AHIP 2025/2026 Final Exam Updated Questions and Verified Answers, 100% Guaranteed Pass Newest Update With Verified Answers ||Complete A+ Guide

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AHIP 2025/2026 Final Exam Updated Questions and
Verified Answers, 100% Guaranteed Pass Newest
Update With Verified Answers ||Complete A+ Guide



Mrs. Paterson is concerned about the deductibles and co-
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payments associated with Original Medicare. What can you tell her about Medigap a
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s an option to address this concern? -
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b ..........ANSWER.......Medigap plans help beneficiaries cover Original Medicare be b b b b b b b



nefits, but they coordinate with Original Medicare coverage.
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Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original Medic
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are Part A and Part B. She would also like to enroll in a Medicare Supplement (Medig
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ap) plan. Anita's older neighbor Mel has told her about the Medigap Plan F in which h
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e is enrolled. It not only provides foreign travel emergency benefits but also covers his
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Medicare Part B deductible. Anita comes to you for advice. What should you tell her? -
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b ..........ANSWER.......You are sorry to disappoint Anita, but a Medigap F plan is no l b b b b b b b b b b b b b



onger available to those who turn age 65 after January 1, 2020. Anita might inste
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ad consider other Medigap plans that offer foreign travel benefits but do not cover
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the Part B deductible.
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What impact, if any, have recent regulatory changes had on Medigap plans? -
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..........ANSWER.......b.
b




The Part B deductible is no longer covered for individuals newly eligible for Medic
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are starting January 1, 2020.
b b b b

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Mr. Rainey is experiencing paranoid delusions and his physician feels that he should b
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e hospitalized. What should you tell Mr. Rainey (or his representative) about the lengt
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h of an inpatient psychiatric hospital stay that Medicare will cover? -
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..........ANSWER.......Medicare will cover a total of 190 days of inpatient psychiatri
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c care during Mr. Rainey's entire lifetime.
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Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is bein
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g successfully treated for that condition. However, she and her physicians feel that aft
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er her lengthy hospital stay, she will need a month or two of nursing and rehabilitative
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care. What should you tell them about Original Medicare's coverage of care in a skill
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ed nursing facility? - ..........ANSWER.......
b b b b




Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from
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arthritis through massage therapy. She is concerned about whether or not Medicare wi
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ll cover these items and services. What should you tell her? -
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b ..........ANSWER.......Medicare does not cover massage therapy, or, in general, gla b b b b b b b b b



sses or dentures. b b




Ms. Gibson recently lost her employer group health and drug coverage and now she
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wants to enroll in a PPO that does not include drug coverage. What should you tell her
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b about obtaining drug coverage? -
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b ..........ANSWER.......She can enroll in the PPO, but she will not be able to purchase b b b b b b b b b b b b b b



a stand-alone Medicare Part D prescription drug plan.
b b b b b b b

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Mrs. Radford asks whether there are any special eligibility requirements for Medicare
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b Advantage. What should you tell her? - b b b b b b



..........ANSWER.......Mrs. Radford must be entitled to Part A and enrolled in Part B t
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o enroll in Medicare Advantage.
b b b b




Mr. Barker enjoys a comfortable retirement income. He recently had surgery and exp
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ected that he would have certain services and items covered by the plan with minimal
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out-of-pocket costs because his MA- b b b b



PD coverage has been very good. However, when he received the bill, he was surprise
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d to see large charges in excess of his maximum out-of-
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pocket limit that included some services and items he thought would be fully covered. H
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e called you to ask what he could do? What could you tell him? -
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b ..........ANSWER.......You can offer to review the plans appeal process to help him b b b b b b b b b b b b



ask the plan to review the coverage decision.
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Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B b
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ecause he has coverage through an employer plan. If he wants to enroll in a Medicare
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Advantage plan, what will he have to do? - b b b b b b b b



b ..........ANSWER.......He will have to enroll in Part B. b b b b b b b




Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's t
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erms and conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How
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much may Dr. Brennan charge? - ..........ANSWER.......
b b b b b b

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Mrs. Chou likes a Private Fee-for-
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Service (PFFS) plan available in her area that does not include drug coverage. She wa
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nts to enroll in the plan and enroll in a stand-
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alone prescription drug plan. What should you tell her? -
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b ..........ANSWER.......She could enroll in a PFFS plan and a stand- b b b b b b b b b



alone Medicare prescription drug plan.
b b b b




AHIP 2025/2026 Final Exam Updated Questions and
Verified Answers, 100% Guaranteed Pass Newest
Update With Verified Answers ||Complete A+ Guide



Mr. Kelly wants to know whether he is eligible to sign up for a Private fee-for-
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service (PFFS) plan. What questions would you need to ask to determine his eligibility?
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-
b ..........ANSWER.......You would need to ask Mr. Kelly if he is enrolled in Part A and b b b b b b b b b b b b b b



Part B and if he lives in the PFFS plan's service area.
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Mrs. Lyons is in good health, uses a single prescription, and lives independently in her o
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wn home. She is attracted by the idea of maintaining control over a Medical Savings A
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ccount (MSA), but is not sure if the plan associated with the account will fit her needs.
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What specific piece of information about a Medicare MSA plan would it be important
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b for her to know, prior to enrolling in such a plan? -
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b ..........ANSWER.......All MSAs cover Part A and Part B benefits, but not Part D presc b b b b b b b b b b b b b