AHIP 2026 Module 1,2,3,4$5 (20 QUESTIONS AND ANSWERS IN EACH MODULE ALL 100% VERIFIRED UPDATE)

AHIP 2026 Module 1,2,3,4$5 (20 QUESTIONS
AND ANSWERS IN EACH MODULE ALL 100%
VERIFIRED 2025\2026 UPDATE)
TABLE OF CONTENT
MODULE 1….............................5
MODULE 2….............................8
MODULE 3….............................11
MODULE 4….............................14
MODULE 5 ............................... 18


Ahip 2025 Module 1



Mr. h,Xi h,will h,soon h,turn h,age h,65 h,and h,has h,come h,to h,you h,for h,advice h,as h,to h,what h,services h,are h,provided
h,under h,Original h,Medicare. h,What h,should h,you h,tell h,Mr. h,Xi h,that h,best h,describes h,the h,health h,coverage


h,provided h,to h,Medicare h,beneficiaries? h,- h,ANS>>Beneficiaries h,under h,Original h,Medicare h,have h,no h,cost-


sharing h,for h,most h,preventive h,services


Mrs. h,Quinn h,recently h,turned h,66 h,and h,decided h,after h,many h,years h,of h,work h,to h,begin h,receiving h,Social
h,Security h,benefits. h,Shortly h,thereafter h,Mrs. h,Quinn h,received h,a h,letter h,informing h,her h,that h,she h,has


h,been h,automatically h,enrolled h,in h,Medicare h,Part h,B. h,She h,wants h,to h,understand h,what h,this h,means.


h,What h,should h,you h,tell h,Mrs. h,Quinn? h,- h,ANS>>Part h,B h,primarily h,covers h,physician h,services. h,She h,will h,be


h,paying h,a h,monthly h,premium h,and, h,except h,for h,many h,preventive h,screening h,and h,tests, h,generally h,will


h,have h,20 h,percent h,co-payments h,for h,these h,services h,in h,addition h,to h,an h,annual h,deductible




Mr. h,Davis h,is h,52 h,years h,old h,and h,has h,recently h,been h,diagnosed h,with h,end-stage h,renal h,disease h,(ESRD) h,and
h,will h,soon h,begin h,dialysis. h,He h,is h,wondering h,if h,he h,can h,obtain h,coverage h,under h,Medicare. h,What


h,should h,you h,tell h,him? h,- h,ANS>>He h,may h,sign h,up h,for h,Medicare h,at h,any h,time h,however h,coverage


h,usually h,begins h,on h,the h,fourth h,month h,after h,dialysis h,treatment




Mr. h,Alonso h,receives h,some h,help h,paying h,for h,his h,two h,generic h,prescription h,drugs h,from h,his h,employer's
h,retiree h,coverage, h,but h,he h,wants h,to h,compare h,it h,to h,a h,Part h,D h,prescription h,drug h,plan. h,He h,asks h,you


h,what h,costs h,he h,would h,generally h,expect h,to h,encounter h,when h,enrolling h,into h,a h,standard h,Medicare





,h, Part h,D h,prescription h,drug






, plan. h,What h,should h,you h,tell h,him? h,- h,ANS>>He h,generally h,would h,pay h,a h,monthly h,premium, h,annual
h,deductible, h,and h,per-prescription h,cost h,sharing.




Ms. h,Brooks h,has h,an h,aggressive h,cancer h,and h,would h,like h,to h,know h,if h,Medicare h,will h,cover h,hospice
h,services h,in h,case h,she h,needs h,them. h,What h,should h,you h,tell h,her? h,- h,ANS>>Medicare h,covers h,hospice


h,services h,and h,they h,will h,be h,available h,to h,her.




Mrs. h,Park h,is h,an h,elderly h,retiree. h,Mrs. h,Park h,has h,a h,low h,fixed h,income. h,What h,could h,you h,tell h,Mrs. h,Park
h,that h,might h,be h,of h,assistance? h,- h,ANS>>She h,should h,contact h,her h,state h,Medicaid h,agency h,to h,see h,if


h,she h,qualifies h,for h,one h,of h,several h,programs h,that h,can h,help h,with h,Medicare h,costs h,for h,which h,she h,is


h,responsible.




Mrs. h,Duarte h,is h,enrolled h,in h,Original h,Medicare h,Parts h,A h,and h,B. h,She h,has h,recently h,reviewed h,her
h,Medicare h,Summary h,Notice h,(MSN) h,and h,disagrees h,with h,a h,determination h,that h,partially h,denied h,one


h,of h,her h,claims h,for h,services. h,What h,advice h,would h,you h,give h,her? h,- h,ANS>>Mrs. h,Duarte h,should h,file h,an


h,appeal h,of h,this h,initial h,determination h,within h,120 h,days h,of h,the h,date h,she h,received h,the h,MSN h,in h,the


h,mail.




Mrs. h,Chen h,will h,be h,65 h,soon, h,has h,been h,a h,citizen h,for h,twelve h,years, h,has h,been h,employed h,full h,time,
h,and h,paid h,taxes h,during h,that h,entire h,period. h,She h,is h,concerned h,that h,she h,will h,not h,qualify h,for


h,coverage h,under h,part h,A h,because h,she h,was h,not h,born h,in h,the h,United h,States. h,What h,should h,you h,tell h,her?


h,- h,ANS>>Most h,individuals h,who h,are h,citizens h,and h,age h,65 h,or h,over h,are h,covered h,under h,Part h,A h,by


h,virtue h,of h,having h,paid h,Medicare h,taxes h,while h,working, h,though h,some h,may h,be h,covered h,as h,a h,result


h,of h,paying h,monthly h,premiums.




Mr. h,Singh h,would h,like h,drug h,coverage h,but h,does h,not h,want h,to h,be h,enrolled h,in h,a h,Medicare h,Advantage
h,plan. h,What h,should h,you h,tell h,him? h,- h,ANS>>Mr. h,Singh h,can h,enroll h,in h,a h,stand-alone h,prescription


h,drug h,plan h,and h,continue h,to h,be h,covered h,for h,Part h,A h,and h,Part h,B h,services h,through h,Original h,Fee-for-


Service h,Medicare.


What h,impact, h,if h,any, h,have h,recent h,regulatory h,changes h,had h,on h,Medigap h,plans? h,- h,ANS>>The h,Part h,B
h,deductible h,is h,no h,longer h,covered h,for h,individuals h,newly h,eligible h,for h,Medicare h,starting h,January h,1,


h,2020.




Mrs. h,West h,wears h,glasses h,and h,dentures h,and h,has h,enjoyed h,considerable h,pain h,relief h,from h,arthritis
h,through h,massage h,therapy. h,She h,is h,concerned h,about h,whether h,or h,not h,Medicare h,will h,cover h,these h,items

h,and h,services. h,What h,should h,you h,tell h,her? h,- h,ANS>>Medicare h,does h,not h,cover h,massage h,therapy, h,or, h,in


h,general, h,glasses h,or h,dentures.