AHIP 2025 FINAL EXAM 100% VERIFIED
ANSWERS 2024/2025 GUARANTEED PASS
Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition.
However, she and her physicians feel that after her lengthy
hospital stay, she will need a month or two of nursing and
rehabilitative care. What should you tell them about Original
Medicare's coverage of care in a skilled nursing facility? - Answer -
Medicare will cover Mrs. Shield's skilled nursing services provided
during the first 20 days of her stay, after which she would have a
copay until she has been in the facility for 100 days.
Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through massage therapy.
She is concerned about whether or not Medicare will cover these
items and services. What should you tell her? - Answer - Medicare
does not cover massage therapy, or, in general, glasses or
dentures.
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.
Mr. Alonso receives some help paying for his two generic
prescription drugs from his employer's retiree coverage, but he
wants to compare it to a Part D prescription drug plan. He asks
you what costs he would generally expect to encounter when
enrolling into a standard Medicare Part D prescription drug plan.
What should you tell him? - Answer - He generally would pay a
monthly premium, annual deductible, and per-prescription cost-
sharing.
AHIP
, AHIP 2025 FINAL EXAM 100% VERIFIED
ANSWERS 2024/2025 GUARANTEED PASS
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap
policy as well, but it provides no drug coverage. She would like to
keep the coverage she has but replace her existing Medigap plan
with one that provides drug coverage. What should you tell her? -
Answer - Mrs. Gonzalez cannot purchase a Medigap plan that
covers drugs, but she could keep her Medigap policy and enroll in
a Part D
prescription drug plan.
Mr. Davis is 52 years old and has recently been diagnosed with
end-stage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should
you tell him? - Answer - He may sign-up for Medicare at any time
however coverage usually begins on the fourth month after
dialysis treatments start.
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.
AHIP
, AHIP 2025 FINAL EXAM 100% VERIFIED
ANSWERS 2024/2025 GUARANTEED PASS
Mr. Rainey is experiencing paranoid delusions and his physician
feels that he should be hospitalized. What should you tell Mr.
Rainey (or his representative) about the length of an inpatient
psychiatric hospital stay that Medicare will cover? - Answer -
Medicare will cover a total of 190 days of inpatient psychiatric
care during Mr. Rainey's entire lifetime.
Mr. Xi will soon turn age 65 and has come to you for advice as to
what services are provided under Original Medicare. What should
you tell Mr. Xi that best describes the health coverage provided to
Medicare beneficiaries? - Answer - Beneficiaries under Original
Medicare have no cost-sharing for most preventive services.
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.
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 her? - Answer - Most individuals who are citizens and age 65
or over are covered under Part A by virtue of having paid
Medicare taxes while working, though some may be covered as a
result of paying monthly premiums.
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? -
AHIP
ANSWERS 2024/2025 GUARANTEED PASS
Mrs. Shields is covered by Original Medicare. She sustained a hip
fracture and is being successfully treated for that condition.
However, she and her physicians feel that after her lengthy
hospital stay, she will need a month or two of nursing and
rehabilitative care. What should you tell them about Original
Medicare's coverage of care in a skilled nursing facility? - Answer -
Medicare will cover Mrs. Shield's skilled nursing services provided
during the first 20 days of her stay, after which she would have a
copay until she has been in the facility for 100 days.
Mrs. West wears glasses and dentures and has enjoyed
considerable pain relief from arthritis through massage therapy.
She is concerned about whether or not Medicare will cover these
items and services. What should you tell her? - Answer - Medicare
does not cover massage therapy, or, in general, glasses or
dentures.
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.
Mr. Alonso receives some help paying for his two generic
prescription drugs from his employer's retiree coverage, but he
wants to compare it to a Part D prescription drug plan. He asks
you what costs he would generally expect to encounter when
enrolling into a standard Medicare Part D prescription drug plan.
What should you tell him? - Answer - He generally would pay a
monthly premium, annual deductible, and per-prescription cost-
sharing.
AHIP
, AHIP 2025 FINAL EXAM 100% VERIFIED
ANSWERS 2024/2025 GUARANTEED PASS
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap
policy as well, but it provides no drug coverage. She would like to
keep the coverage she has but replace her existing Medigap plan
with one that provides drug coverage. What should you tell her? -
Answer - Mrs. Gonzalez cannot purchase a Medigap plan that
covers drugs, but she could keep her Medigap policy and enroll in
a Part D
prescription drug plan.
Mr. Davis is 52 years old and has recently been diagnosed with
end-stage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should
you tell him? - Answer - He may sign-up for Medicare at any time
however coverage usually begins on the fourth month after
dialysis treatments start.
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.
AHIP
, AHIP 2025 FINAL EXAM 100% VERIFIED
ANSWERS 2024/2025 GUARANTEED PASS
Mr. Rainey is experiencing paranoid delusions and his physician
feels that he should be hospitalized. What should you tell Mr.
Rainey (or his representative) about the length of an inpatient
psychiatric hospital stay that Medicare will cover? - Answer -
Medicare will cover a total of 190 days of inpatient psychiatric
care during Mr. Rainey's entire lifetime.
Mr. Xi will soon turn age 65 and has come to you for advice as to
what services are provided under Original Medicare. What should
you tell Mr. Xi that best describes the health coverage provided to
Medicare beneficiaries? - Answer - Beneficiaries under Original
Medicare have no cost-sharing for most preventive services.
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.
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 her? - Answer - Most individuals who are citizens and age 65
or over are covered under Part A by virtue of having paid
Medicare taxes while working, though some may be covered as a
result of paying monthly premiums.
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? -
AHIP
