1|Page
2025 AHIP Final Exam ( Updated 2025
昔、ある山奥の小さな村に、若い絵描きの少年・太郎が住んでいました。彼は毎朝、朝霧
に包まれた森へ入り、木々の間から差し込む光をキャンバスに描いていました。ある秋
) 1-100 Complete Questions &
の日、太郎は森の奥で古い祠を見つけました。中には埃をかぶった小さな鏡が置かれてい
ました。鏡を手に取ると、突然、自分の姿が年老いた老人に変わっているのが映りました
。驚いた太郎は鏡を元に戻しましたが、その日から彼の絵は不思議な力を帯び始めました
Answers (Solved) 100% Correct
。描いた花は本当に香り、描いた川は本当に流れ、描いた鳥は本当に飛び立つようにな
ったのです。村人たちは太郎の絵を「命を吹き込む絵」と呼び、遠くから多くの人が見に
来るようになりました。しかし太郎は次第に疲れ、鏡の呪いだと気づきました。ある晩
、彼は最後の絵を描きました。それは自分自身が若く笑っている姿でした。絵が完成した
Mrs. Shields is covered by Original Medicare. She sustained a
瞬間、鏡の中の老人は消え、太郎は再び若返りました。それ以来、彼はただ自分の心の
ままに絵を描き続け、村は静かな幸福に包まれました。（198語）
hip fracture and is being successfully treated for that condition.
2. Русский (Russian)
However,В маленькой
she and her physicians
сибирской деревнеfeel
жилаthat afterпоher
старушка lengthy
имени Матрёна. Каждую зиму
она вязала тёплые носки и варежки для всех детей в округе. Однажды, когда метель
hospital особенно
stay, sheсильно
will need a month
завывала, or постучал
к её дому two of незнакомец.
nursing and Это был молодой волк с
rehabilitative care. What should you tell them about Original рану и дала
раненой лапой. Матрёна, не раздумывая, впустила его, перевязала
миску горячего супа. Волк остался у неё на несколько дней. Когда рана зажила, он
Medicare's
ушёлcoverage of care
в лес, но каждую inприносил
ночь a skilledМатрёне
nursingдичьfacility? - то рябчика. Так
— то зайца,
прошла зима. Весной,
ANSWER-Medicare когда снег
will cover Mrs.растаял, волк пришёл
Shield's skilledв nursing
последний раз и положил к
порогу старый медный браслет с выгравированным волчьим следом. Матрёна
services надела
providedего иduring
с тех порthe firstне20мёрзла,
никогда days даже
of her stay,лютые
в самые after морозы.
which Дети
she would have a copay until she has been in the facility for 100
days.
Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through massage therapy.
She is concerned about whether or not Medicare will cover these
items and services. What should you tell her? - ANSWER-
Medicare does not cover massage therapy, or, in general, glasses
or dentures.
,2|Page
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed
income. What could you tell Mrs. Park that might be of
assistance? - ANSWER-She should contact her state Medicaid
agency to see if she qualifies for one of several programs that
can help with Medicare costs for which she is responsible.
Mr. Alonso receives some help paying for his two generic
prescription drugs from his employer's retiree coverage, but he
wants to compare it to a Part D prescription drug plan. He asks
you what costs he would generally expect to encounter when
enrolling into a standard Medicare Part D prescription drug plan.
What should you tell him? - ANSWER-He generally would pay
a monthly premium, annual deductible, and per-prescription
cost-sharing.
Mrs. Gonzalez is enrolled in Original Medicare and has a
Medigap policy as well, but it provides no drug coverage. She
would like to keep the coverage she has but replace her existing
Medigap plan with one that provides drug coverage. What
should you tell her? - ANSWER-Mrs. Gonzalez cannot purchase
a Medigap plan that covers drugs, but she could keep her
Medigap policy and enroll in a Part D prescription drug plan.
Mr. Davis is 52 years old and has recently been diagnosed with
end-stage renal disease (ESRD) and will soon begin dialysis. He
,3|Page
is wondering if he can obtain coverage under Medicare. What
should you tell him? - ANSWER-He may sign-up for Medicare
at any time however coverage usually begins on the fourth
month after dialysis treatments start.
Mrs. Duarte is enrolled in Original Medicare Parts A and B.
She has recently reviewed her Medicare Summary Notice
(MSN) and disagrees with a determination that partially denied
one of her claims for services. What advice would you give her?
- ANSWER-Mrs. Duarte should file an appeal of this initial
determination within 120 days of the date she received the MSN
in the mail.
Mrs. Geisler's neighbor told her she should look at her Part D
options during the annual Medicare enrollment period because
the features of Part D might have changed. Mrs. Geisler can't
remember what Part D is so she called you to ask what her
neighbor was talking about. What could you tell her? -
ANSWER-Part D covers prescription drugs and she should look
at her premiums, formulary, and costsharing among other factors
to see if they have changed.
Mr. Rainey is experiencing paranoid delusions and his physician
feels that he should be hospitalized. What should you tell Mr.
Rainey (or his representative) about the length of an inpatient
psychiatric hospital stay that Medicare will cover? - ANSWER-
, 4|Page
Medicare will cover a total of 190 days of inpatient psychiatric
care during Mr. Rainey's entire lifetime.
Mr. Xi will soon turn age 65 and has come to you for advice as
to what services are provided under Original Medicare. What
should you tell Mr. Xi that best describes the health coverage
provided to Medicare beneficiaries? - ANSWER-Beneficiaries
under Original Medicare have no cost-sharing for most
preventive services.
Mr. Singh would like drug coverage but does not want to be
enrolled in a Medicare Advantage plan. What should you tell
him? - ANSWER-Mr. Singh can enroll in a standalone
prescription drug plan and continue to be covered for Part A and
Part B services through Original Fee-forService Medicare.
Mrs. Chen will be 65 soon, has been a citizen for twelve years,
has been employed full time, and paid taxes during that entire
period. She is concerned that she will not qualify for coverage
under part A because she was not born in the United States.
What should you tell her? - ANSWER-Most individuals who are
citizens and age 65 or over are covered under Part A by virtue of
having paid Medicare taxes while working, though some may be
covered as a result of paying monthly premiums.
2025 AHIP Final Exam ( Updated 2025
昔、ある山奥の小さな村に、若い絵描きの少年・太郎が住んでいました。彼は毎朝、朝霧
に包まれた森へ入り、木々の間から差し込む光をキャンバスに描いていました。ある秋
) 1-100 Complete Questions &
の日、太郎は森の奥で古い祠を見つけました。中には埃をかぶった小さな鏡が置かれてい
ました。鏡を手に取ると、突然、自分の姿が年老いた老人に変わっているのが映りました
。驚いた太郎は鏡を元に戻しましたが、その日から彼の絵は不思議な力を帯び始めました
Answers (Solved) 100% Correct
。描いた花は本当に香り、描いた川は本当に流れ、描いた鳥は本当に飛び立つようにな
ったのです。村人たちは太郎の絵を「命を吹き込む絵」と呼び、遠くから多くの人が見に
来るようになりました。しかし太郎は次第に疲れ、鏡の呪いだと気づきました。ある晩
、彼は最後の絵を描きました。それは自分自身が若く笑っている姿でした。絵が完成した
Mrs. Shields is covered by Original Medicare. She sustained a
瞬間、鏡の中の老人は消え、太郎は再び若返りました。それ以来、彼はただ自分の心の
ままに絵を描き続け、村は静かな幸福に包まれました。（198語）
hip fracture and is being successfully treated for that condition.
2. Русский (Russian)
However,В маленькой
she and her physicians
сибирской деревнеfeel
жилаthat afterпоher
старушка lengthy
имени Матрёна. Каждую зиму
она вязала тёплые носки и варежки для всех детей в округе. Однажды, когда метель
hospital особенно
stay, sheсильно
will need a month
завывала, or постучал
к её дому two of незнакомец.
nursing and Это был молодой волк с
rehabilitative care. What should you tell them about Original рану и дала
раненой лапой. Матрёна, не раздумывая, впустила его, перевязала
миску горячего супа. Волк остался у неё на несколько дней. Когда рана зажила, он
Medicare's
ушёлcoverage of care
в лес, но каждую inприносил
ночь a skilledМатрёне
nursingдичьfacility? - то рябчика. Так
— то зайца,
прошла зима. Весной,
ANSWER-Medicare когда снег
will cover Mrs.растаял, волк пришёл
Shield's skilledв nursing
последний раз и положил к
порогу старый медный браслет с выгравированным волчьим следом. Матрёна
services надела
providedего иduring
с тех порthe firstне20мёрзла,
никогда days даже
of her stay,лютые
в самые after морозы.
which Дети
she would have a copay until she has been in the facility for 100
days.
Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through massage therapy.
She is concerned about whether or not Medicare will cover these
items and services. What should you tell her? - ANSWER-
Medicare does not cover massage therapy, or, in general, glasses
or dentures.
,2|Page
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed
income. What could you tell Mrs. Park that might be of
assistance? - ANSWER-She should contact her state Medicaid
agency to see if she qualifies for one of several programs that
can help with Medicare costs for which she is responsible.
Mr. Alonso receives some help paying for his two generic
prescription drugs from his employer's retiree coverage, but he
wants to compare it to a Part D prescription drug plan. He asks
you what costs he would generally expect to encounter when
enrolling into a standard Medicare Part D prescription drug plan.
What should you tell him? - ANSWER-He generally would pay
a monthly premium, annual deductible, and per-prescription
cost-sharing.
Mrs. Gonzalez is enrolled in Original Medicare and has a
Medigap policy as well, but it provides no drug coverage. She
would like to keep the coverage she has but replace her existing
Medigap plan with one that provides drug coverage. What
should you tell her? - ANSWER-Mrs. Gonzalez cannot purchase
a Medigap plan that covers drugs, but she could keep her
Medigap policy and enroll in a Part D prescription drug plan.
Mr. Davis is 52 years old and has recently been diagnosed with
end-stage renal disease (ESRD) and will soon begin dialysis. He
,3|Page
is wondering if he can obtain coverage under Medicare. What
should you tell him? - ANSWER-He may sign-up for Medicare
at any time however coverage usually begins on the fourth
month after dialysis treatments start.
Mrs. Duarte is enrolled in Original Medicare Parts A and B.
She has recently reviewed her Medicare Summary Notice
(MSN) and disagrees with a determination that partially denied
one of her claims for services. What advice would you give her?
- ANSWER-Mrs. Duarte should file an appeal of this initial
determination within 120 days of the date she received the MSN
in the mail.
Mrs. Geisler's neighbor told her she should look at her Part D
options during the annual Medicare enrollment period because
the features of Part D might have changed. Mrs. Geisler can't
remember what Part D is so she called you to ask what her
neighbor was talking about. What could you tell her? -
ANSWER-Part D covers prescription drugs and she should look
at her premiums, formulary, and costsharing among other factors
to see if they have changed.
Mr. Rainey is experiencing paranoid delusions and his physician
feels that he should be hospitalized. What should you tell Mr.
Rainey (or his representative) about the length of an inpatient
psychiatric hospital stay that Medicare will cover? - ANSWER-
, 4|Page
Medicare will cover a total of 190 days of inpatient psychiatric
care during Mr. Rainey's entire lifetime.
Mr. Xi will soon turn age 65 and has come to you for advice as
to what services are provided under Original Medicare. What
should you tell Mr. Xi that best describes the health coverage
provided to Medicare beneficiaries? - ANSWER-Beneficiaries
under Original Medicare have no cost-sharing for most
preventive services.
Mr. Singh would like drug coverage but does not want to be
enrolled in a Medicare Advantage plan. What should you tell
him? - ANSWER-Mr. Singh can enroll in a standalone
prescription drug plan and continue to be covered for Part A and
Part B services through Original Fee-forService Medicare.
Mrs. Chen will be 65 soon, has been a citizen for twelve years,
has been employed full time, and paid taxes during that entire
period. She is concerned that she will not qualify for coverage
under part A because she was not born in the United States.
What should you tell her? - ANSWER-Most individuals who are
citizens and age 65 or over are covered under Part A by virtue of
having paid Medicare taxes while working, though some may be
covered as a result of paying monthly premiums.
