AHIP 2025 Final Exam questions and answers

AHIP 2025 Final Exam 50 questions with correct g g g g g g g g




answers




Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would like to
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know which of the following services Original Medicare will cover if the appropriate criteria are
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met. What could you tell her? - correct answer Original Medicare covers ambulance services.
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Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has recently reviewed her
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Medicare Summary Notice (MSN) and disagrees with a determination that partially denied one of
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her claims for services. What advice would you give her? - correct answer Mrs. Duarte should file
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an appeal of this initial determination within 120 days of the date she received the MSN in the
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mail.



Mrs. Geisler's neighbor told her she should look at her Part D options during the annual Medicare
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enrollment period because the features of Part D might have changed. Mrs. Geisler can't
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remember what Part D is so she called you to ask what her neighbor was talking about. What could
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you tell her? - correct answer Part D covers prescription drugs and she should look at her
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premiums, formulary, and cost-sharing among other factors to see if they have changed.
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Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs. Park that
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might be of assistance? - correct answer She should contact her state Medicaid agency to see if
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she qualifies for one of several programs that can help with Medicare costs for which she is
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responsible.

, Mrs. Quinn recently turned 66 and decided after many years of work to retire and begin receiving
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Social Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her that she had
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been automatically enrolled in Medicare Part B. She wants to understand what this means. What
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should you tell Mrs. Quinn? - correct answer Part B primarily covers physician services. She will be
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paying a monthly premium and, except for many preventive and screening tests, generally will
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have 20% co-payments for these services, in addition to an annual deductible.
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Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original Medicare Part A and
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Part B. She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita's older
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neighbor Mel has told her about the Medigap Plan F in which he is enrolled. It not only provides
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foreign travel emergency benefits but also covers his Medicare Part B deductible. Anita comes to
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you for advice. What should you tell her? - correct answer You are sorry to disappoint Anita, but a
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Medigap F plan is no longer available to those who turn age 65 after January 1, 2020. Anita might
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instead consider other Medigap plans that offer foreign travel benefits but do not cover the Part B
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deductible.



Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage
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plan. What should you tell him? - correct answer Mr. Singh can enroll in a stand-alone prescription
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drug plan and continue to be covered for Part A and Part B services through Original Fee-for-
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Service Medicare. g




Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employed full time, and
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paid taxes during that entire period. She is concerned that she will not qualify for coverage under
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part A because she was not born in the United States. What should you tell her? - correct answer
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Most individuals who are citizens and age 65 or over are covered under Part A by virtue of having
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paid Medicare taxes while working, though some may be covered as a result of paying monthly
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premiums.



Mr. Xi will soon turn age 65 and has come to you for advice as to what services are provided under
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Original Medicare. What should you tell Mr. Xi that best describes the health coverage provided to
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Medicare beneficiaries? - correct answer Beneficiaries under Original Medicare have no cost- g g g g g g g g g g g g g




sharing for most preventive services. g g g g




Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he
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would have certain services and items covered by the plan with minimal out-of-pocket costs
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