6/29/25, 10:12 AM 2025 AHIP Final Exam
2025 AHIP ACTUAL FINAL EXAM \NEWEST VERSION WITH
UPDATED QUESTIONS AND CORRECT DETAILED
ANSWERS \COMPLETE VERSION WITH VERIFIED
ANSWERS \ASSURED PASS ALREADY GRADED A+
Mrs. Shields is covered by Medicare will cover Mrs. Shield's skilled nursing services
Original provided during the first 20 days of her stay, after which
Medicare. She sustained a
she would have a copay until she has been in the facility
hip fracture and is being
for 100 days.
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?
Mrs. West wears glasses Medicare does not cover massage therapy, or, in general, glasses
and dentures and has or dentures.
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?
1/40
,6/29/25, 10:12 AM 2025 AHIP Final Exam
Mrs. Park is an elderly She should contact her state Medicaid agency to see
retiree. Mrs. Park has a low if she qualifies for one of several programs that can
fixed income. What could help with Medicare costs for which she is responsible.
you tell
Mrs. Park that might be of
assistance?
Mr. Alonso receives some He generally would pay a monthly premium, annual
help paying for his two deductible, and per-prescription cost-sharing.
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?
Mrs. Gonzalez is enrolled in Mrs. Gonzalez cannot purchase a Medigap plan that
Original Medicare and has a covers drugs, but she could keep her Medigap policy
Medigap policy as and enroll in a Part D prescription drug plan.
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?
Mr. Davis is 52 years old He may sign-up for Medicare at any time however
and has recently been coverage usually begins on the fourth month after
diagnosed with end-stage dialysis treatments start.
renal disease (ESRD) and
will soon begin dialysis. He
2/40
,6/29/25, 10:12 AM 2025 AHIP Final Exam
is wondering if he can
obtain coverage under
Medicare. What should you
tell him?
Mrs. Duarte is enrolled in Mrs. Duarte should file an appeal of this initial
Original determination within 120 days of the date she received
Medicare Parts A and B.
the MSN in the mail.
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?
Mrs. Geisler's neighbor told Part D covers prescription drugs and she should look at
her she should look at her her premiums, formulary, and cost-sharing among
Part D options during the other factors to see if they have changed.
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. Rainey is experiencing Medicare will cover a total of 190 days of inpatient
paranoid psychiatric care during Mr. Rainey's entire lifetime.
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?
3/40
, 6/29/25, 10:12 AM 2025 AHIP Final Exam
Mr. Xi will soon turn age 65 Beneficiaries under Original Medicare have no cost-
and has come to you for sharing for most preventive services.
advice as to what services
are provided under
Original Medicare. What
should you tell Mr. Xi that
best describes
the health coverage
provided to Medicare
beneficiaries?
Mr. Singh would like drug Mr. Singh can enroll in a stand-alone prescription
coverage but does not want drug plan and continue to be covered for Part A and
to be enrolled in a Medicare Part B services through Original Fee-for-Service
Advantage plan. What should Medicare.
you tell him?
Mrs. Chen will be 65 soon, Most individuals who are citizens and age 65 or over
has been a citizen for are covered under Part A by virtue of having paid
twelve years, has been Medicare taxes while working, though some may be
employed full time, and paid covered as a result of paying monthly premiums.
taxes during that entire
period. She is concerned
that
she will not qualify for
coverage under part A
because she was not born
in the United States. What
should you tell her?
Mrs. Quinn recently turned Part B primarily covers physician services. She will be
66 and decided after many paying a monthly premium and, except for many
years of work to retire and preventive and screening tests, generally will have
begin receiving Social 20% co- payments for these services, in addition
Security benefits. to an annual deductible.
Shortly thereafter Mrs.
Quinn received a letter
informing her that she had
been
automatically enrolled in
4/40
2025 AHIP ACTUAL FINAL EXAM \NEWEST VERSION WITH
UPDATED QUESTIONS AND CORRECT DETAILED
ANSWERS \COMPLETE VERSION WITH VERIFIED
ANSWERS \ASSURED PASS ALREADY GRADED A+
Mrs. Shields is covered by Medicare will cover Mrs. Shield's skilled nursing services
Original provided during the first 20 days of her stay, after which
Medicare. She sustained a
she would have a copay until she has been in the facility
hip fracture and is being
for 100 days.
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?
Mrs. West wears glasses Medicare does not cover massage therapy, or, in general, glasses
and dentures and has or dentures.
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?
1/40
,6/29/25, 10:12 AM 2025 AHIP Final Exam
Mrs. Park is an elderly She should contact her state Medicaid agency to see
retiree. Mrs. Park has a low if she qualifies for one of several programs that can
fixed income. What could help with Medicare costs for which she is responsible.
you tell
Mrs. Park that might be of
assistance?
Mr. Alonso receives some He generally would pay a monthly premium, annual
help paying for his two deductible, and per-prescription cost-sharing.
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?
Mrs. Gonzalez is enrolled in Mrs. Gonzalez cannot purchase a Medigap plan that
Original Medicare and has a covers drugs, but she could keep her Medigap policy
Medigap policy as and enroll in a Part D prescription drug plan.
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?
Mr. Davis is 52 years old He may sign-up for Medicare at any time however
and has recently been coverage usually begins on the fourth month after
diagnosed with end-stage dialysis treatments start.
renal disease (ESRD) and
will soon begin dialysis. He
2/40
,6/29/25, 10:12 AM 2025 AHIP Final Exam
is wondering if he can
obtain coverage under
Medicare. What should you
tell him?
Mrs. Duarte is enrolled in Mrs. Duarte should file an appeal of this initial
Original determination within 120 days of the date she received
Medicare Parts A and B.
the MSN in the mail.
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?
Mrs. Geisler's neighbor told Part D covers prescription drugs and she should look at
her she should look at her her premiums, formulary, and cost-sharing among
Part D options during the other factors to see if they have changed.
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. Rainey is experiencing Medicare will cover a total of 190 days of inpatient
paranoid psychiatric care during Mr. Rainey's entire lifetime.
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?
3/40
, 6/29/25, 10:12 AM 2025 AHIP Final Exam
Mr. Xi will soon turn age 65 Beneficiaries under Original Medicare have no cost-
and has come to you for sharing for most preventive services.
advice as to what services
are provided under
Original Medicare. What
should you tell Mr. Xi that
best describes
the health coverage
provided to Medicare
beneficiaries?
Mr. Singh would like drug Mr. Singh can enroll in a stand-alone prescription
coverage but does not want drug plan and continue to be covered for Part A and
to be enrolled in a Medicare Part B services through Original Fee-for-Service
Advantage plan. What should Medicare.
you tell him?
Mrs. Chen will be 65 soon, Most individuals who are citizens and age 65 or over
has been a citizen for are covered under Part A by virtue of having paid
twelve years, has been Medicare taxes while working, though some may be
employed full time, and paid covered as a result of paying monthly premiums.
taxes during that entire
period. She is concerned
that
she will not qualify for
coverage under part A
because she was not born
in the United States. What
should you tell her?
Mrs. Quinn recently turned Part B primarily covers physician services. She will be
66 and decided after many paying a monthly premium and, except for many
years of work to retire and preventive and screening tests, generally will have
begin receiving Social 20% co- payments for these services, in addition
Security benefits. to an annual deductible.
Shortly thereafter Mrs.
Quinn received a letter
informing her that she had
been
automatically enrolled in
4/40
