AHIP FINAL EXAM 2025 EXAM QUESTIONS AND VERIFIED
ANSWERS, 100% GUARANTEE PASS
WhatBimpact,BifBany,BhaveBrecentBregulatoryBchangesBhadBonBMedigapBplans?B-BcorrectBanswer-
TheBPartBBBdeductibleBisBnoBlongerBcoveredBforBindividualsBnewlyBeligibleBforBMedicareBstartingBJanuaryB1,B
2020.
Mr.BDiazBcontinuedBworkingBwithBhisBcompanyBandBwasBinsuredBunderBhisBemployer'sBgroupBplanBuntilBheB
reachedBageB68.BHeBhasBheardBthatBthereBisBaBpremiumBpenaltyBforBthoseBwhoBdidBnotBsignBupBforBPartBBB
whenBfirstBeligibleBandBwantsBtoBknowBhowBmuchBheBwillBhaveBtoBpay.BWhatBshouldByouBtellBhim?B-
BcorrectBanswer-
Mr.BDiazBwillBnotBpayBanyBpenaltyBbecauseBheBhadBcontinuousBcoverageBunderBhisBemployer'sBplan.
Mrs.BShieldsBisBcoveredBbyBOriginalBMedicare.BSheBsustainedBaBhipBfractureBandBisBbeingBsuccessfullyBtreat
edBforBthatBcondition.BHowever,BsheBandBherBphysiciansBfeelBthatBafterBherBlengthyBhospitalBstay,BsheBwillBn
eedBaBmonthBorBtwoBofBnursingBandBrehabilitativeBcare.BWhatBshouldByouBtellBthemBaboutBOriginalBMedica
re'sBcoverageBofBcareBinBaBskilledBnursingBfacility?B-BcorrectBanswer-
MedicareBwillBcoverBMrs.BShield'sBskilledBnursingBservicesBprovidedBduringBtheBfirstB20BdaysBofBherBstay,Baft
erBwhichBsheBwouldBhaveBaBcopayBuntilBsheBhasBbeenBinBtheBfacilityBforB100Bdays.
Mrs.BQuinnBrecentlyBturnedB66BandBdecidedBafterBmanyByearsBofBworkBtoBretireBandBbeginBreceivingBSocial
BSecurityBbenefits.BShortlyBthereafterBMrs.BQuinnBreceivedBaBletterBinformingBherBthatBsheBhadBbeenBauto
maticallyBenrolledBinBMedicareBPartBB.BSheBwantsBtoBunderstandBwhatBthisBmeans.BWhatBshouldByouBtellB
Mrs.BQuinn?B-BcorrectBanswer-
PartBBBprimarilyBcoversBphysicianBservices.BSheBwillBbeBpayingBaBmonthlyBpremiumBand,BexceptBforBmanyBp
reventiveBandBscreeningBtests,BgenerallyBwillBhaveB20%Bco-
paymentsBforBtheseBservices,BinBadditionBtoBanBannualBdeductible.
Mrs.BTurnerBisBcomparingBherBemployer'sBretireeBinsuranceBtoBOriginalBMedicareBandBwouldBlikeBtoBknowB
whichBofBtheBfollowingBservicesBOriginalBMedicareBwillBcoverBifBtheBappropriateBcriteriaBareBmet.BWhatBco
uldByouBtellBher?B-BcorrectBanswer-OriginalBMedicareBcoversBambulanceBservices.
Mrs.BParkBisBanBelderlyBretiree.BMrs.BParkBhasBaBlowBfixedBincome.BWhatBcouldByouBtellBMrs.BParkBthatBmig
htBbeBofBassistance?B-BcorrectBanswer-
SheBshouldBcontactBherBstateBMedicaidBagencyBtoBseeBifBsheBqualifiesBforBoneBofBseveralBprogramsBthatBca
nBhelpBwithBMedicareBcostsBforBwhichBsheBisBresponsible.
, Mrs.BWestBwearsBglassesBandBdenturesBandBhasBenjoyedBconsiderableBpainBreliefBfromBarthritisBthroughBm
assageBtherapy.BSheBisBconcernedBaboutBwhetherBorBnotBMedicareBwillBcoverBtheseBitemsBandBservices.BW
hatBshouldByouBtellBher?B-BcorrectBanswer-
MedicareBdoesBnotBcoverBmassageBtherapy,Bor,BinBgeneral,BglassesBorBdentures.
Mrs.BChenBwillBbeB65Bsoon,BhasBbeenBaBcitizenBforBtwelveByears,BhasBbeenBemployedBfullBtime,BandBpaidBta
xesBduringBthatBentireBperiod.BSheBisBconcernedBthatBsheBwillBnotBqualifyBforBcoverageBunderBpartBABbecau
seBsheBwasBnotBbornBinBtheBUnitedBStates.BWhatBshouldByouBtellBher?B-BcorrectBanswer-
MostBindividualsBwhoBareBcitizensBandBageB65BorBoverBareBcoveredBunderBPartBABbyBvirtueBofBhavingBpaidB
MedicareBtaxesBwhileBworking,BthoughBsomeBmayBbeBcoveredBasBaBresultBofBpayingBmonthlyBpremiums.
Mr.BDavisBisB52ByearsBoldBandBhasBrecentlyBbeenBdiagnosedBwithBend-
stageBrenalBdiseaseB(ESRD)BandBwillBsoonBbeginBdialysis.BHeBisBwonderingBifBheBcanBobtainBcoverageBunderB
Medicare.BWhatBshouldByouBtellBhim?B-BcorrectBanswer-HeBmayBsign-
upBforBMedicareBatBanyBtimeBhoweverBcoverageBusuallyBbeginsBonBtheBfourthBmonthBafterBdialysisBtreatme
ntsBstart.
Mr.BLombardiBisBinterestedBinBaBMedicareBAdvantageB(MA)BPPOBplanBthatByouBrepresent.BItBisBoneBofBthree
BplansBoperatedBbyBtheBsameBorganizationBinBMr.BLombardi'sBarea.BTheBMABPPOBplanBdoesBnotBincludeBdru
gBcoverage,BbutBtheBotherBtwoBplansBdo.BMr.BLombardiBlikesBtheBPPOBplanBthatBdoesBnotBincludeBdrugBcove
rageBandBintendsBtoBobtainBhisBdrugBcoverageBthroughBaBstand-
aloneBMedicareBprescriptionBdrugBplan.BWhatBshouldByouBtellBhimBaboutBthisBsituation?B-BcorrectBanswer-
HeBcouldBenrollBeitherBinBoneBofBtheBMABplansBthatBincludeBprescriptionBdrugBcoverageBorBOriginalBMedica
reBwithBaBMedigapBplanBandBstandaloneBPartBDBprescriptionBdrugBcoverage,BbutBheBcannotBenrollBinBtheBM
A-onlyBPPOBplanBandBaBstand-aloneBprescriptionBdrugBplan.
Mr.BLopezBhasBheardBthatBheBcanBsignBupBforBaBproductBcalledB"MedicareBAdvantage"BbutBisBnotBsureBabou
tBwhatBtypeBofBplanBdesignsBareBavailableBthroughBthisBprogram.BWhatBshouldByouBtellBhimBaboutBtheBtype
sBofBhealthBplansBthatBareBavailableBthroughBtheBMedicareBAdvantageBprogram?B-BcorrectBanswer-
ThereBareBMedicareBhealthBplansBsuchBasBHMOs,BPPOs,BPFFS,BandBMSAs.
Mr.BRomeroBisB64,BretiringBsoon,BandBconsideringBenrollmentBinBhisBemployer-
sponsoredBretireeBgroupBhealthBplanBthatBincludesBdrugBcoverageBwithBnominalBcopays.BHeBheardBaboutBa
Bneighbor'sBMA-
PDBplanBthatByouBrepresentBandBbecauseBheBtakesBnumerousBprescriptionBdrugs,BheBisBconsideringBsigning
BupBforBit.BWhatBshouldByouBtellBhim?B-BcorrectBanswer-HeBshouldBcompareBtheBbenefitsBinBhisBemployer-
ANSWERS, 100% GUARANTEE PASS
WhatBimpact,BifBany,BhaveBrecentBregulatoryBchangesBhadBonBMedigapBplans?B-BcorrectBanswer-
TheBPartBBBdeductibleBisBnoBlongerBcoveredBforBindividualsBnewlyBeligibleBforBMedicareBstartingBJanuaryB1,B
2020.
Mr.BDiazBcontinuedBworkingBwithBhisBcompanyBandBwasBinsuredBunderBhisBemployer'sBgroupBplanBuntilBheB
reachedBageB68.BHeBhasBheardBthatBthereBisBaBpremiumBpenaltyBforBthoseBwhoBdidBnotBsignBupBforBPartBBB
whenBfirstBeligibleBandBwantsBtoBknowBhowBmuchBheBwillBhaveBtoBpay.BWhatBshouldByouBtellBhim?B-
BcorrectBanswer-
Mr.BDiazBwillBnotBpayBanyBpenaltyBbecauseBheBhadBcontinuousBcoverageBunderBhisBemployer'sBplan.
Mrs.BShieldsBisBcoveredBbyBOriginalBMedicare.BSheBsustainedBaBhipBfractureBandBisBbeingBsuccessfullyBtreat
edBforBthatBcondition.BHowever,BsheBandBherBphysiciansBfeelBthatBafterBherBlengthyBhospitalBstay,BsheBwillBn
eedBaBmonthBorBtwoBofBnursingBandBrehabilitativeBcare.BWhatBshouldByouBtellBthemBaboutBOriginalBMedica
re'sBcoverageBofBcareBinBaBskilledBnursingBfacility?B-BcorrectBanswer-
MedicareBwillBcoverBMrs.BShield'sBskilledBnursingBservicesBprovidedBduringBtheBfirstB20BdaysBofBherBstay,Baft
erBwhichBsheBwouldBhaveBaBcopayBuntilBsheBhasBbeenBinBtheBfacilityBforB100Bdays.
Mrs.BQuinnBrecentlyBturnedB66BandBdecidedBafterBmanyByearsBofBworkBtoBretireBandBbeginBreceivingBSocial
BSecurityBbenefits.BShortlyBthereafterBMrs.BQuinnBreceivedBaBletterBinformingBherBthatBsheBhadBbeenBauto
maticallyBenrolledBinBMedicareBPartBB.BSheBwantsBtoBunderstandBwhatBthisBmeans.BWhatBshouldByouBtellB
Mrs.BQuinn?B-BcorrectBanswer-
PartBBBprimarilyBcoversBphysicianBservices.BSheBwillBbeBpayingBaBmonthlyBpremiumBand,BexceptBforBmanyBp
reventiveBandBscreeningBtests,BgenerallyBwillBhaveB20%Bco-
paymentsBforBtheseBservices,BinBadditionBtoBanBannualBdeductible.
Mrs.BTurnerBisBcomparingBherBemployer'sBretireeBinsuranceBtoBOriginalBMedicareBandBwouldBlikeBtoBknowB
whichBofBtheBfollowingBservicesBOriginalBMedicareBwillBcoverBifBtheBappropriateBcriteriaBareBmet.BWhatBco
uldByouBtellBher?B-BcorrectBanswer-OriginalBMedicareBcoversBambulanceBservices.
Mrs.BParkBisBanBelderlyBretiree.BMrs.BParkBhasBaBlowBfixedBincome.BWhatBcouldByouBtellBMrs.BParkBthatBmig
htBbeBofBassistance?B-BcorrectBanswer-
SheBshouldBcontactBherBstateBMedicaidBagencyBtoBseeBifBsheBqualifiesBforBoneBofBseveralBprogramsBthatBca
nBhelpBwithBMedicareBcostsBforBwhichBsheBisBresponsible.
, Mrs.BWestBwearsBglassesBandBdenturesBandBhasBenjoyedBconsiderableBpainBreliefBfromBarthritisBthroughBm
assageBtherapy.BSheBisBconcernedBaboutBwhetherBorBnotBMedicareBwillBcoverBtheseBitemsBandBservices.BW
hatBshouldByouBtellBher?B-BcorrectBanswer-
MedicareBdoesBnotBcoverBmassageBtherapy,Bor,BinBgeneral,BglassesBorBdentures.
Mrs.BChenBwillBbeB65Bsoon,BhasBbeenBaBcitizenBforBtwelveByears,BhasBbeenBemployedBfullBtime,BandBpaidBta
xesBduringBthatBentireBperiod.BSheBisBconcernedBthatBsheBwillBnotBqualifyBforBcoverageBunderBpartBABbecau
seBsheBwasBnotBbornBinBtheBUnitedBStates.BWhatBshouldByouBtellBher?B-BcorrectBanswer-
MostBindividualsBwhoBareBcitizensBandBageB65BorBoverBareBcoveredBunderBPartBABbyBvirtueBofBhavingBpaidB
MedicareBtaxesBwhileBworking,BthoughBsomeBmayBbeBcoveredBasBaBresultBofBpayingBmonthlyBpremiums.
Mr.BDavisBisB52ByearsBoldBandBhasBrecentlyBbeenBdiagnosedBwithBend-
stageBrenalBdiseaseB(ESRD)BandBwillBsoonBbeginBdialysis.BHeBisBwonderingBifBheBcanBobtainBcoverageBunderB
Medicare.BWhatBshouldByouBtellBhim?B-BcorrectBanswer-HeBmayBsign-
upBforBMedicareBatBanyBtimeBhoweverBcoverageBusuallyBbeginsBonBtheBfourthBmonthBafterBdialysisBtreatme
ntsBstart.
Mr.BLombardiBisBinterestedBinBaBMedicareBAdvantageB(MA)BPPOBplanBthatByouBrepresent.BItBisBoneBofBthree
BplansBoperatedBbyBtheBsameBorganizationBinBMr.BLombardi'sBarea.BTheBMABPPOBplanBdoesBnotBincludeBdru
gBcoverage,BbutBtheBotherBtwoBplansBdo.BMr.BLombardiBlikesBtheBPPOBplanBthatBdoesBnotBincludeBdrugBcove
rageBandBintendsBtoBobtainBhisBdrugBcoverageBthroughBaBstand-
aloneBMedicareBprescriptionBdrugBplan.BWhatBshouldByouBtellBhimBaboutBthisBsituation?B-BcorrectBanswer-
HeBcouldBenrollBeitherBinBoneBofBtheBMABplansBthatBincludeBprescriptionBdrugBcoverageBorBOriginalBMedica
reBwithBaBMedigapBplanBandBstandaloneBPartBDBprescriptionBdrugBcoverage,BbutBheBcannotBenrollBinBtheBM
A-onlyBPPOBplanBandBaBstand-aloneBprescriptionBdrugBplan.
Mr.BLopezBhasBheardBthatBheBcanBsignBupBforBaBproductBcalledB"MedicareBAdvantage"BbutBisBnotBsureBabou
tBwhatBtypeBofBplanBdesignsBareBavailableBthroughBthisBprogram.BWhatBshouldByouBtellBhimBaboutBtheBtype
sBofBhealthBplansBthatBareBavailableBthroughBtheBMedicareBAdvantageBprogram?B-BcorrectBanswer-
ThereBareBMedicareBhealthBplansBsuchBasBHMOs,BPPOs,BPFFS,BandBMSAs.
Mr.BRomeroBisB64,BretiringBsoon,BandBconsideringBenrollmentBinBhisBemployer-
sponsoredBretireeBgroupBhealthBplanBthatBincludesBdrugBcoverageBwithBnominalBcopays.BHeBheardBaboutBa
Bneighbor'sBMA-
PDBplanBthatByouBrepresentBandBbecauseBheBtakesBnumerousBprescriptionBdrugs,BheBisBconsideringBsigning
BupBforBit.BWhatBshouldByouBtellBhim?B-BcorrectBanswer-HeBshouldBcompareBtheBbenefitsBinBhisBemployer-