AHIP 2025 MAIN TEST …THE LATEST
UPDATE
Mrs. Geisler's neighbor told her she should look at her Part D options during the annual
B B B B B B B B B B B B B B B
Medicare enrollment period because the features of Part D might have changed. Mrs.
B B B B B B B B B B B B B
Geisler can't remember what Part D is so she called you to ask what her neighbor was
B B B B B B B B B B B B B B B B B
talking about. What could you tell her? - CORRECT ANSWER-Part D covers prescription
B B B B B B B B B B B B B
drugs and she should look at her premiums, formulary, and cost-sharing amont other
B B B B B B B B B B B B B
factors to see if they have changed.
B B B B B B B
Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare
B B B B B B B B B B B B B B B
Advantage plan. What should you tell him? - CORRECT ANSWER-Mr. Singh will have to
B B B B B B B B B B B B B B
enroll in a stand-alone prescription drug plan and continue to be covered for Part A and Part
B B B B B B B B B B B B B B B B B
B services through Original Fee-for-Service Medicare.
B B B B B B
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would
B B B B B B B B B B B B
like to know which of the following services Original Medicare will cover if the appropriate
B B B B B B B B B B B B B B B
criteria are met. What could you tell her? - CORRECT ANSWER-Original Medicare covers
B B B B B B B B B B B B B
ambulance services.
B B
What impact, if any, have recent regulatory changes had on Medigap plans? - CORRECT
B B B B B B B B B B B B B
ANSWER-The Part B deductible is no longer covered for individuals newly eligible for
B B B B B B B B B B B B B
Medicare starting January 1, 2020
B B B B B
Mr. Rainey is experiencing paranoid delusions and his physician feels that he should be
B B B B B B B B B B B B B
hospitalized. What should you tell Mr. Rainey (or his representative) about the length of an
B B B B B B B B B B B B B B B
inpatient psychiatric hospital stay that Medicare will cover? - CORRECT ANSWER-
B B B B B B B B B B B
Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's
B B B B B B B B B B B B B B
entire lifetime.
B B
Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has recently reviewed her
B B B B B B B B B B B B B B B
Medicare Summary Notice (MSN) and disagrees with a determination that partially denied
B B B B B B B B B B B B
UPDATE
Mrs. Geisler's neighbor told her she should look at her Part D options during the annual
B B B B B B B B B B B B B B B
Medicare enrollment period because the features of Part D might have changed. Mrs.
B B B B B B B B B B B B B
Geisler can't remember what Part D is so she called you to ask what her neighbor was
B B B B B B B B B B B B B B B B B
talking about. What could you tell her? - CORRECT ANSWER-Part D covers prescription
B B B B B B B B B B B B B
drugs and she should look at her premiums, formulary, and cost-sharing amont other
B B B B B B B B B B B B B
factors to see if they have changed.
B B B B B B B
Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare
B B B B B B B B B B B B B B B
Advantage plan. What should you tell him? - CORRECT ANSWER-Mr. Singh will have to
B B B B B B B B B B B B B B
enroll in a stand-alone prescription drug plan and continue to be covered for Part A and Part
B B B B B B B B B B B B B B B B B
B services through Original Fee-for-Service Medicare.
B B B B B B
Mrs. Turner is comparing her employer's retiree insurance to Original Medicare and would
B B B B B B B B B B B B
like to know which of the following services Original Medicare will cover if the appropriate
B B B B B B B B B B B B B B B
criteria are met. What could you tell her? - CORRECT ANSWER-Original Medicare covers
B B B B B B B B B B B B B
ambulance services.
B B
What impact, if any, have recent regulatory changes had on Medigap plans? - CORRECT
B B B B B B B B B B B B B
ANSWER-The Part B deductible is no longer covered for individuals newly eligible for
B B B B B B B B B B B B B
Medicare starting January 1, 2020
B B B B B
Mr. Rainey is experiencing paranoid delusions and his physician feels that he should be
B B B B B B B B B B B B B
hospitalized. What should you tell Mr. Rainey (or his representative) about the length of an
B B B B B B B B B B B B B B B
inpatient psychiatric hospital stay that Medicare will cover? - CORRECT ANSWER-
B B B B B B B B B B B
Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's
B B B B B B B B B B B B B B
entire lifetime.
B B
Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has recently reviewed her
B B B B B B B B B B B B B B B
Medicare Summary Notice (MSN) and disagrees with a determination that partially denied
B B B B B B B B B B B B