AHIP 2025 FINAL EXAM 50 QUESTIONS
WITH CORRECT
ANSWERS
1. Mrs. Turner is comparing her employer's retiree insurance to Original
Medicare and would like to know which of the following services Original
Medicare will cover if the appropriate criteria are met. What could you tell
her?: Original Medicare covers ambulance services.
2. Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has recently
reviewed her Medicare Summary Notice (MSN) and disagrees with a determi-
nation that partially denied one of her claims for services. What advice would
you give her?: Mrs. Duarte should file an appeal of this initial determination within
120 days of the date she received the MSN in the mail.
3. 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?: 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.
4. Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you
tell Mrs. Park that might be of assistance?: 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.
5. Mrs. Quinn recently turned 66 and decided after many years of work to retire
and begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn
1/
, received a letter informing her that she had been automatically enrolled in
Medicare Part B. She wants to understand what this means. What should you
tell Mrs. Quinn?: Part B primarily covers physician services. She will be paying a
monthly premium and, except
for many preventive and screening tests, generally will have 20% co-payments for
these services, in addition to an annual deductible.
6. Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original
Medicare Part A and Part B. She would also like to enroll in a Medicare Supple-
ment (Medigap) plan. Anita's older neighbor Mel has told her about the Medi-
gap Plan F in which he is enrolled. It not only provides foreign travel emergency
benefits but also covers his Medicare Part B deductible. Anita comes to you for
advice. What should you tell her?: You are sorry to disappoint Anita, but a Medigap
F plan is no longer
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WITH CORRECT
ANSWERS
1. Mrs. Turner is comparing her employer's retiree insurance to Original
Medicare and would like to know which of the following services Original
Medicare will cover if the appropriate criteria are met. What could you tell
her?: Original Medicare covers ambulance services.
2. Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has recently
reviewed her Medicare Summary Notice (MSN) and disagrees with a determi-
nation that partially denied one of her claims for services. What advice would
you give her?: Mrs. Duarte should file an appeal of this initial determination within
120 days of the date she received the MSN in the mail.
3. 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?: 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.
4. Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you
tell Mrs. Park that might be of assistance?: 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.
5. Mrs. Quinn recently turned 66 and decided after many years of work to retire
and begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn
1/
, received a letter informing her that she had been automatically enrolled in
Medicare Part B. She wants to understand what this means. What should you
tell Mrs. Quinn?: Part B primarily covers physician services. She will be paying a
monthly premium and, except
for many preventive and screening tests, generally will have 20% co-payments for
these services, in addition to an annual deductible.
6. Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original
Medicare Part A and Part B. She would also like to enroll in a Medicare Supple-
ment (Medigap) plan. Anita's older neighbor Mel has told her about the Medi-
gap Plan F in which he is enrolled. It not only provides foreign travel emergency
benefits but also covers his Medicare Part B deductible. Anita comes to you for
advice. What should you tell her?: You are sorry to disappoint Anita, but a Medigap
F plan is no longer
2/
