AHIP 2025 Final Exam 50 questions (Exam Updated
Questions and Verified Answers, 100% Guarantee Pass)
Mrs.BTurnerBisBcomparingBherBemployer'sBretireeBinsuranceBtoBOriginalBMedicareBandBwouldBlikeBtoBknowB
whichBofBtheBfollowingBservicesBOriginalBMedicareBwillBcoverBifBtheBappropriateBcriteriaBareBmet.BWhatBco
uldByouBtellBher?B-BcorrectBanswer-OriginalBMedicareBcoversBambulanceBservices.
Mrs.BDuarteBisBenrolledBinBOriginalBMedicareBPartsBABandBB.BSheBhasBrecentlyBreviewedBherBMedicareBSum
maryBNoticeB(MSN)BandBdisagreesBwithBaBdeterminationBthatBpartiallyBdeniedBoneBofBherBclaimsBforBservic
es.BWhatBadviceBwouldByouBgiveBher?B-BcorrectBanswer-
Mrs.BDuarteBshouldBfileBanBappealBofBthisBinitialBdeterminationBwithinB120BdaysBofBtheBdateBsheBreceivedBt
heBMSNBinBtheBmail.
Mrs.BGeisler'sBneighborBtoldBherBsheBshouldBlookBatBherBPartBDBoptionsBduringBtheBannualBMedicareBenroll
mentBperiodBbecauseBtheBfeaturesBofBPartBDBmightBhaveBchanged.BMrs.BGeislerBcan'tBrememberBwhatBPart
BDBisBsoBsheBcalledByouBtoBaskBwhatBherBneighborBwasBtalkingBabout.BWhatBcouldByouBtellBher?B-
BcorrectBanswer-
PartBDBcoversBprescriptionBdrugsBandBsheBshouldBlookBatBherBpremiums,Bformulary,BandBcost-
sharingBamongBotherBfactorsBtoBseeBifBtheyBhaveBchanged.
Mrs.BParkBisBanBelderlyBretiree.BMrs.BParkBhasBaBlowBfixedBincome.BWhatBcouldByouBtellBMrs.BParkBthatBmig
htBbeBofBassistance?B-BcorrectBanswer-
SheBshouldBcontactBherBstateBMedicaidBagencyBtoBseeBifBsheBqualifiesBforBoneBofBseveralBprogramsBthatBca
nBhelpBwithBMedicareBcostsBforBwhichBsheBisBresponsible.
Mrs.BQuinnBrecentlyBturnedB66BandBdecidedBafterBmanyByearsBofBworkBtoBretireBandBbeginBreceivingBSocial
BSecurityBbenefits.BShortlyBthereafterBMrs.BQuinnBreceivedBaBletterBinformingBherBthatBsheBhadBbeenBauto
maticallyBenrolledBinBMedicareBPartBB.BSheBwantsBtoBunderstandBwhatBthisBmeans.BWhatBshouldByouBtellB
Mrs.BQuinn?B-BcorrectBanswer-
PartBBBprimarilyBcoversBphysicianBservices.BSheBwillBbeBpayingBaBmonthlyBpremiumBand,BexceptBforBmanyBp
reventiveBandBscreeningBtests,BgenerallyBwillBhaveB20%Bco-
paymentsBforBtheseBservices,BinBadditionBtoBanBannualBdeductible.
AnitaBMagriBwillBturnBageB65BinBAugustB2023.BAnitaBintendsBtoBenrollBinBOriginalBMedicareBPartBABandBPartB
B.BSheBwouldBalsoBlikeBtoBenrollBinBaBMedicareBSupplementB(Medigap)Bplan.BAnita'sBolderBneighborBMelBha
sBtoldBherBaboutBtheBMedigapBPlanBFBinBwhichBheBisBenrolled.BItBnotBonlyBprovidesBforeignBtravelBemergenc
yBbenefitsBbutBalsoBcoversBhisBMedicareBPartBBBdeductible.BAnitaBcomesBtoByouBforBadvice.BWhatBshouldBy
, ouBtellBher?B-BcorrectBanswer-
YouBareBsorryBtoBdisappointBAnita,BbutBaBMedigapBFBplanBisBnoBlongerBavailableBtoBthoseBwhoBturnBageB65B
afterBJanuaryB1,B2020.BAnitaBmightBinsteadBconsiderBotherBMedigapBplansBthatBofferBforeignBtravelBbenefit
sBbutBdoBnotBcoverBtheBPartBBBdeductible.
Mr.BSinghBwouldBlikeBdrugBcoverageBbutBdoesBnotBwantBtoBbeBenrolledBinBaBMedicareBAdvantageBplan.BWh
atBshouldByouBtellBhim?B-BcorrectBanswer-Mr.BSinghBcanBenrollBinBaBstand-
aloneBprescriptionBdrugBplanBandBcontinueBtoBbeBcoveredBforBPartBABandBPartBBBservicesBthroughBOriginalB
Fee-for-ServiceBMedicare.
Mrs.BChenBwillBbeB65Bsoon,BhasBbeenBaBcitizenBforBtwelveByears,BhasBbeenBemployedBfullBtime,BandBpaidBta
xesBduringBthatBentireBperiod.BSheBisBconcernedBthatBsheBwillBnotBqualifyBforBcoverageBunderBpartBABbecau
seBsheBwasBnotBbornBinBtheBUnitedBStates.BWhatBshouldByouBtellBher?B-BcorrectBanswer-
MostBindividualsBwhoBareBcitizensBandBageB65BorBoverBareBcoveredBunderBPartBABbyBvirtueBofBhavingBpaidB
MedicareBtaxesBwhileBworking,BthoughBsomeBmayBbeBcoveredBasBaBresultBofBpayingBmonthlyBpremiums.
Mr.BXiBwillBsoonBturnBageB65BandBhasBcomeBtoByouBforBadviceBasBtoBwhatBservicesBareBprovidedBunderBOrigi
nalBMedicare.BWhatBshouldByouBtellBMr.BXiBthatBbestBdescribesBtheBhealthBcoverageBprovidedBtoBMedicareB
beneficiaries?B-BcorrectBanswer-BeneficiariesBunderBOriginalBMedicareBhaveBnoBcost-
sharingBforBmostBpreventiveBservices.
Mr.BBarkerBenjoysBaBcomfortableBretirementBincome.BHeBrecentlyBhadBsurgeryBandBexpectedBthatBheBwoul
dBhaveBcertainBservicesBandBitemsBcoveredBbyBtheBplanBwithBminimalBout-of-pocketBcostsBbecauseBhisBMA-
PDBcoverageBhasBbeenBveryBgood.BHowever,BwhenBheBreceivedBtheBbill,BheBwasBsurprisedBtoBseeBlargeBchar
gesBinBexcessBofBhisBmaximumBout-of-
pocketBlimitBthatBincludedBsomeBservicesBandBitemsBheBthoughtBwouldBbeBfullyBcovered.BHeBcalledByouBtoB
askBwhatBheBcouldBdo?BWhatBcouldByouBtellBhim?B-BcorrectBanswer-
YouBcanBofferBtoBreviewBtheBplansBappealBprocessBtoBhelpBhimBaskBtheBplanBtoBreviewBtheBcoverageBdecisio
n.
Mr.BLombardiBisBinterestedBinBaBMedicareBAdvantageB(MA)BPPOBplanBthatByouBrepresent.BItBisBoneBofBthree
BplansBoperatedBbyBtheBsameBorganizationBinBMr.BLombardi'sBarea.BTheBMABPPOBplanBdoesBnotBincludeBdru
gBcoverage,BbutBtheBotherBtwoBplansBdo.BMr.BLombardiBlikesBtheBPPOBplanBthatBdoesBnotBincludeBdrugBcove
rageBandBintendsBtoBobtainBhisBdrugBcoverageBthroughBaBstand-
aloneBMedicareBprescriptionBdrugBplan.BWhatBshouldByouBtellBhimBaboutBthisBsituation?B-BcorrectBanswer-
HeBcouldBenrollBeitherBinBoneBofBtheBMABplansBthatBincludeBprescriptionBdrugBcoverageBorBOriginalBMedica
reBwithBaBMedigapBplanBandBstandaloneBPartBDBprescriptionBdrugBcoverage,BbutBheBcannotBenrollBinBtheBM
A-onlyBPPOBplanBandBaBstand-aloneBprescriptionBdrugBplan.
Questions and Verified Answers, 100% Guarantee Pass)
Mrs.BTurnerBisBcomparingBherBemployer'sBretireeBinsuranceBtoBOriginalBMedicareBandBwouldBlikeBtoBknowB
whichBofBtheBfollowingBservicesBOriginalBMedicareBwillBcoverBifBtheBappropriateBcriteriaBareBmet.BWhatBco
uldByouBtellBher?B-BcorrectBanswer-OriginalBMedicareBcoversBambulanceBservices.
Mrs.BDuarteBisBenrolledBinBOriginalBMedicareBPartsBABandBB.BSheBhasBrecentlyBreviewedBherBMedicareBSum
maryBNoticeB(MSN)BandBdisagreesBwithBaBdeterminationBthatBpartiallyBdeniedBoneBofBherBclaimsBforBservic
es.BWhatBadviceBwouldByouBgiveBher?B-BcorrectBanswer-
Mrs.BDuarteBshouldBfileBanBappealBofBthisBinitialBdeterminationBwithinB120BdaysBofBtheBdateBsheBreceivedBt
heBMSNBinBtheBmail.
Mrs.BGeisler'sBneighborBtoldBherBsheBshouldBlookBatBherBPartBDBoptionsBduringBtheBannualBMedicareBenroll
mentBperiodBbecauseBtheBfeaturesBofBPartBDBmightBhaveBchanged.BMrs.BGeislerBcan'tBrememberBwhatBPart
BDBisBsoBsheBcalledByouBtoBaskBwhatBherBneighborBwasBtalkingBabout.BWhatBcouldByouBtellBher?B-
BcorrectBanswer-
PartBDBcoversBprescriptionBdrugsBandBsheBshouldBlookBatBherBpremiums,Bformulary,BandBcost-
sharingBamongBotherBfactorsBtoBseeBifBtheyBhaveBchanged.
Mrs.BParkBisBanBelderlyBretiree.BMrs.BParkBhasBaBlowBfixedBincome.BWhatBcouldByouBtellBMrs.BParkBthatBmig
htBbeBofBassistance?B-BcorrectBanswer-
SheBshouldBcontactBherBstateBMedicaidBagencyBtoBseeBifBsheBqualifiesBforBoneBofBseveralBprogramsBthatBca
nBhelpBwithBMedicareBcostsBforBwhichBsheBisBresponsible.
Mrs.BQuinnBrecentlyBturnedB66BandBdecidedBafterBmanyByearsBofBworkBtoBretireBandBbeginBreceivingBSocial
BSecurityBbenefits.BShortlyBthereafterBMrs.BQuinnBreceivedBaBletterBinformingBherBthatBsheBhadBbeenBauto
maticallyBenrolledBinBMedicareBPartBB.BSheBwantsBtoBunderstandBwhatBthisBmeans.BWhatBshouldByouBtellB
Mrs.BQuinn?B-BcorrectBanswer-
PartBBBprimarilyBcoversBphysicianBservices.BSheBwillBbeBpayingBaBmonthlyBpremiumBand,BexceptBforBmanyBp
reventiveBandBscreeningBtests,BgenerallyBwillBhaveB20%Bco-
paymentsBforBtheseBservices,BinBadditionBtoBanBannualBdeductible.
AnitaBMagriBwillBturnBageB65BinBAugustB2023.BAnitaBintendsBtoBenrollBinBOriginalBMedicareBPartBABandBPartB
B.BSheBwouldBalsoBlikeBtoBenrollBinBaBMedicareBSupplementB(Medigap)Bplan.BAnita'sBolderBneighborBMelBha
sBtoldBherBaboutBtheBMedigapBPlanBFBinBwhichBheBisBenrolled.BItBnotBonlyBprovidesBforeignBtravelBemergenc
yBbenefitsBbutBalsoBcoversBhisBMedicareBPartBBBdeductible.BAnitaBcomesBtoByouBforBadvice.BWhatBshouldBy
, ouBtellBher?B-BcorrectBanswer-
YouBareBsorryBtoBdisappointBAnita,BbutBaBMedigapBFBplanBisBnoBlongerBavailableBtoBthoseBwhoBturnBageB65B
afterBJanuaryB1,B2020.BAnitaBmightBinsteadBconsiderBotherBMedigapBplansBthatBofferBforeignBtravelBbenefit
sBbutBdoBnotBcoverBtheBPartBBBdeductible.
Mr.BSinghBwouldBlikeBdrugBcoverageBbutBdoesBnotBwantBtoBbeBenrolledBinBaBMedicareBAdvantageBplan.BWh
atBshouldByouBtellBhim?B-BcorrectBanswer-Mr.BSinghBcanBenrollBinBaBstand-
aloneBprescriptionBdrugBplanBandBcontinueBtoBbeBcoveredBforBPartBABandBPartBBBservicesBthroughBOriginalB
Fee-for-ServiceBMedicare.
Mrs.BChenBwillBbeB65Bsoon,BhasBbeenBaBcitizenBforBtwelveByears,BhasBbeenBemployedBfullBtime,BandBpaidBta
xesBduringBthatBentireBperiod.BSheBisBconcernedBthatBsheBwillBnotBqualifyBforBcoverageBunderBpartBABbecau
seBsheBwasBnotBbornBinBtheBUnitedBStates.BWhatBshouldByouBtellBher?B-BcorrectBanswer-
MostBindividualsBwhoBareBcitizensBandBageB65BorBoverBareBcoveredBunderBPartBABbyBvirtueBofBhavingBpaidB
MedicareBtaxesBwhileBworking,BthoughBsomeBmayBbeBcoveredBasBaBresultBofBpayingBmonthlyBpremiums.
Mr.BXiBwillBsoonBturnBageB65BandBhasBcomeBtoByouBforBadviceBasBtoBwhatBservicesBareBprovidedBunderBOrigi
nalBMedicare.BWhatBshouldByouBtellBMr.BXiBthatBbestBdescribesBtheBhealthBcoverageBprovidedBtoBMedicareB
beneficiaries?B-BcorrectBanswer-BeneficiariesBunderBOriginalBMedicareBhaveBnoBcost-
sharingBforBmostBpreventiveBservices.
Mr.BBarkerBenjoysBaBcomfortableBretirementBincome.BHeBrecentlyBhadBsurgeryBandBexpectedBthatBheBwoul
dBhaveBcertainBservicesBandBitemsBcoveredBbyBtheBplanBwithBminimalBout-of-pocketBcostsBbecauseBhisBMA-
PDBcoverageBhasBbeenBveryBgood.BHowever,BwhenBheBreceivedBtheBbill,BheBwasBsurprisedBtoBseeBlargeBchar
gesBinBexcessBofBhisBmaximumBout-of-
pocketBlimitBthatBincludedBsomeBservicesBandBitemsBheBthoughtBwouldBbeBfullyBcovered.BHeBcalledByouBtoB
askBwhatBheBcouldBdo?BWhatBcouldByouBtellBhim?B-BcorrectBanswer-
YouBcanBofferBtoBreviewBtheBplansBappealBprocessBtoBhelpBhimBaskBtheBplanBtoBreviewBtheBcoverageBdecisio
n.
Mr.BLombardiBisBinterestedBinBaBMedicareBAdvantageB(MA)BPPOBplanBthatByouBrepresent.BItBisBoneBofBthree
BplansBoperatedBbyBtheBsameBorganizationBinBMr.BLombardi'sBarea.BTheBMABPPOBplanBdoesBnotBincludeBdru
gBcoverage,BbutBtheBotherBtwoBplansBdo.BMr.BLombardiBlikesBtheBPPOBplanBthatBdoesBnotBincludeBdrugBcove
rageBandBintendsBtoBobtainBhisBdrugBcoverageBthroughBaBstand-
aloneBMedicareBprescriptionBdrugBplan.BWhatBshouldByouBtellBhimBaboutBthisBsituation?B-BcorrectBanswer-
HeBcouldBenrollBeitherBinBoneBofBtheBMABplansBthatBincludeBprescriptionBdrugBcoverageBorBOriginalBMedica
reBwithBaBMedigapBplanBandBstandaloneBPartBDBprescriptionBdrugBcoverage,BbutBheBcannotBenrollBinBtheBM
A-onlyBPPOBplanBandBaBstand-aloneBprescriptionBdrugBplan.