AHIP 2025 FINAL EXAM 50
QUESTIONS EXAM WITH CORRECT
ANSWERS FLASHCARD
Medicare Advantage & Part D – Flashcards (Exam Style)
Medicare Basics
Q: What does Original Medicare cover regarding ambulance services?
A: Original Medicare covers ambulance services when medically necessary.
Q: How long does a beneficiary have to appeal an MSN decision?
A: 120 days from the date the MSN is received.
Q: What is Medicare Part D?
A: Prescription drug coverage.
Q: What should beneficiaries review during Part D enrollment?
A: Premiums, formulary, and cost-sharing.
Q: What assistance is available for low-income Medicare beneficiaries?
A: State Medicaid programs and Medicare Savings Programs.
Q: What does Medicare Part B cover?
A: Physician services, outpatient care, preventive services.
Q: What is the typical Part B cost-sharing?
A: Monthly premium, annual deductible, and 20% coinsurance.
, Q: Why is Medigap Plan F not available to new enrollees?
A: It is closed to people turning 65 after Jan 1, 2020.
Q: Can someone have Original Medicare + Part D?
A: Yes, stand-alone Part D plans are allowed.
Q:fDoesfcitizenshipfaffectfMedicarefPartfAfeligibility?
A:fNo,feligibilityfisfbasedfonfworkfhistoryfandftaxesfpaid.
fMedicarefAdvantagef(MA)
Q:fWhatfisfMedicarefAdvantage?
A:fAfprivatefplanfthatfreplacesfOriginalfMedicarefbenefits.
Q:fWhatftypesfoffMAfplansfexist?
A:fHMO,fPPO,fPFFS,fMSA.
Q:fMAfeligibilityfrequirements?
A:fMustfhavefPartfAfandfPartfB.
Q:fCanfyoufenrollfinfMAfandfstand-alonefPartfD?
A:fNo,fexceptfinfMA-onlyfplansfthatfdofnotfincludefdrugfcoverage.
Q:fWhatfisfrequiredfforfPFFSfplanfeligibility?
A:fPartfAfentitlement,fPartfBfenrollment,fandfservicefareafresidence.
Q:fWhatfisfanfMA-MOOPfissuefexample?
A:fUnexpectedfchargesfexceedingfplanflimitsf→fappealfprocess.
QUESTIONS EXAM WITH CORRECT
ANSWERS FLASHCARD
Medicare Advantage & Part D – Flashcards (Exam Style)
Medicare Basics
Q: What does Original Medicare cover regarding ambulance services?
A: Original Medicare covers ambulance services when medically necessary.
Q: How long does a beneficiary have to appeal an MSN decision?
A: 120 days from the date the MSN is received.
Q: What is Medicare Part D?
A: Prescription drug coverage.
Q: What should beneficiaries review during Part D enrollment?
A: Premiums, formulary, and cost-sharing.
Q: What assistance is available for low-income Medicare beneficiaries?
A: State Medicaid programs and Medicare Savings Programs.
Q: What does Medicare Part B cover?
A: Physician services, outpatient care, preventive services.
Q: What is the typical Part B cost-sharing?
A: Monthly premium, annual deductible, and 20% coinsurance.
, Q: Why is Medigap Plan F not available to new enrollees?
A: It is closed to people turning 65 after Jan 1, 2020.
Q: Can someone have Original Medicare + Part D?
A: Yes, stand-alone Part D plans are allowed.
Q:fDoesfcitizenshipfaffectfMedicarefPartfAfeligibility?
A:fNo,feligibilityfisfbasedfonfworkfhistoryfandftaxesfpaid.
fMedicarefAdvantagef(MA)
Q:fWhatfisfMedicarefAdvantage?
A:fAfprivatefplanfthatfreplacesfOriginalfMedicarefbenefits.
Q:fWhatftypesfoffMAfplansfexist?
A:fHMO,fPPO,fPFFS,fMSA.
Q:fMAfeligibilityfrequirements?
A:fMustfhavefPartfAfandfPartfB.
Q:fCanfyoufenrollfinfMAfandfstand-alonefPartfD?
A:fNo,fexceptfinfMA-onlyfplansfthatfdofnotfincludefdrugfcoverage.
Q:fWhatfisfrequiredfforfPFFSfplanfeligibility?
A:fPartfAfentitlement,fPartfBfenrollment,fandfservicefareafresidence.
Q:fWhatfisfanfMA-MOOPfissuefexample?
A:fUnexpectedfchargesfexceedingfplanflimitsf→fappealfprocess.
