2025 AHIP - FINAL EXAM
Mr. Rainey is experiencing paranoid delusions and his physician feels that he
should be hospitalized. What should you tell Mr. Rainey (or his representative)
about the length of an inpatient psychiatric hospital stay that Medicare will
cover?
Question 1 Answer
a. Medicare will cover a total of 190 days of inpatient psychiatric care during Mr.
Rainey's entire lifetime.
b. Medicare will cover, at its allowable amount, as many stays as are needed
throughout Mr. Rainey's life, as long as no single stay exceeds 190 days.
c. Medicare inpatient psychiatric coverage is limited to the same number of days
covered for typical inpatient stays.
d. Inpatient psychiatric services are not covered under Original Medicare. - Right
Ansa -a
Mrs. Geisler's neighbor told her she should look at her Part D options during the
annual Medicare enrollment period because the features of Part D might have
changed. Mrs. Geisler can't remember what Part D is so she called you to ask
what her neighbor was talking about. What could you tell her?
Question 2Answer
a. Part D covers prescription drugs and she should look at her premiums,
formulary, and cost-sharing among other factors to see if they have changed.
b. Part D covers physician and non-physician practitioner services and the
deductible has not changed this year, but the physician charges may go up.
, 2025 AHIP - FINAL EXAM
c. Part D covers long-term care services, and she should not worry because there
has been no change in coverage.
d. Part D covers hospital and home health services and the cost-sharing has
changed this year. - Right Ansa -a
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well,
but it provides no drug coverage. She would like to keep the coverage she has but
replace her existing Medigap plan with one that provides drug coverage. What
should you tell her?
Question 3Answer
a. Medigap is a replacement for Original Medicare and she has been paying for
double coverage. She should simply drop her Medigap policy.
b. Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she
could keep her Medigap policy and enroll in a Part D prescription drug plan.
c. Mrs. Gonzalez can purchase a Medigap plan that covers drugs, but it likely will
not offer coverage that is equivalent to that provided under Part D.
d. Mrs. Gonzalez should purchase a K or L Medigap plan. - Right Ansa -b
Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal
disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain
coverage under Medicare. What should you tell him?
Question 4Answer
a. He may not sign up for Medicare until he reaches age 62, the date he first
becomes eligible for Social Security benefits.
Mr. Rainey is experiencing paranoid delusions and his physician feels that he
should be hospitalized. What should you tell Mr. Rainey (or his representative)
about the length of an inpatient psychiatric hospital stay that Medicare will
cover?
Question 1 Answer
a. Medicare will cover a total of 190 days of inpatient psychiatric care during Mr.
Rainey's entire lifetime.
b. Medicare will cover, at its allowable amount, as many stays as are needed
throughout Mr. Rainey's life, as long as no single stay exceeds 190 days.
c. Medicare inpatient psychiatric coverage is limited to the same number of days
covered for typical inpatient stays.
d. Inpatient psychiatric services are not covered under Original Medicare. - Right
Ansa -a
Mrs. Geisler's neighbor told her she should look at her Part D options during the
annual Medicare enrollment period because the features of Part D might have
changed. Mrs. Geisler can't remember what Part D is so she called you to ask
what her neighbor was talking about. What could you tell her?
Question 2Answer
a. Part D covers prescription drugs and she should look at her premiums,
formulary, and cost-sharing among other factors to see if they have changed.
b. Part D covers physician and non-physician practitioner services and the
deductible has not changed this year, but the physician charges may go up.
, 2025 AHIP - FINAL EXAM
c. Part D covers long-term care services, and she should not worry because there
has been no change in coverage.
d. Part D covers hospital and home health services and the cost-sharing has
changed this year. - Right Ansa -a
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well,
but it provides no drug coverage. She would like to keep the coverage she has but
replace her existing Medigap plan with one that provides drug coverage. What
should you tell her?
Question 3Answer
a. Medigap is a replacement for Original Medicare and she has been paying for
double coverage. She should simply drop her Medigap policy.
b. Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she
could keep her Medigap policy and enroll in a Part D prescription drug plan.
c. Mrs. Gonzalez can purchase a Medigap plan that covers drugs, but it likely will
not offer coverage that is equivalent to that provided under Part D.
d. Mrs. Gonzalez should purchase a K or L Medigap plan. - Right Ansa -b
Mr. Davis is 52 years old and has recently been diagnosed with end-stage renal
disease (ESRD) and will soon begin dialysis. He is wondering if he can obtain
coverage under Medicare. What should you tell him?
Question 4Answer
a. He may not sign up for Medicare until he reaches age 62, the date he first
becomes eligible for Social Security benefits.
