AHIP 2025 Final Exam Updated Questions and Verified Answers, 100% Guarantee Pass

AHIP2025Final ExamUpdatedQuestionsand
Verified Answers, 100% Guarantee Pass



Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and
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ais beingsuccessfully treated forthat condition. However, she andher
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aphysiciansfeelthatafterherlengthyhospitalstay,shewillneedamonthor two
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aof nursing and rehabilitative care. What should you tell them about Original
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aMedicare's coverage of care in a skilled nursing facility?
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- correct answer - Medicare will cover Mrs. Shield's skilled nursing services
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provided during the first 20 days of her stay, after which she would have a copay
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auntil she has been in the facility for 100 days.
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Mrs. West wears glasses and dentures and hasenjoyed considerable pain relief
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afrom arthritis through massage therapy. She is concerned about
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,


whetherornotMedicarewillcovertheseitemsandservices.Whatshould you
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atell her?
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- correct answer -Medicaredoesnotcovermassagetherapy,or,ingeneral,
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aglasses or dentures. a a




Mrs.Parkisanelderlyretiree.Mrs.Parkhasalowfixedincome.Whatcould you
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atell Mrs. Park that might be of assistance?
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- correct answer - She shouldcontact her state Medicaid agency to see if
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shequalifiesforoneofseveral programsthatcanhelp with Medicarecosts for
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awhich she is responsible.a a a




Mr. Alonso receives some help paying for his two generic prescription drugs
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fromhisemployer'sretireecoverage,buthewantstocompareittoa Part D
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aprescription drug plan. He asks you what costs he would generally expect to
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aencounter when enrolling into a standard Medicare Part D prescription drug
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aplan. What should you tell him?
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- correct answer -Hegenerallywouldpayamonthlypremium,annual
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adeductible, and per-prescription cost-sharing. a a a




Mrs.GonzalezisenrolledinOriginalMedicareandhasaMedigappolicyas
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awell,butit providesno drugcoverage.Shewouldliketokeep thecoverage
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,


shehasbutreplaceherexisting Medigapplan with onethatprovidesdrug
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coverage. What should you tell her? a a a a a




- correct answer - Mrs.Gonzalez cannot purchase a Medigap plan that
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coversdrugs,butshecouldkeepherMedigappolicyandenrollinaPartD
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aprescription drug plan. a a




Mr. Davis is 52 years old and has recently been diagnosed with end-stage
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arenal disease (ESRD) and will soon begin dialysis. He is wondering if he can
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aobtain coverage under Medicare. What should you tell him?
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- correct answer - He may sign-up for Medicare at any time however
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coverageusuallybeginson thefourth monthafterdialysistreatmentsstart.
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Mrs.DuarteisenrolledinOriginalMedicarePartsAandB.Shehasrecently
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areviewed her Medicare Summary Notice (MSN) and disagrees with a
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adetermination that partially denied one of her claims for services. What a a a a a a a a a a




aadvice would you give her?
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- correct answer - Mrs.Duarte should file an appeal of thisinitial
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determinationwithin120daysofthedateshereceivedtheMSNinthemail. a a a a a a a a a a a




Mrs. Geisler's neighbor told her she should look at her Part D options
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aduring the annualMedicare enrollment period becausethe features of Part
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,


Dmighthave changed. Mrs. Geisler can't rememberwhat PartD is so she
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calledyoutoaskwhatherneighborwastalkingabout.Whatcouldyoutell her?
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- correct answer - PartDcoversprescriptiondrugsandsheshouldlookat
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herpremiums,formulary,andcost-sharingamongotherfactorstoseeif
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athey have changed.
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Mr.Raineyisexperiencingparanoiddelusionsandhisphysicianfeelsthathe
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ashould be hospitalized. What should you tell Mr. Rainey (or his representative)
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aabout the length of an inpatient psychiatric hospital stay that Medicare will
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acover?

- correct answer -Medicarewillcoveratotalof190daysofinpatient
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apsychiatric care during Mr. Rainey's entire lifetime.
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Mr. Xi will soon turn age 65 and has come to you for advice as to what services
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areprovidedunderOriginalMedicare.WhatshouldyoutellMr.Xi thatbest
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describesthehealthcoverageprovidedtoMedicarebeneficiaries?
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- correctanswer-BeneficiariesunderOriginalMedicarehaveno
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acost-sharing for most preventive services. a a a a




Mr.Singhwouldlikedrug coveragebutdoesnotwanttobeenrolled in a
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