AHIP FINAL EXAM QUESTION WITH COMPLETE
SOLTUIONS|NEWEST VERSION|2025/2026
Medicare Part A Premium Correct Answer: Free if worked 40 quarters of your life
and paid Medicare taxes. Premium is $240.00 for individuals or spouses who paid
Medicare taxes for 30 - 39 quarters. Premium is $437.00 for less than 30 quarters.
Medicare Part A Penalty Correct Answer: Don't enroll in Part A when fist eligible,
will pay a late penalty of up to 10% unless enroll during a Special Enrollment
Period.
Medicare Part B Premium Correct Answer: In 2019, the standard monthly
premium is $135.50 or higher depending on income. Deducted from S.S. check or
Railroad Retirement check. Do not enroll when first eligible, premium is increased
10% for each 12 month period not enrolled. Deductible for 2019 is $185.00
Part C Medicare Advantage plans Correct Answer: Entiled to benefits under Part
A AND enrolled in Part B.
Part D Prescription Drug benefits Correct Answer: Entitled to benefits under Part
A but not enrolled in Part B. Must be entitled to Part A AND/OR enrolled in Part
B.
Part D Low Income Subsidy Correct Answer: Do not qualify for Part D Low
Income Subsidy, but are of limited means, may qualify for help in Part D costs
through State Pharmaceutical Assistance Program.
Part A Benefits Correct Answer: $1364.00 deductible for each benefit period.
Days 1 - 60: $0 coinsurance. Days 61 - 90: $341.00 coinsurance per day. days 91
and beyond: $682.00 coinsurance per each "lifetime reserve day" after day 90 for
each benefit period (up to 60 days over a beneficiarys lifetime. Beyond lifetime
reserve days, all costs.
Part A Benefits Correct Answer: Blood, hospice, home health care, skilled nursing
and rehabilitative care only after a 3 day hospital stay up to 100 days in a benefit
period. In 2019, will pay $170.50 coinsurance for days 21 - 100 each benefit
period. In patient psychiatric care is 190 lifetime days. Does not cover custodial or
long term care.
SOLTUIONS|NEWEST VERSION|2025/2026
Medicare Part A Premium Correct Answer: Free if worked 40 quarters of your life
and paid Medicare taxes. Premium is $240.00 for individuals or spouses who paid
Medicare taxes for 30 - 39 quarters. Premium is $437.00 for less than 30 quarters.
Medicare Part A Penalty Correct Answer: Don't enroll in Part A when fist eligible,
will pay a late penalty of up to 10% unless enroll during a Special Enrollment
Period.
Medicare Part B Premium Correct Answer: In 2019, the standard monthly
premium is $135.50 or higher depending on income. Deducted from S.S. check or
Railroad Retirement check. Do not enroll when first eligible, premium is increased
10% for each 12 month period not enrolled. Deductible for 2019 is $185.00
Part C Medicare Advantage plans Correct Answer: Entiled to benefits under Part
A AND enrolled in Part B.
Part D Prescription Drug benefits Correct Answer: Entitled to benefits under Part
A but not enrolled in Part B. Must be entitled to Part A AND/OR enrolled in Part
B.
Part D Low Income Subsidy Correct Answer: Do not qualify for Part D Low
Income Subsidy, but are of limited means, may qualify for help in Part D costs
through State Pharmaceutical Assistance Program.
Part A Benefits Correct Answer: $1364.00 deductible for each benefit period.
Days 1 - 60: $0 coinsurance. Days 61 - 90: $341.00 coinsurance per day. days 91
and beyond: $682.00 coinsurance per each "lifetime reserve day" after day 90 for
each benefit period (up to 60 days over a beneficiarys lifetime. Beyond lifetime
reserve days, all costs.
Part A Benefits Correct Answer: Blood, hospice, home health care, skilled nursing
and rehabilitative care only after a 3 day hospital stay up to 100 days in a benefit
period. In 2019, will pay $170.50 coinsurance for days 21 - 100 each benefit
period. In patient psychiatric care is 190 lifetime days. Does not cover custodial or
long term care.
