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Exam (elaborations)

AHIP 2025 Final Exam: Updated Questions & Verified Answers | Medicare Parts A, B, D, MA Plans

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Pass the AHIP 2025 Final Exam with 100% verified answers. Covers Medicare eligibility, enrollment, premiums, appeals, MA plans, Part D, marketing rules, and compliance. Guaranteed pass.

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Uploaded on
September 16, 2025
Number of pages
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Written in
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AHIP 2025 FINAL EXAM UPDATED
QUESTIONS AND VERIFIED ANSWERS,
100% GUARANTEE PASS

Mrs.BParkBisBanBelderlyBretiree.BMrs.BParkBhasBaBlowBfixedBincome.BWhatBcouldByouBtellBMrs.BParkBthatBmig
htBbeBofBassistance?B-BcorrectBanswer-
SheBshouldBcontactBherBstateBMedicaidBagencyBtoBseeBifBsheBqualifiesBforprogramsBthatBcanBhelpBwithBMed
icareBcostsBforBwhichBsheBisBresponsible.



MadelineBMartinezBwasBwidowedBseveralByearsBago.BHerBhusbandBworkedBforBmanyByearsBandBcontribute
dBintoBtheBMedicareBsystem.BHeBalsoBleftBaBsubstantialBestateBwhichBprovidesBMadelineBwithBanBannualBinc
omeBofBapproximatelyB$130,000.BMadeline,BwhoBhasBonlyBworkedBpart-
timeBforBtheBlastBthreeByears,BwillBsoonBturnBageB65BandBhopesBtoBenrollBinBOriginalBMedicare.BSheBcomesBt
oByouBforBadvice.BWhatBshouldByouBtellBher?B-BcorrectBanswer-
YouBshouldBtellBMadelineBthatBsheBwillBbeBableBtoBenrollBinBMedicareBPartBABwithoutBpayingBmonthlyBprem
iumsBdueBtoBherBhusband'sBlongBworkBrecordBandBparticipationBinBtheBMedicareBsystem.BYouBshouldBalsoBt
ellBMadelineBthatBsheBwillBpayBPartBBBpremiumsBatBmoreBthanBtheBstandardBlowestBrateBbutBlessBthanBtheB
highestBrateBdueBherBsubstantialBincome.



Mr.BBauerBisB49ByearsBold,BbutBeighteenBmonthsBagoBheBwasBdeclaredBdisabledBbyBtheBSocialBSecurityBAdm
inistrationBandBhasBbeenBreceivingBdisabilityBpayments.BHeBisBwonderingBwhetherBheBcanBobtainBcoverageB
underBMedicare.BWhatBshouldByouBtellBhimB-BcorrectBanswer-
AfterBreceivingBsuchBdisabilityBpaymentsBforB24Bmonths,BheBwillBbeBautomaticallyBenrolledBinBMedicare,Bre
gardlessBofBage.



Mr.BSchmidtBwouldBlikeBtoBplanBforBretirementBandBhasBaskedByouBwhatBisBcoveredBunderBOriginalBFee-for-
ServiceB(FFS)BMedicare?BWhatBcouldByouBtellBhim?B-BcorrectBanswer-
PartBA,BwhichBcoversBhospital,BskilledBnursingBfacility,BhospiceBandBhomeBhealthBservicesBandBPartBB,Bwhic
hBcoversBprofessionalBservicesBsuchBasBthoseBprovidedBbyBaBdoctorBareBcoveredBunderBOriginalBMedicare.



Mrs.BPeňaBisB66ByearsBold,BhasBcoverageBunderBanBemployerBplan,BandBwillBretireBnextByear.BSheBheardBsheB
mustBenrollBinBPartBBBatBtheBbeginningBofBtheByearBtoBensureBnoBgapBinBcoverage.BWhatBcanByouBtellBher?B-
BcorrectBanswer-

SheBmayBenrollBatBanyBtimeBwhileBsheBisBcoveredBunderBherBemployerBplan,BbutBsheBwillBhaveBaBspecialBeig

, htBmonthBenrollmentBperiodBthatBdiffersBfromBtheBstandardBgeneralBenrollmentBperiod,BduringBwhichBsheB
mayBenrollBinBMedicareBPartBB.



AgentBJohnBMillerBisBmeetingBwithBJerryBSmith,BaBnewBprospect.BJerryBisBcurrentlyBenrolledBinBMedicareBPa
rtsBABandBB.BJerryBhasBalsoBpurchasedBaBMedicareBSupplementB(Medigap)BplanBwhichBheBhasBhadBforBsever
alByears.BHowever,BtheBplanBdoesBnotBprovideBdrugBbenefits.BHowBwouldByouBadviseBAgentBJohnBMillerBtoB
proceed?B-BcorrectBanswer-
TellBprospectBJerryBSmithBthatBheBshouldBconsiderBaddingBaBstandaloneBPartBDBprescriptionBdrugBcoverageB
policyBtoBhisBpresentBcoverage.



Mr.BDiazBcontinuedBworkingBwithBhisBcompanyBandBwasBinsuredBunderBhisBemployer'sBgroupBplanBuntilBheB
reachedBageB68.BHeBhasBheardBthatBthereBisBaBpremiumBpenaltyBforBthoseBwhoBdidBnotBsignBupBforBPartBBB
whenBfirstBeligibleBandBwantsBtoBknowBhowBmuchBheBwillBhaveBtoBpay.BWhatBshouldByouBtellBhim?B-
BcorrectBanswer-TheBpenaltyBwillBbeBaBpermanentB10%BincreaseBinBhisBPartBBBpremiumBforBeveryB12-

monthBperiodBthatBpassedBduringBwhichBheBcouldBhaveBenrolledBandBdidBnot.



Ms.BMooreBplansBtoBretireBwhenBsheBturnsB65BinBaBfewBmonths.BSheBisBinBexcellentBhealthBandBwillBhaveBco
nsiderableBincomeBwhenBsheBretires.BSheBisBconcernedBthatBherBincomeBwillBmakeBitBimpossibleBforBherBtoB
qualifyBforBMedicare.BWhatBcouldByouBtellBherBtoBaddressBherBconcern?B-BcorrectBanswer-
MedicareBisBaBprogramBforBpeopleBageB65BorBolderBandBthoseBunderBageB65BwithBcertainBdisabilities,Bend-
stageBrenalBdisease,BandBLouBGehrig'sBdiseaseBsoBsheBwillBbeBeligibleBforBMedicare.



MildredBSavageBenrolledBinBAllcareBMedicareBAdvantageBplanBseveralByearsBago.BMildredBrecentlyBlearnedB
thatBsheBisBsufferingBfromBinoperableBcancerBandBhasBjustBaBfewBmonthsBtoBlive.BSheBwouldBlikeBtoBspendBt
heseBfinalBmonthsBinBhospiceBcare.BMildred'sBfamilyBasksByouBwhetherBhospiceBbenefitsBwillBbeBpaidBforBu
nderBtheBAllcareBMedicareBAdvantageBplan.BWhatBshouldByouBsay?B-BcorrectBanswer-
MildredBmayBremainBenrolledBinBAllcareBandBmakeBaBhospiceBelection.BHospiceBbenefitsBwillBbeBpaidBforBby
BOriginalBMedicareBunderBPartBABandBAllcareBwillBcontinueBtoBpayBforBanyBnon-hospiceBservices.




Mr.BGomezBnotesBthatBaBPrivateBFee-for-
ServiceB(PFFS)BplanBavailableBinBhisBareaBhasBanBattractiveBpremium.BHeBwantsBtoBknowBifBheBmustBuseBdoc
torsBinBaBnetworkBasBhisBcurrentBHMOBplanBrequiresBhimBtoBdo.BWhatBshouldByouBtellBhim?B-
BcorrectBanswer-

HeBmayBreceiveBhealthBcareBservicesBfromBanyBdoctorBallowedBtoBbillBMedicare,BasBlongBasBheBshowsBtheBd
octorBtheBplan'sBidentificationBcardBandBtheBdoctorBagreesBtoBacceptBtheBPFFSBplan'sBpaymentBtermsBandBc
onditions,BwhichBcouldBincludeBbalanceBbilling.
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