AHIP FWA 2025 (Modules 1-5,
Nondiscrimination, FWA, Compliance)
Actual Questions Bank / Complete
Accurate Quizzes with Verified
Answers
Terms in this set (145)
_________Quiz_______❓
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? -
Answer✅
Original Medicare covers ambulance services.
_________Quiz_______❓
Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage
plan. What should you tell him? -
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.
1
,_________Quiz_______❓
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being
successfully treated for that condition. However, she and her physicians feel that after her
lengthy hospital stay she will need a month or two of nursing and rehabilitative care. What
should you tell them about Original Medicare's coverage of care in a skilled nursing facility? -
Answer✅
Medicare will cover Mrs. Shield's skilled nursing services provided during the first 20 days of her
stay, after which she would have a copay until she has been in the facility for 100 days.
_________Quiz_______❓
Madeline Martinez was widowed several years ago. Her husband worked for many years and
contributed into the Medicare system. He also left a substantial estate 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? -
Answer✅
You should tell Madeline that she will be able to enroll in Medicare Part A without paying
monthly premiums due to her husband's long work record and participation in the Medicare
system. You should also tell Madeline that she will pay Part B premiums at more than the
standard lowest rate but less than the highest rate due her substantial income.
2
,_________Quiz_______❓
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis
through massage therapy. She is concerned about whether or not Medicare will cover these
items and services. What should you tell her? -
Answer✅
Medicare does not cover massage therapy, or, in general, glasses or dentures.
_________Quiz_______❓
Mrs. Quinn recently turned 66 and decided after many years of work to begin receiving Social
Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her that she has
been automatically enrolled in Medicare Part B. She wants to understand what this means.
What should you tell Mrs. Quinn? -
Answer✅
Part B primarily covers physician services. She will be paying a monthly premium and, with the
exception of many preventive and screening tests, generally will have 20% coinsurance for these
services, in addition to an annual deductible.
_________Quiz_______❓
Mrs. Geisler's neighbor told her she should look at her Part D options during the annual
Medicare enrollment period because features of Part D might have changed. Mrs. Geisler can't
3
, remember what Part D is so she called you to ask what her neighbor was talking about. What
could you tell her? -
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.
_________Quiz_______❓
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? -
Answer✅
Mrs. Duarte should file an appeal of this initial determination within 120 days of the date she
received the MSN in the mail.
_________Quiz_______❓
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? -
Answer✅
Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's entire
lifetime.
4
Nondiscrimination, FWA, Compliance)
Actual Questions Bank / Complete
Accurate Quizzes with Verified
Answers
Terms in this set (145)
_________Quiz_______❓
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? -
Answer✅
Original Medicare covers ambulance services.
_________Quiz_______❓
Mr. Singh would like drug coverage but does not want to be enrolled in a Medicare Advantage
plan. What should you tell him? -
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.
1
,_________Quiz_______❓
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being
successfully treated for that condition. However, she and her physicians feel that after her
lengthy hospital stay she will need a month or two of nursing and rehabilitative care. What
should you tell them about Original Medicare's coverage of care in a skilled nursing facility? -
Answer✅
Medicare will cover Mrs. Shield's skilled nursing services provided during the first 20 days of her
stay, after which she would have a copay until she has been in the facility for 100 days.
_________Quiz_______❓
Madeline Martinez was widowed several years ago. Her husband worked for many years and
contributed into the Medicare system. He also left a substantial estate 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? -
Answer✅
You should tell Madeline that she will be able to enroll in Medicare Part A without paying
monthly premiums due to her husband's long work record and participation in the Medicare
system. You should also tell Madeline that she will pay Part B premiums at more than the
standard lowest rate but less than the highest rate due her substantial income.
2
,_________Quiz_______❓
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief from arthritis
through massage therapy. She is concerned about whether or not Medicare will cover these
items and services. What should you tell her? -
Answer✅
Medicare does not cover massage therapy, or, in general, glasses or dentures.
_________Quiz_______❓
Mrs. Quinn recently turned 66 and decided after many years of work to begin receiving Social
Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her that she has
been automatically enrolled in Medicare Part B. She wants to understand what this means.
What should you tell Mrs. Quinn? -
Answer✅
Part B primarily covers physician services. She will be paying a monthly premium and, with the
exception of many preventive and screening tests, generally will have 20% coinsurance for these
services, in addition to an annual deductible.
_________Quiz_______❓
Mrs. Geisler's neighbor told her she should look at her Part D options during the annual
Medicare enrollment period because features of Part D might have changed. Mrs. Geisler can't
3
, remember what Part D is so she called you to ask what her neighbor was talking about. What
could you tell her? -
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.
_________Quiz_______❓
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? -
Answer✅
Mrs. Duarte should file an appeal of this initial determination within 120 days of the date she
received the MSN in the mail.
_________Quiz_______❓
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? -
Answer✅
Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's entire
lifetime.
4
