AHIP 2025 Final Exam questions with answers

Ahip 2025 final exam questions with 100 % correct g g g g g g g g g




answers




Mrs. Paterson is concerned about the deductibles and co-payments associated with Original
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Medicare. What can you tell her about Medigap as an option to address this concern? - correct
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answer Medigap plans help beneficiaries cover Original Medicare benefits, but they coordinate
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with Original Medicare coverage.
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Anita Magri will turn age 65 in August 2023. Anita intends to enroll in Original Medicare Part A and
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Part B. She would also like to enroll in a Medicare Supplement (Medigap) plan. Anita's older
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neighbor Mel has told her about the Medigap Plan F in which he is enrolled. It not only provides
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foreign travel emergency benefits but also covers his Medicare Part B deductible. Anita comes to
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you for advice. What should you tell her? - correct answer You are sorry to disappoint Anita, but a
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Medigap F plan is no longer available to those who turn age 65 after January 1, 2020. Anita might
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instead consider other Medigap plans that offer foreign travel benefits but do not cover the Part B
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deductible.



What impact, if any, have recent regulatory changes had on Medigap plans? - correct answer b.
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The Part B deductible is no longer covered for individuals newly eligible for Medicare starting
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January 1, 2020. g g




Mr. Rainey is experiencing paranoid delusions and his physician feels that he should be
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hospitalized. What should you tell Mr. Rainey (or his representative) about the length of an g g g g g g g g g g g g g g g




inpatient psychiatric hospital stay that Medicare will cover? - correct answer Medicare will cover
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a total of 190 days of inpatient psychiatric care during Mr. Rainey's entire lifetime.
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, Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being successfully
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treated for that condition. However, she and her physicians feel that after her lengthy hospital
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stay, she will need a month or two of nursing and rehabilitative care. What should you tell them
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about Original Medicare's coverage of care in a skilled nursing facility? - correct answer
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Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis
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through massage therapy. She is concerned about whether or not Medicare will cover these items
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and services. What should you tell her? - correct answer Medicare does not cover massage
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therapy, or, in general, glasses or dentures. g g g g g g




Ms. Gibson recently lost her employer group health and drug coverage and now she wants to
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enroll in a PPO that does not include drug coverage. What should you tell her about obtaining drug
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coverage? - correct answer She can enroll in the PPO, but she will not be able to purchase a stand- g g g g g g g g g g g g g g g g g g g g g




alone Medicare Part D prescription drug plan.
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Mrs. Radford asks whether there are any special eligibility requirements for Medicare Advantage.
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What should you tell her? - correct answer Mrs. Radford must be entitled to Part A and enrolled in
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Part B to enroll in Medicare Advantage.
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Mr. Barker enjoys a comfortable retirement income. He recently had surgery and expected that he
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would have certain services and items covered by the plan with minimal out-of-pocket costs
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because his MA-PD coverage has been very good. However, when he received the bill, he was
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surprised to see large charges in excess of his maximum out-of-pocket limit that included some
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services and items he thought would be fully covered. He called you to ask what he could do? What
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could you tell him? - correct answer You can offer to review the plans appeal process to help him
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ask the plan to review the coverage decision.
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Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B because he has
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coverage through an employer plan. If he wants to enroll in a Medicare Advantage plan, what will
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he have to do? - correct answer He will have to enroll in Part B.
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Dr. Elizabeth Brennan does not contract with the ABC PFFS plan but accepts the plan's terms and
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conditions for payment. Mary Rodgers sees Dr. Brennan for treatment. How much may Dr. g g g g g g g g g g g g g g




Brennan charge? - correct answer g g g g g g g