AHIP fFINAL EXAM REAL EXAM ACTUAL
QUESTIONS AND (100% CORRECT ANSWERS
NEWEST VERSION 2025-2026.
Save
Terms in this set (106)
Mr. Wu is eligible for Mr. Wu may still qualify for help in paying Part D costs
Medicare. He has limited through his State Pharmaceutical Assistance Program.
financial resources but
failed to qualify for the
Part D low-income
subsidy. Where might he
turn for help with his
prescription drug costs?
Mr. Bauer is 49 years old, After receiving such disability payments for 24
but eighteen months ago months, he will be automatically enrolled in Medicare,
he was declared disabled regardless of age.
by the Social Security
Administration and has
been receiving disability
payments. He is
wondering whether he
can obtain coverage
under Medicare. What
should you tell him?
,Mildred Savage enrolled Mildred may remain enrolled in Allcare and make a
in Allcare Medicare hospice election. Hospice benefits will be paid for by
Advantage plan several Original Medicare under Part A and Allcare will
years ago. Mildred continue to pay for any non-hospice services.
recently learned that she
is suffering from
inoperable cancer and has
just a few months to live.
She would like to spend
these final months in
hospice care. Mildred's
family asks you whether
hospice benefits will be
paid for under the Allcare
Medicare Advantage plan.
What should you say?
Mr. Schmidt would like to Part A, which covers hospital, skilled nursing facility,
plan for retirement and hospice, and home health services and Part B, which
has asked you what is covers professional services such as those provided
covered under Original by a doctor are covered under Original Medicare.
Fee-for-Service (FFS)
Medicare. What could you
tell him?
,Agent John Miller is Tell prospect Jerry Smith that he should consider
meeting with Jerry Smith, a adding a standalone Part D prescription drug
new prospect. Jerry is coverage policy to his present coverage.
currently enrolled in
Medicare Parts A and B.
Jerry has also purchased a
Medicare Supplement
(Medigap) plan which he
has had for several years.
However, the plan does
not provide drug benefits.
How would you advise
Agent John Miller to
proceed?
Mr. Davis is 52 years old He may sign-up for Medicare at any time however
and has recently been coverage usually begins on the fourth month after
diagnosed with end-stage dialysis treatments start.
renal disease (ESRD) and
will soon begin dialysis.
He is wondering if he can
obtain coverage under
Medicare. What should
you tell him?
Mr. Diaz continued Mr. Diaz will not pay any penalty because he had
working with his company continuous coverage under his employer's plan.
and was insured under his
employer's group plan
until he reached age 68.
He has heard that there is
a premium penalty for
those who did not sign up
for Part B when first
eligible and wants to know
how much he will have to
pay. What should you tell
him?
, Madeline Martinez was You should tell Madeline that she will be able to
widowed several years enroll in Medicare Part A without paying monthly
ago. Her husband worked premiums due to her husband's long work record and
for many years and participation in the Medicare system. You should also
contributed into the tell Madeline that she will pay Part B premiums at
Medicare system. He also more than the standard lowest rate but less than the
left a substantial estate highest rate due her substantial income.
which provides Madeline
with an annual income of
approximately $130,000.
Madeline, who has only
worked part-time for the
last three years, will soon
turn age 65 and hopes to
enroll in Original
Medicare. She comes to
you for advice. What
should you tell her?
Edward IP suffered from Individuals eligible for Medicare based on ESRD
serious kidney disease. As generally lose eligibility 36 months after the month in
a result. Edward became which the individual receives a kidney transplant
eligible for Medicare unless they are eligible for Medicare on another basis
coverage due to end- such as age or disability. Edward may, however,
stage renal disease remain enrolled in Part B but solely for coverage of
(ESRD). A close relative immunosuppressive drugs if he has no other health
donated their kidney and care coverage that would cover the drugs.
Edward successfully
underwent transplant
surgery 12 months ago.
Edward is now age 50 and
asks you if his Medicare
coverage will continue,
what should you say?
QUESTIONS AND (100% CORRECT ANSWERS
NEWEST VERSION 2025-2026.
Save
Terms in this set (106)
Mr. Wu is eligible for Mr. Wu may still qualify for help in paying Part D costs
Medicare. He has limited through his State Pharmaceutical Assistance Program.
financial resources but
failed to qualify for the
Part D low-income
subsidy. Where might he
turn for help with his
prescription drug costs?
Mr. Bauer is 49 years old, After receiving such disability payments for 24
but eighteen months ago months, he will be automatically enrolled in Medicare,
he was declared disabled regardless of age.
by the Social Security
Administration and has
been receiving disability
payments. He is
wondering whether he
can obtain coverage
under Medicare. What
should you tell him?
,Mildred Savage enrolled Mildred may remain enrolled in Allcare and make a
in Allcare Medicare hospice election. Hospice benefits will be paid for by
Advantage plan several Original Medicare under Part A and Allcare will
years ago. Mildred continue to pay for any non-hospice services.
recently learned that she
is suffering from
inoperable cancer and has
just a few months to live.
She would like to spend
these final months in
hospice care. Mildred's
family asks you whether
hospice benefits will be
paid for under the Allcare
Medicare Advantage plan.
What should you say?
Mr. Schmidt would like to Part A, which covers hospital, skilled nursing facility,
plan for retirement and hospice, and home health services and Part B, which
has asked you what is covers professional services such as those provided
covered under Original by a doctor are covered under Original Medicare.
Fee-for-Service (FFS)
Medicare. What could you
tell him?
,Agent John Miller is Tell prospect Jerry Smith that he should consider
meeting with Jerry Smith, a adding a standalone Part D prescription drug
new prospect. Jerry is coverage policy to his present coverage.
currently enrolled in
Medicare Parts A and B.
Jerry has also purchased a
Medicare Supplement
(Medigap) plan which he
has had for several years.
However, the plan does
not provide drug benefits.
How would you advise
Agent John Miller to
proceed?
Mr. Davis is 52 years old He may sign-up for Medicare at any time however
and has recently been coverage usually begins on the fourth month after
diagnosed with end-stage dialysis treatments start.
renal disease (ESRD) and
will soon begin dialysis.
He is wondering if he can
obtain coverage under
Medicare. What should
you tell him?
Mr. Diaz continued Mr. Diaz will not pay any penalty because he had
working with his company continuous coverage under his employer's plan.
and was insured under his
employer's group plan
until he reached age 68.
He has heard that there is
a premium penalty for
those who did not sign up
for Part B when first
eligible and wants to know
how much he will have to
pay. What should you tell
him?
, Madeline Martinez was You should tell Madeline that she will be able to
widowed several years enroll in Medicare Part A without paying monthly
ago. Her husband worked premiums due to her husband's long work record and
for many years and participation in the Medicare system. You should also
contributed into the tell Madeline that she will pay Part B premiums at
Medicare system. He also more than the standard lowest rate but less than the
left a substantial estate highest rate due her substantial income.
which provides Madeline
with an annual income of
approximately $130,000.
Madeline, who has only
worked part-time for the
last three years, will soon
turn age 65 and hopes to
enroll in Original
Medicare. She comes to
you for advice. What
should you tell her?
Edward IP suffered from Individuals eligible for Medicare based on ESRD
serious kidney disease. As generally lose eligibility 36 months after the month in
a result. Edward became which the individual receives a kidney transplant
eligible for Medicare unless they are eligible for Medicare on another basis
coverage due to end- such as age or disability. Edward may, however,
stage renal disease remain enrolled in Part B but solely for coverage of
(ESRD). A close relative immunosuppressive drugs if he has no other health
donated their kidney and care coverage that would cover the drugs.
Edward successfully
underwent transplant
surgery 12 months ago.
Edward is now age 50 and
asks you if his Medicare
coverage will continue,
what should you say?
