AHIP FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE LATEST 2025/2026 ACTUAL EXAM 135 QUESTIONS WITH CORRECT ANSWERS 100% VERIFIED GRADED A+

AHIP FINAL EXAM, PRACTICE EXAM
AND STUDY GUIDE LATEST 2025/2026
ACTUAL EXAM 135 QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED
GRADED A+
1. Mrs.mShieldsmismcoveredmbymOriginalmMedicare.mShemsustainedmamhipmfracturemandmismbein
gmsuccessfullymtreatedmformthatmcondition.mHowever,mshemandmhermphysiciansmfeelmthatmaft
ermhermlengthymhospitalmstay,mshemwillmneedmammonthmormtwomofmnursingmandmrehabilitativ
emcare.mWhatmshouldmyoumtellmthemmaboutmOriginalmMedicare'smcoveragemofmcareminmamski
lledmnursingmfacility?m-
mCORRECTmANSWERmMedicaremwillmcovermMrs.mShield'smskilledmnursingmservicesmprovided


mduringmthemfirstm20mdaysmofmhermstay,maftermwhichmshemwouldmhavemamcopaymuntilmshemha


smbeenminmthemfacilitymform100mdays.



2. Mrs.mWestmwearsmglassesmandmdenturesmandmhasmenjoyedmconsiderablempainmreliefmfromm
arthritismthroughmmassagemtherapy.mShemismconcernedmaboutmwhethermormnotmMedicarem
willmcovermthesemitemsmandmservices.mWhatmshouldmyoumtellmher?m-
mCORRECTmANSWERmMedicaremdoesmnotmcovermmassagemtherapy,mor,minmgeneral,mglassesm


ormdentures.



3. Mrs.mParkmismanmelderlymretiree.mMrs.mParkmhasmamlowmfixedmincome.mWhatmcouldmyoumtell
mMrs.mParkmthatmmightmbemofmassistance?m-


mCORRECTmANSWERmShemshouldmcontactmhermstatemMedicaidmagencymtomseemifmshemqualif


iesmformonemofmseveralmprogramsmthatmcanmhelpmwithmMedicaremcostsmformwhichmshemismre
sponsible.



4. Mr.mAlonsomreceivesmsomemhelpmpayingmformhismtwomgenericmprescriptionmdrugsmfrommhism
employer'smretireemcoverage,mbutmhemwantsmtomcomparemitmtomamPartmDmprescriptionmdrug
mplan.mHemasksmyoumwhatmcostsmhemwouldmgenerallymexpectmtomencountermwhenmenrolling


mintomamstandardmMedicaremPartmDmprescriptionmdrugmplan.mWhatmshouldmyoumtellmhim?m-


mCORRECTmANSWERmHemgenerallymwouldmpaymammonthlympremium,mannualmdeductible,ma


ndmper-prescriptionmcost-sharing.

,5. Mrs.mGonzalezmismenrolledminmOriginalmMedicaremandmhasmamMedigapmpolicymasmwell,mbutmi
tmprovidesmnomdrugmcoverage.mShemwouldmlikemtomkeepmthemcoveragemshemhasmbutmreplace
mhermexistingmMedigapmplanmwithmonemthatmprovidesmdrugmcoverage.mWhatmshouldmyoumte


llmher?m-
mCORRECTmANSWERmMrs.mGonzalezmcannotmpurchasemamMedigapmplanmthatmcoversmdrugs


,mbutmshemcouldmkeepmhermMedigapmpolicymandmenrollminmamPartmDmprescriptionmdrugmplan
.



6. Mr.mDavismism52myearsmoldmandmhasmrecentlymbeenmdiagnosedmwithmend-
stagemrenalmdiseasem(ESRD)mandmwillmsoonmbeginmdialysis.mHemismwonderingmifmhemcanmobt
ainmcoveragemundermMedicare.mWhatmshouldmyoumtellmhim?m-
mCORRECTmANSWERmHemmaymsign-


upmformMedicarematmanymtimemhowevermcoveragemusuallymbeginsmonmthemfourthmmonthmaf
termdialysismtreatmentsmstart.



7. Mrs.mDuartemismenrolledminmOriginalmMedicaremPartsmAmandmB.mShemhasmrecentlymreviewed
mhermMedicaremSummarymNoticem(MSN)mandmdisagreesmwithmamdetermination mthatmpartia


llymdeniedmonemofmhermclaimsmformservices.mWhatmadvicemwouldmyoumgivemher?m-
mCORRECTmANSWERmMrs.mDuartemshouldmfilemanmappealmofmthisminitialmdeterminationmwit


hinm120mdaysmofmthemdatemshemreceivedmthemMSNminmthemmail.



8. Mrs.mGeisler'smneighbormtoldmhermshemshouldmlookmatmhermPartmDmoptionsmduringmthemann
ualmMedicaremenrollmentmperiodmbecausemthemfeaturesmofmPartmDmmightmhavemchanged.m
Mrs.mGeislermcan'tmremembermwhatmPartmDmismsomshemcalledmyoumtomaskmwhatmhermneighb
ormwasmtalkingmabout.mWhatmcouldmyoumtellmher?m-
mCORRECTmANSWERmPartmDmcoversmprescriptionmdrugsmandmshemshouldmlookmatmhermprem


iums,mformulary,mandmcost-sharingmamongmothermfactorsmtomseemifmtheymhavemchanged.



9. Mr.mRaineymismexperiencingmparanoidmdelusionsmandmhismphysicianmfeelsmthatmhemshouldmb
emhospitalized.mWhatmshouldmyoumtellmMr.mRaineym(ormhismrepresentative)maboutmthemleng
thmofmanminpatientmpsychiatricmhospitalmstaymthatmMedicaremwillmcover?m-
mCORRECTmANSWERmMedicaremwillmcovermamtotalmofm190mdaysmofminpatientmpsychiatricmca


remduringmMr.mRainey'smentiremlifetime.

, 10. Mr.mXimwillmsoonmturnmagem65mandmhasmcomemtomyoumformadvicemasmtomwhatmservicesmarem
providedmundermOriginalmMedicare.mWhatmshouldmyoumtellmMr.mXimthatmbestmdescribesmth
emhealthmcoveragemprovidedmtomMedicarembeneficiaries?m-
mCORRECTmANSWERmBeneficiariesmundermOriginalmMedicaremhavemnomcost-


sharingmformmostmpreventivemservices.



11. Mr.mSinghmwouldmlikemdrugmcoveragembutmdoesmnotmwantmtombemenrolledminmamMedicaremA
dvantagemplan.mWhatmshouldmyoumtellmhim?m-
mCORRECTmANSWERmMr.mSinghmcanmenrollminmamstand-


alonemprescriptionmdrugmplanmandmcontinuemtombemcoveredmformPartmAmandmPartmBmservice
smthroughmOriginalmFee-for-ServicemMedicare.



12. Mrs.mChenmwillmbem65msoon,mhasmbeenmamcitizenmformtwelvemyears,mhasmbeenmemployedmfu
llmtime,mandmpaidmtaxesmduringmthatmentiremperiod.mShemismconcernedmthatmshemwillmnotmq
ualifymformcoveragemundermpartmAmbecausemshemwasmnotmbornminmthemUnitedmStates.mWha
tmshouldmyoumtellmher?m-
mCORRECTmANSWERmMostmindividualsmwhomaremcitizensmandmagem65mormovermaremcovered


mundermPartmAmbymvirtuemofmhavingmpaidmMedicaremtaxesmwhilemworking,mthoughmsomemm


aymbemcoveredmasmamresultmofmpayingmmonthlympremiums.



13. Mrs.mQuinnmrecentlymturnedm66mandmdecidedmaftermmanymyearsmofmworkmtomretiremandmbe
ginmreceivingmSocialmSecuritymbenefits.mShortlymthereaftermMrs.mQuinnmreceivedmamlettermi
nformingmhermthatmshemhadmbeenmautomaticallymenrolledminmMedicaremPartmB.mShemwants
mtomunderstandmwhatmthismmeans.mWhatmshouldmyoumtellmMrs.mQuinn?m-


mCORRECTmANSWERmPartmBmprimarilymcoversmphysicianmservices.mShemwillmbempayingmamm


onthlympremiummand,mexceptmformmanympreventivemandmscreeningmtests,mgenerallymwillmh
avem20%mco-paymentsmformthesemservices,minmadditionmtomanmannualmdeductible.



14. Mr.mPatelmisminmgoodmhealthmandmismpreparingmambudgetminmanticipationmofmhismretirement
mwhenmhemturnsm66.mHemwantsmtomunderstandmthemhealthmcaremcostsmhemmightmbemexpos


edmtomundermMedicaremifmhemweremtomrequiremhospitalizationmbecausemofmanmillness.mInmg
eneralmterms,mwhatmcouldmyoumtellmhimmaboutmhismcostsmforminpatientmhospitalmservicesmu
ndermOriginalmMedicare?m-