AHIP EXAM WITH 100% VERIFIED ANSWERS
1.Mrs. rBurton ris ra rretiree rwith rsubstantial rincome. rShe ris renrolled rin ran rMA-
PD rplan rand rwas rdisappointed rwith rthe rservice rshe rreceived rfrom rher
rprimary rcare rphysician rbecause rshe rwas rtold rshe rwould rhave rto rwait rfive
rweeks rto rget ran rappointment rwhen rshe rwas rfeeling rill. rShe rcalled ryou rto
rask rwhat rshe rcould rdo rso rshe rwould rnot rhave rto rput rup rwith rsuch rpoor
raccess rto rcare. rWhat rcould ryou rtell rher?: rShe rcould rfile ra rgrievance rwith
rher rplan rto rcomplain rabout rthe rlack rof rtimeliness rin rgetting ran
rappointment.
2.Edward rIP rsuffered rfrom rserious rkidney rdisease. rAs ra rresult. rEdward
rbe- rcame religible rfor rMedicare rcoverage rdue rto rend-stage rrenal rdisease
r(ESRD). rA rclose rrelative rdonated rtheir rkidney rand rEdward rsuccessfully
runderwent rtransplant rsurgery r12 rmonths rago. rEdward ris rnow rage r50 rand
rasks ryou rif rhis rMedicare rcoverage rwill rcontinue, rwhat rshould ryou rsay?:
rIndividuals religible rfor rMedicare rbased ron rESRD rgenerally rlose
religibility r36 rmonths rafter rthe rmonth rin rwhich rthe rindividual rreceives ra
rkidney rtransplant runless rthey rare religible rfor rMedicare ron ranother rbasis
rsuch ras rage ror rdisability. rEdward rmay, rhowever, rremain renrolled rin
rPart rB rbut rsolely rfor rcoverage rof rimmunosuppressive rdrugs rif rhe rhas
rno rother rhealth rcare rcoverage rthat rwould rcover rthe rdrugs.
3.Mildred rSavage renrolled rin rAllcare rMedicare rAdvantage rplan rseveral
1 r/
r77
,ryears rago. rMildred rrecently rlearned rthat rshe ris rsuffering rfrom rinoperable
rcancer rand rhas rjust ra rfew rmonths rto rlive. rShe rwould rlike rto rspend rthese
rfinal rmonths rin rhospice rcare. rMildred's rfamily rasks ryou rwhether rhospice
rbenefits rwill rbe rpaid rfor runder rthe rAllcare rMedicare rAdvantage rplan. rWhat
rshould ryou rsay?: rMildred rmay rremain renrolled rin rAllcare rand rmake ra
rhospice relection. rHospice rbenefits rwill rbe rpaid rfor rby rOriginal
rMedicare runder rPart rA rand rAllcare rwill rcontinue rto rpay rfor rany rnon-
hospice rservices.
4.Mr. rDiaz rcontinued rworking rwith rhis rcompany rand rwas rinsured runder
rhis remployer's rgroup rplan runtil rhe rreached rage r68. rHe rhas rheard rthat
rthere ris ra rpremium rpenalty rfor rthose rwho rdid rnot rsign rup rfor rPart rB rwhen
rfirst religible rand rwants rto rknow rhow rmuch rhe rwill rhave rto rpay. rWhat
rshould ryou rtell rhim?: rMr. rDiaz rwill rnot rpay rany rpenalty rbecause rhe rhad
rcontinuous rcoverage runder rhis remployer's rplan.
5.Mr. rMoy's rwife rhas ra rMedicare rAdvantage rplan, rbut rhe rwants rto runder-
rstand rwhat rcoverage rMedicare rSupplemental rInsurance rprovides rsince
rhis rhealth rcare rneeds rare rdifferent rfrom rhis rwife's rneeds. rWhat rcould ryou
rtell rMr. rMoy?: rMedicare rSupplemental rInsurance rwould rhelp rcover rhis
rPart rA rand rPart rB rdeductibles ror rcoinsurance rin rOriginal rFee-for-
Service r(FFS) rMedicare ras rwell ras rpossibly rsome rservices rthat
rMedicare rdoes rnot rcover.
6.Mrs. rChen rwill rbe r65 rsoon, rhas rbeen ra rcitizen rfor rtwelve ryears, rhas rbeen
remployed rfull rtime, rand rpaid rtaxes rduring rthat rentire rperiod. rShe ris
rconcerned
2 r/
r77
,that rshe rwill rnot rqualify rfor rcoverage runder rpart rA rbecause rshe rwas rnot
rborn rin rthe rUnited rStates. rWhat rshould ryou rtell rher?: rMost rindividuals
rwho rare rcitizens rand rage r65 ror rover rare rcovered runder rPart rA rby
rvirtue rof rhaving rpaid rMedicare rtaxes rwhile rworking, rthough rsome rmay
rbe rcovered ras ra rresult rof rpaying rmonthly rpremiums.
7.Mr. rBauer ris r49 ryears rold, rbut reighteen rmonths rago rhe rwas rdeclared
rdis- rabled rby rthe rSocial rSecurity rAdministration rand rhas rbeen rreceiving
rdisability rpayments. rHe ris rwondering rwhether rhe rcan robtain rcoverage
runder rMedicare. rWhat rshould ryou rtell rhim?: rAfter rreceiving rsuch
rdisability rpayments rfor r24 rmonths, rhe rwill rbe rautomatically renrolled rin
rMedicare, rregardless rof rage.
8.Mr. rXi rwill rsoon rturn rage r65 rand rhas rcome rto ryou rfor radvice ras rto rwhat
rservices rare rprovided runder rOriginal rMedicare. rWhat rshould ryou rtell rMr. rXi
rthat rbest rdescribes rthe rhealth rcoverage rprovided rto rMedicare
rbeneficiaries?: rBen- reficiaries runder rOriginal rMedicare rhave rno rcost-
sharing rfor rmost rpreventive rservices rwhich rinclude rimmunizations rsuch
ras rannual rflu rshots.
9.Mrs. rPeaH is r66 ryears rold, rhas rcoverage runder ran remployer rplan, rand rwill
rretire rnext ryear. rShe rheard rshe rmust renroll rin rPart rB rat rthe rbeginning rof
rthe ryear rto rensure rno rgap rin rcoverage. rWhat rcan ryou rtell rher?: rShe rmay
renroll rat rany rtime rwhile rshe ris rcovered runder rher remployer rplan, rbut
rshe rwill rhave ra rspecial reight-month renrollment rperiod rafter rthe rlast
rmonth ron rher remployer rplan rthat rdiffers rfrom rthe rstandard rgeneral
renrollment rperiod, rduring rwhich rshe rmay renroll rin rMedicare rPart rB.
10.Mr. rDavis ris r52 ryears rold rand rhas rrecently rbeen rdiagnosed rwith rend-
stage rrenal rdisease r(ESRD) rand rwill rsoon rbegin rdialysis. rHe ris rwondering
rif rhe rcan robtain rcoverage runder rMedicare. rWhat rshould ryou rtell rhim?: rHe
rmay rsign-up rfor rMedicare rat rany rtime rhowever rcoverage rusually
rbegins ron rthe rfourth rmonth rafter rdialysis rtreatments rstart.
11.Madeline rMartinez rwas rwidowed rseveral ryears rago. rHer rhusband
rworked rfor rmany ryears rand rcontributed rinto rthe rMedicare rsystem. rHe ralso
rleft ra rsubstantial restate rwhich rprovides rMadeline rwith ran rannual rincome rof
rapprox- rimately r$130,000. rMadeline, rwho rhas ronly rworked rpart-time rfor
rthe rlast rthree ryears, rwill rsoon rturn rage r65 rand rhopes rto renroll rin rOriginal
rMedicare. rShe rcomes rto ryou rfor radvice. rWhat rshould ryou rtell rher?: rYou
rshould rtell rMadeline rthat rshe rwill rbe rable rto renroll rin rMedicare rPart rA
rwithout rpaying rmonthly rpremiums rdue rto rher rhusband's rlong rwork
rrecord rand rparticipation rin rthe rMedicare rsystem. rYou rshould ralso rtell
rMadeline rthat rshe rwill rpay rPart rB rpremiums rat rmore rthan rthe
3 r/
r77
, rstandard rlowest rrate rbut rless rthan rthe rhighest rrate rdue rher
rsubstantial rincome.
12.Ms. rHenderson rbelieves rthat rshe rwill rqualify rfor rMedicare rCoverage
rwhen rshe rturns r65, rwithout rpaying rany rpremiums, rbecause rshe rhas rbeen
rworking
4 r/
r77
1.Mrs. rBurton ris ra rretiree rwith rsubstantial rincome. rShe ris renrolled rin ran rMA-
PD rplan rand rwas rdisappointed rwith rthe rservice rshe rreceived rfrom rher
rprimary rcare rphysician rbecause rshe rwas rtold rshe rwould rhave rto rwait rfive
rweeks rto rget ran rappointment rwhen rshe rwas rfeeling rill. rShe rcalled ryou rto
rask rwhat rshe rcould rdo rso rshe rwould rnot rhave rto rput rup rwith rsuch rpoor
raccess rto rcare. rWhat rcould ryou rtell rher?: rShe rcould rfile ra rgrievance rwith
rher rplan rto rcomplain rabout rthe rlack rof rtimeliness rin rgetting ran
rappointment.
2.Edward rIP rsuffered rfrom rserious rkidney rdisease. rAs ra rresult. rEdward
rbe- rcame religible rfor rMedicare rcoverage rdue rto rend-stage rrenal rdisease
r(ESRD). rA rclose rrelative rdonated rtheir rkidney rand rEdward rsuccessfully
runderwent rtransplant rsurgery r12 rmonths rago. rEdward ris rnow rage r50 rand
rasks ryou rif rhis rMedicare rcoverage rwill rcontinue, rwhat rshould ryou rsay?:
rIndividuals religible rfor rMedicare rbased ron rESRD rgenerally rlose
religibility r36 rmonths rafter rthe rmonth rin rwhich rthe rindividual rreceives ra
rkidney rtransplant runless rthey rare religible rfor rMedicare ron ranother rbasis
rsuch ras rage ror rdisability. rEdward rmay, rhowever, rremain renrolled rin
rPart rB rbut rsolely rfor rcoverage rof rimmunosuppressive rdrugs rif rhe rhas
rno rother rhealth rcare rcoverage rthat rwould rcover rthe rdrugs.
3.Mildred rSavage renrolled rin rAllcare rMedicare rAdvantage rplan rseveral
1 r/
r77
,ryears rago. rMildred rrecently rlearned rthat rshe ris rsuffering rfrom rinoperable
rcancer rand rhas rjust ra rfew rmonths rto rlive. rShe rwould rlike rto rspend rthese
rfinal rmonths rin rhospice rcare. rMildred's rfamily rasks ryou rwhether rhospice
rbenefits rwill rbe rpaid rfor runder rthe rAllcare rMedicare rAdvantage rplan. rWhat
rshould ryou rsay?: rMildred rmay rremain renrolled rin rAllcare rand rmake ra
rhospice relection. rHospice rbenefits rwill rbe rpaid rfor rby rOriginal
rMedicare runder rPart rA rand rAllcare rwill rcontinue rto rpay rfor rany rnon-
hospice rservices.
4.Mr. rDiaz rcontinued rworking rwith rhis rcompany rand rwas rinsured runder
rhis remployer's rgroup rplan runtil rhe rreached rage r68. rHe rhas rheard rthat
rthere ris ra rpremium rpenalty rfor rthose rwho rdid rnot rsign rup rfor rPart rB rwhen
rfirst religible rand rwants rto rknow rhow rmuch rhe rwill rhave rto rpay. rWhat
rshould ryou rtell rhim?: rMr. rDiaz rwill rnot rpay rany rpenalty rbecause rhe rhad
rcontinuous rcoverage runder rhis remployer's rplan.
5.Mr. rMoy's rwife rhas ra rMedicare rAdvantage rplan, rbut rhe rwants rto runder-
rstand rwhat rcoverage rMedicare rSupplemental rInsurance rprovides rsince
rhis rhealth rcare rneeds rare rdifferent rfrom rhis rwife's rneeds. rWhat rcould ryou
rtell rMr. rMoy?: rMedicare rSupplemental rInsurance rwould rhelp rcover rhis
rPart rA rand rPart rB rdeductibles ror rcoinsurance rin rOriginal rFee-for-
Service r(FFS) rMedicare ras rwell ras rpossibly rsome rservices rthat
rMedicare rdoes rnot rcover.
6.Mrs. rChen rwill rbe r65 rsoon, rhas rbeen ra rcitizen rfor rtwelve ryears, rhas rbeen
remployed rfull rtime, rand rpaid rtaxes rduring rthat rentire rperiod. rShe ris
rconcerned
2 r/
r77
,that rshe rwill rnot rqualify rfor rcoverage runder rpart rA rbecause rshe rwas rnot
rborn rin rthe rUnited rStates. rWhat rshould ryou rtell rher?: rMost rindividuals
rwho rare rcitizens rand rage r65 ror rover rare rcovered runder rPart rA rby
rvirtue rof rhaving rpaid rMedicare rtaxes rwhile rworking, rthough rsome rmay
rbe rcovered ras ra rresult rof rpaying rmonthly rpremiums.
7.Mr. rBauer ris r49 ryears rold, rbut reighteen rmonths rago rhe rwas rdeclared
rdis- rabled rby rthe rSocial rSecurity rAdministration rand rhas rbeen rreceiving
rdisability rpayments. rHe ris rwondering rwhether rhe rcan robtain rcoverage
runder rMedicare. rWhat rshould ryou rtell rhim?: rAfter rreceiving rsuch
rdisability rpayments rfor r24 rmonths, rhe rwill rbe rautomatically renrolled rin
rMedicare, rregardless rof rage.
8.Mr. rXi rwill rsoon rturn rage r65 rand rhas rcome rto ryou rfor radvice ras rto rwhat
rservices rare rprovided runder rOriginal rMedicare. rWhat rshould ryou rtell rMr. rXi
rthat rbest rdescribes rthe rhealth rcoverage rprovided rto rMedicare
rbeneficiaries?: rBen- reficiaries runder rOriginal rMedicare rhave rno rcost-
sharing rfor rmost rpreventive rservices rwhich rinclude rimmunizations rsuch
ras rannual rflu rshots.
9.Mrs. rPeaH is r66 ryears rold, rhas rcoverage runder ran remployer rplan, rand rwill
rretire rnext ryear. rShe rheard rshe rmust renroll rin rPart rB rat rthe rbeginning rof
rthe ryear rto rensure rno rgap rin rcoverage. rWhat rcan ryou rtell rher?: rShe rmay
renroll rat rany rtime rwhile rshe ris rcovered runder rher remployer rplan, rbut
rshe rwill rhave ra rspecial reight-month renrollment rperiod rafter rthe rlast
rmonth ron rher remployer rplan rthat rdiffers rfrom rthe rstandard rgeneral
renrollment rperiod, rduring rwhich rshe rmay renroll rin rMedicare rPart rB.
10.Mr. rDavis ris r52 ryears rold rand rhas rrecently rbeen rdiagnosed rwith rend-
stage rrenal rdisease r(ESRD) rand rwill rsoon rbegin rdialysis. rHe ris rwondering
rif rhe rcan robtain rcoverage runder rMedicare. rWhat rshould ryou rtell rhim?: rHe
rmay rsign-up rfor rMedicare rat rany rtime rhowever rcoverage rusually
rbegins ron rthe rfourth rmonth rafter rdialysis rtreatments rstart.
11.Madeline rMartinez rwas rwidowed rseveral ryears rago. rHer rhusband
rworked rfor rmany ryears rand rcontributed rinto rthe rMedicare rsystem. rHe ralso
rleft ra rsubstantial restate rwhich rprovides rMadeline rwith ran rannual rincome rof
rapprox- rimately r$130,000. rMadeline, rwho rhas ronly rworked rpart-time rfor
rthe rlast rthree ryears, rwill rsoon rturn rage r65 rand rhopes rto renroll rin rOriginal
rMedicare. rShe rcomes rto ryou rfor radvice. rWhat rshould ryou rtell rher?: rYou
rshould rtell rMadeline rthat rshe rwill rbe rable rto renroll rin rMedicare rPart rA
rwithout rpaying rmonthly rpremiums rdue rto rher rhusband's rlong rwork
rrecord rand rparticipation rin rthe rMedicare rsystem. rYou rshould ralso rtell
rMadeline rthat rshe rwill rpay rPart rB rpremiums rat rmore rthan rthe
3 r/
r77
, rstandard rlowest rrate rbut rless rthan rthe rhighest rrate rdue rher
rsubstantial rincome.
12.Ms. rHenderson rbelieves rthat rshe rwill rqualify rfor rMedicare rCoverage
rwhen rshe rturns r65, rwithout rpaying rany rpremiums, rbecause rshe rhas rbeen
rworking
4 r/
r77
