2025/2026 AHIP - FINAL EXAM
LATEST EDITION VERIFIED
QUESTIONS AND ANSWERS
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?
Question 1Answera.Medicare will cover a total of 190 days of inpatient psychiatric care during Mr.
Rainey's entire lifetime.b.Medicare will cover, at its allowable amount, as many stays as are needed
throughout Mr. Rainey's life, as long as no single stay exceeds 190 days.c.Medicare inpatient psychiatric
coverage is limited to the same number of days covered for typical inpatient stays.d.Inpatient
psychiatric services are not covered under Original Medicare. - ANS-a
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?
Question 2Answera.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.b.Part D covers physician and non-
physician practitioner services and the deductible has not changed this year, but the physician charges
may go up.c.Part D covers long-term care services, and she should not worry because there has been no
change in coverage. d.Part D covers hospital and home health services and the cost-sharing has changed
this year. - ANS-a
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?
Question 3Answera.Medigap is a replacement for Original Medicare and she has been paying for double
coverage. She should simply drop her Medigap policy.b.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.c.Mrs. Gonzalez can purchase a Medigap plan that covers drugs, but it likely will not offer coverage
that is equivalent to that provided under Part D.d.Mrs. Gonzalez should purchase a K or L Medigap plan.
- ANS-b
LATEST EDITION VERIFIED
QUESTIONS AND ANSWERS
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?
Question 1Answera.Medicare will cover a total of 190 days of inpatient psychiatric care during Mr.
Rainey's entire lifetime.b.Medicare will cover, at its allowable amount, as many stays as are needed
throughout Mr. Rainey's life, as long as no single stay exceeds 190 days.c.Medicare inpatient psychiatric
coverage is limited to the same number of days covered for typical inpatient stays.d.Inpatient
psychiatric services are not covered under Original Medicare. - ANS-a
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?
Question 2Answera.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.b.Part D covers physician and non-
physician practitioner services and the deductible has not changed this year, but the physician charges
may go up.c.Part D covers long-term care services, and she should not worry because there has been no
change in coverage. d.Part D covers hospital and home health services and the cost-sharing has changed
this year. - ANS-a
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?
Question 3Answera.Medigap is a replacement for Original Medicare and she has been paying for double
coverage. She should simply drop her Medigap policy.b.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.c.Mrs. Gonzalez can purchase a Medigap plan that covers drugs, but it likely will not offer coverage
that is equivalent to that provided under Part D.d.Mrs. Gonzalez should purchase a K or L Medigap plan.
- ANS-b
