AHIP FINAL EXAM LATEST VERSION 2025/2026
WITH ACTUAL QUESTIONS AND CORRECT
VERIFIED CORRECT ANSWER,S HYGHLIGHTED
FOR GUARANTEED PASS GRADED [A+]
,AHIP FINAL EXAM 2025/2026
Mrs. Park Is An Elderly Retiree. Mrs. Park Has A Low Fixed Income. What
Could You Tell Mrs. Park That Might Be Of Assistance? - CORRECT 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.
Mr. Alonso Receives Some Help Paying For His Two Generic Prescription
Drugs From His Employer's Retiree Coverage, But He Wants To Compare It
To A Part D Prescription Drug Plan. He Asks You What Costs He Would
Generally Expect To Encounter When Enrolling Into A Standard Medicare
Part D Prescription Drug
Plan. What Should You Tell Him? - CORRECT ANSWER;-He Generally Would
Pay A Monthly Premium, Annual Deductible, And Per-Prescription Cost-
Sharing.
Mrs. Gonzalez Is Enrolled In Original Medicare And Has A Medigap Policy As
Well, But It Provides No Drug Coverage. She Would Like To Keep The Coverage
She Has But Replace Her Existing Medigap Plan With One That Provides Drug
Coverage. What Should You Tell Her? - CORRECT ANSWER;-Mrs. Gonzalez
Cannot Purchase A Medigap Plan That Covers Drugs, But She Could Keep Her
Medigap Policy And Enroll In A Part D Prescription Drug Plan.
,Mrs. Shields Is Covered By Original Medicare. She Sustained A Hip Fracture And
Is Being Successfully Treated For That Condition. However, She And Her
Physicians Feel That After Her Lengthy Hospital Stay, She Will Need A Month Or
Two Of Nursing And Rehabilitative Care. What Should You Tell Them About
Original Medicare's Coverage Of Care In A Skilled Nursing Facility? - CORRECT
ANSWER;-Medicare Will Cover
Mrs. Shield's Skilled Nursing Services Provided During The First 20 Days Of
Her Stay, After Which She Would Have A Copay Until She Has Been In The
Facility For 100 Days.
Mrs. West Wears Glasses And Dentures And Has Enjoyed Considerable Pain
Relief From Arthritis Through Massage Therapy. She Is Concerned About
Whether Or Not Medicare Will Cover These Items And Services. What Should
You Tell Her? -
CORRECT ANSWER;-Medicare Does Not Cover Massage Therapy, Or, In
General, Glasses Or Dentures.
Mr. Davis Is 52 Years Old And Has Recently Been Diagnosed With End-Stage
Renal Disease (ESRD) And Will Soon Begin Dialysis. He Is Wondering If He Can
Obtain Coverage Under Medicare. What Should You Tell Him? - CORRECT
ANSWER;-He May Sign- Up For Medicare At Any Time However Coverage
Usually Begins On The Fourth Month After Dialysis Treatments Start.
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? - CORRECT ANSWER;-Mrs. Duarte Should File An
Appeal Of This Initial Determination Within 120 Days Of The Date She Received
The MSN In The Mail.
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? - CORRECT 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.
WITH ACTUAL QUESTIONS AND CORRECT
VERIFIED CORRECT ANSWER,S HYGHLIGHTED
FOR GUARANTEED PASS GRADED [A+]
,AHIP FINAL EXAM 2025/2026
Mrs. Park Is An Elderly Retiree. Mrs. Park Has A Low Fixed Income. What
Could You Tell Mrs. Park That Might Be Of Assistance? - CORRECT 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.
Mr. Alonso Receives Some Help Paying For His Two Generic Prescription
Drugs From His Employer's Retiree Coverage, But He Wants To Compare It
To A Part D Prescription Drug Plan. He Asks You What Costs He Would
Generally Expect To Encounter When Enrolling Into A Standard Medicare
Part D Prescription Drug
Plan. What Should You Tell Him? - CORRECT ANSWER;-He Generally Would
Pay A Monthly Premium, Annual Deductible, And Per-Prescription Cost-
Sharing.
Mrs. Gonzalez Is Enrolled In Original Medicare And Has A Medigap Policy As
Well, But It Provides No Drug Coverage. She Would Like To Keep The Coverage
She Has But Replace Her Existing Medigap Plan With One That Provides Drug
Coverage. What Should You Tell Her? - CORRECT ANSWER;-Mrs. Gonzalez
Cannot Purchase A Medigap Plan That Covers Drugs, But She Could Keep Her
Medigap Policy And Enroll In A Part D Prescription Drug Plan.
,Mrs. Shields Is Covered By Original Medicare. She Sustained A Hip Fracture And
Is Being Successfully Treated For That Condition. However, She And Her
Physicians Feel That After Her Lengthy Hospital Stay, She Will Need A Month Or
Two Of Nursing And Rehabilitative Care. What Should You Tell Them About
Original Medicare's Coverage Of Care In A Skilled Nursing Facility? - CORRECT
ANSWER;-Medicare Will Cover
Mrs. Shield's Skilled Nursing Services Provided During The First 20 Days Of
Her Stay, After Which She Would Have A Copay Until She Has Been In The
Facility For 100 Days.
Mrs. West Wears Glasses And Dentures And Has Enjoyed Considerable Pain
Relief From Arthritis Through Massage Therapy. She Is Concerned About
Whether Or Not Medicare Will Cover These Items And Services. What Should
You Tell Her? -
CORRECT ANSWER;-Medicare Does Not Cover Massage Therapy, Or, In
General, Glasses Or Dentures.
Mr. Davis Is 52 Years Old And Has Recently Been Diagnosed With End-Stage
Renal Disease (ESRD) And Will Soon Begin Dialysis. He Is Wondering If He Can
Obtain Coverage Under Medicare. What Should You Tell Him? - CORRECT
ANSWER;-He May Sign- Up For Medicare At Any Time However Coverage
Usually Begins On The Fourth Month After Dialysis Treatments Start.
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? - CORRECT ANSWER;-Mrs. Duarte Should File An
Appeal Of This Initial Determination Within 120 Days Of The Date She Received
The MSN In The Mail.
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? - CORRECT 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.
