2025 AHIP Final Exam /AHIP FINAL EXAM 2024/A HIP FINAL
EXAM 2023/A HIP FINAL EXAM 2020/ACTUAL COMPLETE
ALL 540 REAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS ) ALREADY
GRADED A+.
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.
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.
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.
EXAM 2023/A HIP FINAL EXAM 2020/ACTUAL COMPLETE
ALL 540 REAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS ) ALREADY
GRADED A+.
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.
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.
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.
