2025 AHIP FINAL EXAM UPDATED QUESTIONS AND VERIFIED ANSWERS, 100- GUARANTEE PASS

2025 AHIP FINAL EXAM UPDATED QUESTIONS AND
VERIFIED ANSWERS, 100% GUARANTEE PASS

Mrs.BShieldsBisBcoveredBbyBOriginalBMedicare.BSheBsustainedBaBhipBfractureBandBisBbeingBsuccessfullyBtreat
edBforBthatBcondition.BHowever,BsheBandBherBphysiciansBfeelBthatBafterBherBlengthyBhospitalBstay,BsheBwillBn
eedBaBmonthBorBtwoBofBnursingBandBrehabilitativeBcare.BWhatBshouldByouBtellBthemBaboutBOriginalBMedica
re'sBcoverageBofBcareBinBaBskilledBnursingBfacility?B-BcorrectBanswer-
MedicareBwillBcoverBMrs.BShield'sBskilledBnursingBservicesBprovidedBduringBtheBfirstB20BdaysBofBherBstay,Baft
erBwhichBsheBwouldBhaveBaBcopayBuntilBsheBhasBbeenBinBtheBfacilityBforB100Bdays.



Mrs.BWestBwearsBglassesBandBdenturesBandBhasBenjoyedBconsiderableBpainBreliefBfromBarthritisBthroughBm
assageBtherapy.BSheBisBconcernedBaboutBwhetherBorBnotBMedicareBwillBcoverBtheseBitemsBandBservices.BW
hatBshouldByouBtellBher?B-BcorrectBanswer-
MedicareBdoesBnotBcoverBmassageBtherapy,Bor,BinBgeneral,BglassesBorBdentures.



Mrs.BParkBisBanBelderlyBretiree.BMrs.BParkBhasBaBlowBfixedBincome.BWhatBcouldByouBtellBMrs.BParkBthatBmig
htBbeBofBassistance?B-BcorrectBanswer-
SheBshouldBcontactBherBstateBMedicaidBagencyBtoBseeBifBsheBqualifiesBforBoneBofBseveralBprogramsBthatBca
nBhelpBwithBMedicareBcostsBforBwhichBsheBisBresponsible.



Mr.BAlonsoBreceivesBsomeBhelpBpayingBforBhisBtwoBgenericBprescriptionBdrugsBfromBhisBemployer'sBretireeB
coverage,BbutBheBwantsBtoBcompareBitBtoBaBPartBDBprescriptionBdrugBplan.BHeBasksByouBwhatBcostsBheBwoul
dBgenerallyBexpectBtoBencounterBwhenBenrollingBintoBaBstandardBMedicareBPartBDBprescriptionBdrugBplan.B
WhatBshouldByouBtellBhim?B-BcorrectBanswer-
HeBgenerallyBwouldBpayBaBmonthlyBpremium,BannualBdeductible,BandBper-prescriptionBcost-sharing.



Mrs.BGonzalezBisBenrolledBinBOriginalBMedicareBandBhasBaBMedigapBpolicyBasBwell,BbutBitBprovidesBnoBdrugB
coverage.BSheBwouldBlikeBtoBkeepBtheBcoverageBsheBhasBbutBreplaceBherBexistingBMedigapBplanBwithBoneBt
hatBprovidesBdrugBcoverage.BWhatBshouldByouBtellBher?B-BcorrectBanswer-
Mrs.BGonzalezBcannotBpurchaseBaBMedigapBplanBthatBcoversBdrugs,BbutBsheBcouldBkeepBherBMedigapBpolic
yBandBenrollBinBaBPartBDBprescriptionBdrugBplan.



Mr.BDavisBisB52ByearsBoldBandBhasBrecentlyBbeenBdiagnosedBwithBend-
stageBrenalBdiseaseB(ESRD)BandBwillBsoonBbeginBdialysis.BHeBisBwonderingBifBheBcanBobtainBcoverageBunderB
Medicare.BWhatBshouldByouBtellBhim?B-BcorrectBanswer-HeBmayBsign-
upBforBMedicareBatBanyBtimeBhoweverBcoverageBusuallyBbeginsBonBtheBfourthBmonthBafterBdialysisBtreatme
ntsBstart.

,Mrs.BDuarteBisBenrolledBinBOriginalBMedicareBPartsBABandBB.BSheBhasBrecentlyBreviewedBherBMedicareBSum
maryBNoticeB(MSN)BandBdisagreesBwithBaBdeterminationBthatBpartiallyBdeniedBoneBofBherBclaimsBforBservic
es.BWhatBadviceBwouldByouBgiveBher?B-BcorrectBanswer-
Mrs.BDuarteBshouldBfileBanBappealBofBthisBinitialBdeterminationBwithinB120BdaysBofBtheBdateBsheBreceivedBt
heBMSNBinBtheBmail.



Mrs.BGeisler'sBneighborBtoldBherBsheBshouldBlookBatBherBPartBDBoptionsBduringBtheBannualBMedicareBenroll
mentBperiodBbecauseBtheBfeaturesBofBPartBDBmightBhaveBchanged.BMrs.BGeislerBcan'tBrememberBwhatBPart
BDBisBsoBsheBcalledByouBtoBaskBwhatBherBneighborBwasBtalkingBabout.BWhatBcouldByouBtellBher?B-

BcorrectBanswer-

PartBDBcoversBprescriptionBdrugsBandBsheBshouldBlookBatBherBpremiums,Bformulary,BandBcost-
sharingBamongBotherBfactorsBtoBseeBifBtheyBhaveBchanged.



Mr.BRaineyBisBexperiencingBparanoidBdelusionsBandBhisBphysicianBfeelsBthatBheBshouldBbeBhospitalized.BWh
atBshouldByouBtellBMr.BRaineyB(orBhisBrepresentative)BaboutBtheBlengthBofBanBinpatientBpsychiatricBhospitalB
stayBthatBMedicareBwillBcover?B-BcorrectBanswer-
MedicareBwillBcoverBaBtotalBofB190BdaysBofBinpatientBpsychiatricBcareBduringBMr.BRainey'sBentireBlifetime.



Mr.BXiBwillBsoonBturnBageB65BandBhasBcomeBtoByouBforBadviceBasBtoBwhatBservicesBareBprovidedBunderBOrigi
nalBMedicare.BWhatBshouldByouBtellBMr.BXiBthatBbestBdescribesBtheBhealthBcoverageBprovidedBtoBMedicareB
beneficiaries?B-BcorrectBanswer-BeneficiariesBunderBOriginalBMedicareBhaveBnoBcost-
sharingBforBmostBpreventiveBservices.



Mr.BSinghBwouldBlikeBdrugBcoverageBbutBdoesBnotBwantBtoBbeBenrolledBinBaBMedicareBAdvantageBplan.BWh
atBshouldByouBtellBhim?B-BcorrectBanswer-Mr.BSinghBcanBenrollBinBaBstand-
aloneBprescriptionBdrugBplanBandBcontinueBtoBbeBcoveredBforBPartBABandBPartBBBservicesBthroughBOriginalB
Fee-for-ServiceBMedicare.



Mrs.BChenBwillBbeB65Bsoon,BhasBbeenBaBcitizenBforBtwelveByears,BhasBbeenBemployedBfullBtime,BandBpaidBta
xesBduringBthatBentireBperiod.BSheBisBconcernedBthatBsheBwillBnotBqualifyBforBcoverageBunderBpartBABbecau
seBsheBwasBnotBbornBinBtheBUnitedBStates.BWhatBshouldByouBtellBher?B-BcorrectBanswer-
MostBindividualsBwhoBareBcitizensBandBageB65BorBoverBareBcoveredBunderBPartBABbyBvirtueBofBhavingBpaidB
MedicareBtaxesBwhileBworking,BthoughBsomeBmayBbeBcoveredBasBaBresultBofBpayingBmonthlyBpremiums.



Mrs.BQuinnBrecentlyBturnedB66BandBdecidedBafterBmanyByearsBofBworkBtoBretireBandBbeginBreceivingBSocial
BSecurityBbenefits.BShortlyBthereafterBMrs.BQuinnBreceivedBaBletterBinformingBherBthatBsheBhadBbeenBauto

, maticallyBenrolledBinBMedicareBPartBB.BSheBwantsBtoBunderstandBwhatBthisBmeans.BWhatBshouldByouBtellB
Mrs.BQuinn?B-BcorrectBanswer-
PartBBBprimarilyBcoversBphysicianBservices.BSheBwillBbeBpayingBaBmonthlyBpremiumBand,BexceptBforBmanyBp
reventiveBandBscreeningBtests,BgenerallyBwillBhaveB20%Bco-
paymentsBforBtheseBservices,BinBadditionBtoBanBannualBdeductible.



Mr.BPatelBisBinBgoodBhealthBandBisBpreparingBaBbudgetBinBanticipationBofBhisBretirementBwhenBheBturnsB66.B
HeBwantsBtoBunderstandBtheBhealthBcareBcostsBheBmightBbeBexposedBtoBunderBMedicareBifBheBwereBtoBreq
uireBhospitalizationBbecauseBofBanBillness.BInBgeneralBterms,BwhatBcouldByouBtellBhimBaboutBhisBcostsBforBin
patientBhospitalBservicesBunderBOriginalBMedicare?B-BcorrectBanswer-
UnderBOriginalBMedicare,BthereBisBaBsingleBdeductibleBamountBdueBforBtheBfirstB60BdaysBofBanyBinpatientBh
ospitalBstay,BafterBwhichBitBconvertsBintoBaBper-
dayBcoinsuranceBamountBthroughBdayB90.BAfterBdayB90,BheBwouldBpayBaBdailyBamountBupBtoB60BdaysBoverB
hisBlifetime,BafterBwhichBheBwouldBbeBresponsibleBforBallBcosts.



WhatBimpact,BifBany,BhaveBrecentBregulatoryBchangesBhadBonBMedigapBplans?B-BcorrectBanswer-
TheBPartBBBdeductibleBisBnoBlongerBcoveredBforBindividualsBnewlyBeligibleBforBMedicareBstartingBJanuaryB1,B
2020.



Mrs.BPatersonBisBconcernedBaboutBtheBdeductiblesBandBco-
paymentsBassociatedBwithBOriginalBMedicare.BWhatBcanByouBtellBherBaboutBMedigapBasBanBoptionBtoBaddr
essBthisBconcern?B-BcorrectBanswer-
MedigapBplansBdoBnotBcoverBOriginalBMedicareBbenefits,BbutBtheyBcoordinateBwithBOriginalBMedicareBcov
erage.



Mrs.BTurnerBisBcomparingBherBemployer'sBretireeBinsuranceBtoBOriginalBMedicareBandBwouldBlikeBtoBknowB
whichBofBtheBfollowingBservicesBOriginalBMedicareBwillBcoverBifBtheBappropriateBcriteriaBareBmet.BWhatBco
uldByouBtellBher?B-BcorrectBanswer-OriginalBMedicareBcoversBambulanceBservices.



Ms.BBrooksBhasBaggressiveBcancerBandBwouldBlikeBtoBknowBifBMedicareBwillBcoverBhospiceBservicesBinBcaseB
sheBneedsBthem.BWhatBshouldByouBtellBher?B-BcorrectBanswer-
MedicareBcoversBhospiceBservices,BandBtheyBwillBbeBavailableBforBher.



Mr.BDiazBcontinuedBworkingBwithBhisBcompanyBandBwasBinsuredBunderBhisBemployer'sBgroupBplanBuntilBheB
reachedBageB68.BHeBhasBheardBthatBthereBisBaBpremiumBpenaltyBforBthoseBwhoBdidBnotBsignBupBforBPartBBB
whenBfirstBeligibleBandBwantsBtoBknowBhowBmuchBheBwillBhaveBtoBpay.BWhatBshouldByouBtellBhim?B-
BcorrectBanswer-

Mr.BDiazBwillBnotBpayBanyBpenaltyBbecauseBheBhadBcontinuousBcoverageBunderBhisBemployer'sBplan.