AHIP 2026 FINAL EXAM
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? - ✔✔ CORRECT 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? - ✔✔ CORRECT
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? - ✔✔ CORRECT 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? - ✔✔ CORRECT 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? -
✔✔ CORRECT 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? - ✔✔ CORRECT 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? - ✔✔
CORRECT 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.
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has
been employed full time, and paid 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
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? - ✔✔ CORRECT 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? - ✔✔ CORRECT
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? - ✔✔ CORRECT 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? - ✔✔ CORRECT 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? -
✔✔ CORRECT 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? - ✔✔ CORRECT 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? - ✔✔
CORRECT 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.
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has
been employed full time, and paid 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
