AHIP 2025
Part D covers prescription drugs and she should look at her premiums, formulary, and cost-sharing
amont other factors to see if they have changed. - Answer✔✔ 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?
Mr. Singh will have to 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. - Answer✔✔ Mr. Singh would like drug
coverage but does not want to be enrolled in a Medicare Advantage plan. What should you tell him?
Original Medicare covers ambulance services. - Answer✔✔ 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?
The Part B deductible is no longer covered for individuals newly eligible for Medicare starting January 1,
2020 - Answer✔✔ What impact, if any, have recent regulatory changes had on Medigap plans?
Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's entire lifetime. -
Answer✔✔ 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?
Mrs. Duarte should file an appeal of this initial determination within 120 days of the date she received
the MSN in the mail. - Answer✔✔ Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has
recently reviewed her Medicare Summary Notice (MSN) and disagrees with a determination that
partially denied one of her claims for services. What advice would you give her?
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. - Answer✔✔ 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
Part D covers prescription drugs and she should look at her premiums, formulary, and cost-sharing
amont other factors to see if they have changed. - Answer✔✔ 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?
Mr. Singh will have to 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. - Answer✔✔ Mr. Singh would like drug
coverage but does not want to be enrolled in a Medicare Advantage plan. What should you tell him?
Original Medicare covers ambulance services. - Answer✔✔ 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?
The Part B deductible is no longer covered for individuals newly eligible for Medicare starting January 1,
2020 - Answer✔✔ What impact, if any, have recent regulatory changes had on Medigap plans?
Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's entire lifetime. -
Answer✔✔ 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?
Mrs. Duarte should file an appeal of this initial determination within 120 days of the date she received
the MSN in the mail. - Answer✔✔ Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has
recently reviewed her Medicare Summary Notice (MSN) and disagrees with a determination that
partially denied one of her claims for services. What advice would you give her?
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. - Answer✔✔ 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
