2025 AHIP - FINAL EXAM QUESTIONS
WITH CORRECT ANSWERS
Mr.BRaineyBisBexperiencingBparanoidBdelusionsBandBhisBphysicianBfeelsBthatBheBshouldBbeBhospitalized.BWh
atBshouldByouBtellBMr.BRaineyB(orBhisBrepresentative)BaboutBtheBlengthBofBanBinpatientBpsychiatricBhospitalB
stayBthatBMedicareBwillBcover?
QuestionB1Answera.MedicareBwillBcoverBaBtotalBofB190BdaysBofBinpatientBpsychiatricBcareBduringBMr.BRaine
y'sBentireBlifetime.b.MedicareBwillBcover,BatBitsBallowableBamount,BasBmanyBstaysBasBareBneededBthrougho
utBMr.BRainey'sBlife,BasBlongBasBnoBsingleBstayBexceedsB190Bdays.c.MedicareBinpatientBpsychiatricBcoverageB
isBlimitedBtoBtheBsameBnumberBofBdaysBcoveredBforBtypicalBinpatientBstays.d.InpatientBpsychiatricBservicesB
areBnotBcoveredBunderBOriginalBMedicare.B-BcorrectBanswer-a
Mrs.BGeisler'sBneighborBtoldBherBsheBshouldBlookBatBherBPartBDBoptionsBduringBtheBannualBMedicareBenroll
mentBperiodBbecauseBtheBfeaturesBofBPartBDBmightBhaveBchanged.BMrs.BGeislerBcan'tBrememberBwhatBPart
BDBisBsoBsheBcalledByouBtoBaskBwhatBherBneighborBwasBtalkingBabout.BWhatBcouldByouBtellBher?
QuestionB2Answera.PartBDBcoversBprescriptionBdrugsBandBsheBshouldBlookBatBherBpremiums,Bformulary,Ban
dBcost-sharingBamongBotherBfactorsBtoBseeBifBtheyBhaveBchanged.b.PartBDBcoversBphysicianBandBnon-
physicianBpractitionerBservicesBandBtheBdeductibleBhasBnotBchangedBthisByear,BbutBtheBphysicianBchargesB
mayBgoBup.c.PartBDBcoversBlong-
termBcareBservices,BandBsheBshouldBnotBworryBbecauseBthereBhasBbeenBnoBchangeBinBcoverage.Bd.PartBDBc
oversBhospitalBandBhomeBhealthBservicesBandBtheBcost-sharingBhasBchangedBthisByear.B-BcorrectBanswer-a
Mrs.BGonzalezBisBenrolledBinBOriginalBMedicareBandBhasBaBMedigapBpolicyBasBwell,BbutBitBprovidesBnoBdrugB
coverage.BSheBwouldBlikeBtoBkeepBtheBcoverageBsheBhasBbutBreplaceBherBexistingBMedigapBplanBwithBoneBt
hatBprovidesBdrugBcoverage.BWhatBshouldByouBtellBher?
QuestionB3Answera.MedigapBisBaBreplacementBforBOriginalBMedicareBandBsheBhasBbeenBpayingBforBdouble
Bcoverage.BSheBshouldBsimplyBdropBherBMedigapBpolicy.b.Mrs.BGonzalezBcannotBpurchaseBaBMedigapBplanB
thatBcoversBdrugs,BbutBsheBcouldBkeepBherBMedigapBpolicyBandBenrollBinBaBPartBDBprescriptionBdrugBplan.c.
Mrs.BGonzalezBcanBpurchaseBaBMedigapBplanBthatBcoversBdrugs,BbutBitBlikelyBwillBnotBofferBcoverageBthatBisB
equivalentBtoBthatBprovidedBunderBPartBD.d.Mrs.BGonzalezBshouldBpurchaseBaBKBorBLBMedigapBplan.B-
BcorrectBanswer-b
Mr.BDavisBisB52ByearsBoldBandBhasBrecentlyBbeenBdiagnosedBwithBend-
stageBrenalBdiseaseB(ESRD)BandBwillBsoonBbeginBdialysis.BHeBisBwonderingBifBheBcanBobtainBcoverageBunderB
Medicare.BWhatBshouldByouBtellBhim?
QuestionB4Answera.HeBmayBnotBsign-
upBforBMedicareBuntilBheBreachesBageB62,BtheBdateBheBfirstBbecomesBeligibleBforBSocialBSecurityBbenefits.b.
HeBmayBsign-
WITH CORRECT ANSWERS
Mr.BRaineyBisBexperiencingBparanoidBdelusionsBandBhisBphysicianBfeelsBthatBheBshouldBbeBhospitalized.BWh
atBshouldByouBtellBMr.BRaineyB(orBhisBrepresentative)BaboutBtheBlengthBofBanBinpatientBpsychiatricBhospitalB
stayBthatBMedicareBwillBcover?
QuestionB1Answera.MedicareBwillBcoverBaBtotalBofB190BdaysBofBinpatientBpsychiatricBcareBduringBMr.BRaine
y'sBentireBlifetime.b.MedicareBwillBcover,BatBitsBallowableBamount,BasBmanyBstaysBasBareBneededBthrougho
utBMr.BRainey'sBlife,BasBlongBasBnoBsingleBstayBexceedsB190Bdays.c.MedicareBinpatientBpsychiatricBcoverageB
isBlimitedBtoBtheBsameBnumberBofBdaysBcoveredBforBtypicalBinpatientBstays.d.InpatientBpsychiatricBservicesB
areBnotBcoveredBunderBOriginalBMedicare.B-BcorrectBanswer-a
Mrs.BGeisler'sBneighborBtoldBherBsheBshouldBlookBatBherBPartBDBoptionsBduringBtheBannualBMedicareBenroll
mentBperiodBbecauseBtheBfeaturesBofBPartBDBmightBhaveBchanged.BMrs.BGeislerBcan'tBrememberBwhatBPart
BDBisBsoBsheBcalledByouBtoBaskBwhatBherBneighborBwasBtalkingBabout.BWhatBcouldByouBtellBher?
QuestionB2Answera.PartBDBcoversBprescriptionBdrugsBandBsheBshouldBlookBatBherBpremiums,Bformulary,Ban
dBcost-sharingBamongBotherBfactorsBtoBseeBifBtheyBhaveBchanged.b.PartBDBcoversBphysicianBandBnon-
physicianBpractitionerBservicesBandBtheBdeductibleBhasBnotBchangedBthisByear,BbutBtheBphysicianBchargesB
mayBgoBup.c.PartBDBcoversBlong-
termBcareBservices,BandBsheBshouldBnotBworryBbecauseBthereBhasBbeenBnoBchangeBinBcoverage.Bd.PartBDBc
oversBhospitalBandBhomeBhealthBservicesBandBtheBcost-sharingBhasBchangedBthisByear.B-BcorrectBanswer-a
Mrs.BGonzalezBisBenrolledBinBOriginalBMedicareBandBhasBaBMedigapBpolicyBasBwell,BbutBitBprovidesBnoBdrugB
coverage.BSheBwouldBlikeBtoBkeepBtheBcoverageBsheBhasBbutBreplaceBherBexistingBMedigapBplanBwithBoneBt
hatBprovidesBdrugBcoverage.BWhatBshouldByouBtellBher?
QuestionB3Answera.MedigapBisBaBreplacementBforBOriginalBMedicareBandBsheBhasBbeenBpayingBforBdouble
Bcoverage.BSheBshouldBsimplyBdropBherBMedigapBpolicy.b.Mrs.BGonzalezBcannotBpurchaseBaBMedigapBplanB
thatBcoversBdrugs,BbutBsheBcouldBkeepBherBMedigapBpolicyBandBenrollBinBaBPartBDBprescriptionBdrugBplan.c.
Mrs.BGonzalezBcanBpurchaseBaBMedigapBplanBthatBcoversBdrugs,BbutBitBlikelyBwillBnotBofferBcoverageBthatBisB
equivalentBtoBthatBprovidedBunderBPartBD.d.Mrs.BGonzalezBshouldBpurchaseBaBKBorBLBMedigapBplan.B-
BcorrectBanswer-b
Mr.BDavisBisB52ByearsBoldBandBhasBrecentlyBbeenBdiagnosedBwithBend-
stageBrenalBdiseaseB(ESRD)BandBwillBsoonBbeginBdialysis.BHeBisBwonderingBifBheBcanBobtainBcoverageBunderB
Medicare.BWhatBshouldByouBtellBhim?
QuestionB4Answera.HeBmayBnotBsign-
upBforBMedicareBuntilBheBreachesBageB62,BtheBdateBheBfirstBbecomesBeligibleBforBSocialBSecurityBbenefits.b.
HeBmayBsign-
