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AHIP 2025/2026 Final Exam
Updated Questions and Verified
Answers, 100% Guarantee Pass
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, \
1.Mrs. Turner is comparing her employer's retiree insurance to Original
Medicare and would like to know which of the following services
OriginaL Medicare will cover if the appropriate criteria are met. What
could you tell her?:ANSWER Original Medicare covers ambulance
services.
2.Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has
recently reviewed her Medicare Summary Notice (MSN) and disagrees with a
determi- nation that partially denied one of her claims for services. What
advice would you give her? ANSWER: Mrs. Duarte should file an appeal of
this initial determination within 120 days of the date she received the
MSN in the mail.
3.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
https://www.stuvia.com/user/HIGRADES
, \
called you to ask what her neighbor was talking about. What could you tell
her?: ANSWER 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.
4.Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance?: ANSWER She should
contact her state Medicaid agency to see if she qualifies for one of
several programs that can help with Medicare costs for which she is
responsible.
5.Mrs. Quinn recently turned 66 and decided after many years of work to
retire and begin receiving Social Security benefits. Shortly thereafter Mrs.
Quinn received a letter informing her that she had been automatically
enrolled in Medicare Part B. She wants to understand what this means. What
should you tell Mrs. Quinn?: ANSWER Part B primarily covers physician
services. She will be paying a monthly premium and, except for many
preventive and screening tests, generally will have 20% co-payments
for these services, in addition to an annual deductible.
6.Anita Magri will turn age 65 in August 2023. Anita intends to enroll in
Original Medicare Part A and Part B. She would also like to enroll in a
Medicare Supplement (Medigap) plan. Anita's older neighbor Mel has told
her about the Medigap Plan F in which he is enrolled. It not only provides
foreign travel emergency benefits but also covers his Medicare Part B
deductible. Anita comes to you for advice. What should you tell her?:
ANSWER You are sorry to disappoint Anita, but a Medigap F plan is no
longer available to those who turn age 65 after January 1, 2020. Anita
might instead consider other Medigap plans that offer foreign travel
benefits but do not cover the Part B deductible.
7.Mr. Singh would like drug coverage but does not want to be enrolled in a
Medicare Advantage plan. What should you tell him?: ANSWER Mr. Singh
can enroll in a stand-alone prescription drug plan and continue to be
covered for Part A and Part B services through Original Fee-for-Service
Medicare.
https://www.stuvia.com/user/HIGRADES
AHIP 2025/2026 Final Exam
Updated Questions and Verified
Answers, 100% Guarantee Pass
https://www.stuvia.com/user/HIGRADES
, \
1.Mrs. Turner is comparing her employer's retiree insurance to Original
Medicare and would like to know which of the following services
OriginaL Medicare will cover if the appropriate criteria are met. What
could you tell her?:ANSWER Original Medicare covers ambulance
services.
2.Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has
recently reviewed her Medicare Summary Notice (MSN) and disagrees with a
determi- nation that partially denied one of her claims for services. What
advice would you give her? ANSWER: Mrs. Duarte should file an appeal of
this initial determination within 120 days of the date she received the
MSN in the mail.
3.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
https://www.stuvia.com/user/HIGRADES
, \
called you to ask what her neighbor was talking about. What could you tell
her?: ANSWER 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.
4.Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance?: ANSWER She should
contact her state Medicaid agency to see if she qualifies for one of
several programs that can help with Medicare costs for which she is
responsible.
5.Mrs. Quinn recently turned 66 and decided after many years of work to
retire and begin receiving Social Security benefits. Shortly thereafter Mrs.
Quinn received a letter informing her that she had been automatically
enrolled in Medicare Part B. She wants to understand what this means. What
should you tell Mrs. Quinn?: ANSWER Part B primarily covers physician
services. She will be paying a monthly premium and, except for many
preventive and screening tests, generally will have 20% co-payments
for these services, in addition to an annual deductible.
6.Anita Magri will turn age 65 in August 2023. Anita intends to enroll in
Original Medicare Part A and Part B. She would also like to enroll in a
Medicare Supplement (Medigap) plan. Anita's older neighbor Mel has told
her about the Medigap Plan F in which he is enrolled. It not only provides
foreign travel emergency benefits but also covers his Medicare Part B
deductible. Anita comes to you for advice. What should you tell her?:
ANSWER You are sorry to disappoint Anita, but a Medigap F plan is no
longer available to those who turn age 65 after January 1, 2020. Anita
might instead consider other Medigap plans that offer foreign travel
benefits but do not cover the Part B deductible.
7.Mr. Singh would like drug coverage but does not want to be enrolled in a
Medicare Advantage plan. What should you tell him?: ANSWER Mr. Singh
can enroll in a stand-alone prescription drug plan and continue to be
covered for Part A and Part B services through Original Fee-for-Service
Medicare.
https://www.stuvia.com/user/HIGRADES
