AHIP 2025 Final Exam 50
Questions 2026 Exam All
Answers and Illustrations
Given
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? - ANSWER ✔✔Original Medicare covers ambulance
services.
Mrs. Duarte is enrolled in Original Medicare Parts A and B. 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? - ANSWER ✔✔Mrs. Duarte should
file an appeal of this initial determination within 120 days of the date she
received the MSN in the mail.
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? - ANSWER ✔✔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.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance? - ANSWER
✔✔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.
Mrs. Quinn recently turned 66 and decided after many years of work to
retire and begin receiving Social Security benefits. Shortly thereafter
Mrs. Quinn 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? - ANSWER ✔✔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.
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 Supplement (Medigap) plan. Anita's older neighbor Mel has
told her about the Medigap 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? - ANSWER ✔✔You are sorry to disappoint Anita, but a Medigap
F plan is no longer available to those who turn age 65 after January 1,
2020. Anita might instead consider other Medigap plans that offer foreign
travel benefits but do not cover the Part B deductible.
Mr. Singh would like drug coverage but does not want to be enrolled in a
Medicare Advantage plan. What should you tell him? - ANSWER
✔✔Mr. Singh can enroll in a stand-alone prescription drug plan and
continue to be covered for Part A and Part B services through Original
Fee-for-Service Medicare.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
Questions 2026 Exam All
Answers and Illustrations
Given
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? - ANSWER ✔✔Original Medicare covers ambulance
services.
Mrs. Duarte is enrolled in Original Medicare Parts A and B. 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? - ANSWER ✔✔Mrs. Duarte should
file an appeal of this initial determination within 120 days of the date she
received the MSN in the mail.
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? - ANSWER ✔✔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.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance? - ANSWER
✔✔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.
Mrs. Quinn recently turned 66 and decided after many years of work to
retire and begin receiving Social Security benefits. Shortly thereafter
Mrs. Quinn 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? - ANSWER ✔✔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.
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 Supplement (Medigap) plan. Anita's older neighbor Mel has
told her about the Medigap 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? - ANSWER ✔✔You are sorry to disappoint Anita, but a Medigap
F plan is no longer available to those who turn age 65 after January 1,
2020. Anita might instead consider other Medigap plans that offer foreign
travel benefits but do not cover the Part B deductible.
Mr. Singh would like drug coverage but does not want to be enrolled in a
Medicare Advantage plan. What should you tell him? - ANSWER
✔✔Mr. Singh can enroll in a stand-alone prescription drug plan and
continue to be covered for Part A and Part B services through Original
Fee-for-Service Medicare.
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
