mWhatmshouldmyoumtellmher?m-


mCORRECTmANSWERSmMedicaremdoesmnotmcovermmassagemtherapy,mor,minmgeneral,mglassesmormde


ntures.



Mrs.mParkmismanmelderlymretiree.mMrs.mParkmhasmamlowmfixedmincome.mWhatmcouldmyoumtellmMrs.mP
arkmthatmmightmbemofmassistance?m-
mCORRECTmANSWERSmShemshouldmcontactmhermstatemMedicaidmagencymtomseemifmshemqualifiesmfor


monemofmseveralmprogramsmthatmcanmhelpmwithmMedicaremcostsmformwhichmshemismresponsible.




Mr.mAlonsomreceivesmsomemhelpmpayingmformhismtwomgenericmprescriptionmdrugsmfrommhismemploy
er'smretireemcoverage,mbutmhemwantsmtomcomparemitmtomamPartmDmprescriptionmdrugmplan.mHemasks
myoumwhatmcostsmhemwouldmgenerallymexpectmtomencountermwhenmenrollingmintomamstandardmMed


icaremPartmDmprescriptionmdrugmplan.mWhatmshouldmyoumtellmhim?m-
mCORRECTmANSWERSmHemgenerallymwouldmpaymammonthlympremium,mannualmdeductible,mandmper


-prescriptionmcost-sharing.

,Mrs.mGonzalezmismenrolledminmOriginalmMedicaremandmhasmamMedigapmpolicymasmwell,mbutmitmprovi
desmnomdrugmcoverage.mShemwouldmlikemtomkeepmthemcoveragemshemhasmbutmreplacemhermexistingm
Medigapmplanmwithmonemthatmprovidesmdrugmcoverage.mWhatmshouldmyoumtellmher?m-
mCORRECTmANSWERSmMrs.mGonzalezmcannotmpurchasemamMedigapmplanmthatmcoversmdrugs,mbutms


hemcouldmkeepmhermMedigapmpolicymandmenrollminmamPartmDmprescriptionmdrugmplan.



Mr.mDavismism52myearsmoldmandmhasmrecentlymbeenmdiagnosedmwithmend-
stagemrenalmdiseasem(ESRD)mandmwillmsoonmbeginmdialysis.mHemismwonderingmifmhemcanmobtainmcov
eragemundermMedicare.mWhatmshouldmyoumtellmhim?m-mCORRECTmANSWERSmHemmaymsign-
upmformMedicarematmanymtimemhowevermcoveragemusuallymbeginsmonmthemfourthmmonthmaftermdial
ysismtreatmentsmstart.



Mrs.mDuartemismenrolledminmOriginalmMedicaremPartsmAmandmB.mShemhasmrecentlymreviewedmhermM
edicaremSummarymNoticem(MSN)mandmdisagreesmwithmamdeterminationmthatmpartiallymdeniedmone
mofmhermclaimsmformservices.mWhatmadvicemwouldmyoumgivemher?m-


mCORRECTmANSWERSmMrs.mDuartemshouldmfilemanmappealmofmthisminitialmdeterminationmwithinm12


0mdaysmofmthemdatemshemreceivedmthemMSNminmthemmail.



Mrs.mGeisler'smneighbormtoldmhermshemshouldmlookmatmhermPartmDmoptionsmduringmthemannualmMe
dicaremenrollmentmperiodmbecausemthemfeaturesmofmPartmDmmightmhavemchanged.mMrs.mGeislermca
n'tmremembermwhatmPartmDmismsomshemcalledmyoumtomaskmwhatmhermneighbormwasmtalkingmabout.m
Whatmcouldmyoumtellmher?m-
mCORRECTmANSWERSmPartmDmcoversmprescriptionmdrugsmandmshemshouldmlookmatmhermpremiums,m


formulary,mandmcost-sharingmamongmothermfactorsmtomseemifmtheymhavemchanged.



Mr.mRaineymismexperiencingmparanoidmdelusionsmandmhismphysicianmfeelsmthatmhemshouldmbemhospi
talized.mWhatmshouldmyoumtellmMr.mRaineym(ormhismrepresentative)maboutmthemlengthmofmanminpati
entmpsychiatricmhospitalmstaymthatmMedicaremwillmcover?m-
mCORRECTmANSWERSmMedicaremwillmcovermamtotalmofm190mdaysmofminpatientmpsychiatricmcaremduri


ngmMr.mRainey'smentiremlifetime.

, Mr.mXimwillmsoonmturnmagem65mandmhasmcomemtomyoumformadvicemasmtomwhatmservicesmaremprovide
dmundermOriginalmMedicare.mWhatmshouldmyoumtellmMr.mXimthatmbestmdescribesmthemhealthmcovera
gemprovidedmtomMedicarembeneficiaries?m-
mCORRECTmANSWERSmBeneficiariesmundermOriginalmMedicaremhavemnomcost-


sharingmformmostmpreventivemservices.



Mr.mSinghmwouldmlikemdrugmcoveragembutmdoesmnotmwantmtombemenrolledminmamMedicaremAdvanta
gemplan.mWhatmshouldmyoumtellmhim?m-mCORRECTmANSWERSmMr.mSinghmcanmenrollminmamstand-
alonemprescriptionmdrugmplanmandmcontinuemtombemcoveredmformPartmAmandmPartmBmservicesmthrou
ghmOriginalmFee-for-ServicemMedicare.



Mrs.mChenmwillmbem65msoon,mhasmbeenmamcitizenmformtwelvemyears,mhasmbeenmemployedmfullmtime,
mandmpaidmtaxesmduringmthatmentiremperiod.mShemismconcernedmthatmshemwillmnotmqualifymformcove


ragemundermpartmAmbecausemshemwasmnotmbornminmthemUnitedmStates.mWhatmshouldmyoumtellmher?
m-


mCORRECTmANSWERSmMostmindividualsmwhomaremcitizensmandmagem65mormovermaremcoveredmunder


mPartmAmbymvirtuemofmhavingmpaidmMedicaremtaxesmwhilemworking,mthoughmsomemmaymbemcovered


masmamresultmofmpayingmmonthlympremiums.




Mrs.mQuinnmrecentlymturnedm66mandmdecidedmaftermmanymyearsmofmworkmtomretiremandmbeginmrec
eivingmSocialmSecuritymbenefits.mShortlymthereaftermMrs.mQuinnmreceivedmamletterminformingmhermt
hatmshemhadmbeenmautomaticallymenrolledminmMedicaremPartmB.mShemwantsmtomunderstandmwhatmt
hismmeans.mWhatmshouldmyoumtellmMrs.mQuinn?m-
mCORRECTmANSWERSmPartmBmprimarilymcoversmphysicianmservices.mShemwillmbempayingmammonthlym


premiummand,mexceptmformmanympreventivemandmscreeningmtests,mgenerallymwillmhavem20%mco-
paymentsmformthesemservices,minmadditionmtomanmannualmdeductible.



Mr.mPatelmisminmgoodmhealthmandmismpreparingmambudgetminmanticipationmofmhismretirementmwhenm
hemturnsm66.mHemwantsmtomunderstandmthemhealthmcaremcostsmhemmightmbemexposedmtomundermM
edicaremifmhemweremtomrequiremhospitalizationmbecausemofmanmillness.mInmgeneralmterms,mwhatmco
uldmyoumtellmhimmaboutmhismcostsmforminpatientmhospitalmservicesmundermOriginalmMedicare?m-
mCORRECTmANSWERSmUndermOriginalmMedicare,mtheremismamsinglemdeductiblemamountmduemformth


emfirstm60mdaysmofmanyminpatientmhospitalmstay,maftermwhichmitmconvertsmintomamper-