AHIP 2025 Final Exam 50 questions with
verified correct solutions
Mrs. Turner is comparing her employer's retiree insurance to Original
Medicare and would like to know which of the following services
Original Medicare will cover if the appropriate criteria are met. What
could you tell her? --- correct precise answer ---Original Medicare
covers ambulance services.
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? --- correct precise 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? --- correct precise 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.
,Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income.
What could you tell Mrs. Park that might be of assistance? --- correct
precise 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.
Mrs. Quinn recently turned 66 and decided after many years of work
to retire and begin receiving Social Security benefits. Shortly
thereafter Mrs. Quinn received a letter informing her that she had
been automatically enrolled in Medicare Part B. She wants to
understand what this means. What should you tell Mrs. Quinn? ---
correct precise answer ---Part B primarily covers physician services.
She will be paying a monthly premium and, except for many
preventive and screening tests, generally will have 20% co-payments
for these services, in addition to an annual deductible.
Anita Magri will turn age 65 in August 2023. Anita intends to enroll in
Original Medicare Part A and Part B. She would also like to enroll in a
Medicare Supplement (Medigap) plan. Anita's older neighbor Mel has
told her about the Medigap Plan F in which he is enrolled. It not only
provides foreign travel emergency benefits but also covers his
Medicare Part B deductible. Anita comes to you for advice. What
should you tell her? --- correct precise answer ---You are sorry to
disappoint Anita, but a Medigap F plan is no longer available to those
who turn age 65 after January 1, 2020. Anita might instead consider
, other Medigap plans that offer foreign travel benefits but do not cover
the Part B deductible.
Mr. Singh would like drug coverage but does not want to be enrolled
in a Medicare Advantage plan. What should you tell him? --- correct
precise 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? --- correct precise 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.
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? --- correct precise answer ---Beneficiaries under
Original Medicare have no cost-sharing for most preventive services.
verified correct solutions
Mrs. Turner is comparing her employer's retiree insurance to Original
Medicare and would like to know which of the following services
Original Medicare will cover if the appropriate criteria are met. What
could you tell her? --- correct precise answer ---Original Medicare
covers ambulance services.
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? --- correct precise 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? --- correct precise 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.
,Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income.
What could you tell Mrs. Park that might be of assistance? --- correct
precise 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.
Mrs. Quinn recently turned 66 and decided after many years of work
to retire and begin receiving Social Security benefits. Shortly
thereafter Mrs. Quinn received a letter informing her that she had
been automatically enrolled in Medicare Part B. She wants to
understand what this means. What should you tell Mrs. Quinn? ---
correct precise answer ---Part B primarily covers physician services.
She will be paying a monthly premium and, except for many
preventive and screening tests, generally will have 20% co-payments
for these services, in addition to an annual deductible.
Anita Magri will turn age 65 in August 2023. Anita intends to enroll in
Original Medicare Part A and Part B. She would also like to enroll in a
Medicare Supplement (Medigap) plan. Anita's older neighbor Mel has
told her about the Medigap Plan F in which he is enrolled. It not only
provides foreign travel emergency benefits but also covers his
Medicare Part B deductible. Anita comes to you for advice. What
should you tell her? --- correct precise answer ---You are sorry to
disappoint Anita, but a Medigap F plan is no longer available to those
who turn age 65 after January 1, 2020. Anita might instead consider
, other Medigap plans that offer foreign travel benefits but do not cover
the Part B deductible.
Mr. Singh would like drug coverage but does not want to be enrolled
in a Medicare Advantage plan. What should you tell him? --- correct
precise 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? --- correct precise 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.
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? --- correct precise answer ---Beneficiaries under
Original Medicare have no cost-sharing for most preventive services.
