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AHIP FINAL EXAM QUIZ (FULL TEST) || 2025
ACTUAL EXAM ALL QUESTIONS AND 100%
CORRECT ANSWERS GRADE A+|| LATEST AND
COMPLETE UPDATED VERSION 2025||
GUARANTEED PASS!!!
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.
. 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 neMrsed 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.
What impact, if any, have recent regulatory changes had on Medigap plans?
ANSWER- The Part B deductible is no longer covered for individuals newly
eligible for Medicare starting January 1, 2020.
Mrs. Paterson is concerned about the deductibles and co-payments associated with
Original Medicare. What can you tell her about Medigap as an option to address
this concern? ANSWER- Medigap plans do not cover Original Medicare
benefits, but they coordinate with Original Medicare coverage.
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
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cover if the appropriate criteria are met. What could you tell her? ANSWER-
Original Medicare covers ambulance services.
Ms. Brooks has aggressive cancer and would like to know if Medicare will cover
hospice services in case she needs them. What should you tell her? ANSWER-
Medicare covers hospice services, and they will be available for her.
Mr. Diaz continued working with his company 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?
ANSWER- Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan.
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? 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.
Hank's Fish Store, Inc. is a small company with just 15 employees located in
Florida. Hank, the store owner, has provided excellent health benefits to the store's
workforce. William, one of the store's long-time employees, will soon be reaching
age 65 and eligible for Medicare.
William is in good health. He intends to remain an active full-time employee,
working several years after becoming eligible for Medicare. What type(s) of retiree
health benefit will Hank's Fish Store be able to offer William? ANSWER- Hank's
can continue to offer William the same employee health benefit plan, or, if William
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enrolls in Medicare Part B, it can enroll him in a Medicare Advantage plan that is
offered to the public.
Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part
B because he has coverage through an employer plan. If he wants to enroll in a
Medicare Advantage plan, what will he have to do? ANSWER- He will have to
enroll in Part B.
Mrs. Velasquez cares for her frail elderly mother, Maria, who lives in North
Carolina. She is worried that without additional support, her
mother will need to go into a nursing home. Mrs. Velasquez asks you if there is
any Medicare plan that might allow her mother to remain in the community rather
than going into a nursing home. How should you advise Mrs. Velasquez?
ANSWER- There are Programs of All- Inclusive Care for the Elderly (PACE) for
frail elderly beneficiaries certified as needing a nursing home level of care but are
able to live safely in the community at the time of enrolment.
Which of the following statement(s) is/are correct about a Medicare Savings
Account (MSA) Plans?
I. MSAs may have either a partial network, full network, or no network of
providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription drug
benefits.
III. An individual who is enrolled in an MSA plan is responsible for a minimal
deductible of $500 indexed for inflation.
IV. Non-network providers must accept the same amount that Original Medicare
would pay them as payment in full. ANSWER- I, II, and IV only
AHIP FINAL EXAM QUIZ (FULL TEST) || 2025
ACTUAL EXAM ALL QUESTIONS AND 100%
CORRECT ANSWERS GRADE A+|| LATEST AND
COMPLETE UPDATED VERSION 2025||
GUARANTEED PASS!!!
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.
. 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 neMrsed 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.
What impact, if any, have recent regulatory changes had on Medigap plans?
ANSWER- The Part B deductible is no longer covered for individuals newly
eligible for Medicare starting January 1, 2020.
Mrs. Paterson is concerned about the deductibles and co-payments associated with
Original Medicare. What can you tell her about Medigap as an option to address
this concern? ANSWER- Medigap plans do not cover Original Medicare
benefits, but they coordinate with Original Medicare coverage.
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
,2|Page
cover if the appropriate criteria are met. What could you tell her? ANSWER-
Original Medicare covers ambulance services.
Ms. Brooks has aggressive cancer and would like to know if Medicare will cover
hospice services in case she needs them. What should you tell her? ANSWER-
Medicare covers hospice services, and they will be available for her.
Mr. Diaz continued working with his company 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?
ANSWER- Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan.
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? 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.
Hank's Fish Store, Inc. is a small company with just 15 employees located in
Florida. Hank, the store owner, has provided excellent health benefits to the store's
workforce. William, one of the store's long-time employees, will soon be reaching
age 65 and eligible for Medicare.
William is in good health. He intends to remain an active full-time employee,
working several years after becoming eligible for Medicare. What type(s) of retiree
health benefit will Hank's Fish Store be able to offer William? ANSWER- Hank's
can continue to offer William the same employee health benefit plan, or, if William
, 3|Page
enrolls in Medicare Part B, it can enroll him in a Medicare Advantage plan that is
offered to the public.
Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part
B because he has coverage through an employer plan. If he wants to enroll in a
Medicare Advantage plan, what will he have to do? ANSWER- He will have to
enroll in Part B.
Mrs. Velasquez cares for her frail elderly mother, Maria, who lives in North
Carolina. She is worried that without additional support, her
mother will need to go into a nursing home. Mrs. Velasquez asks you if there is
any Medicare plan that might allow her mother to remain in the community rather
than going into a nursing home. How should you advise Mrs. Velasquez?
ANSWER- There are Programs of All- Inclusive Care for the Elderly (PACE) for
frail elderly beneficiaries certified as needing a nursing home level of care but are
able to live safely in the community at the time of enrolment.
Which of the following statement(s) is/are correct about a Medicare Savings
Account (MSA) Plans?
I. MSAs may have either a partial network, full network, or no network of
providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription drug
benefits.
III. An individual who is enrolled in an MSA plan is responsible for a minimal
deductible of $500 indexed for inflation.
IV. Non-network providers must accept the same amount that Original Medicare
would pay them as payment in full. ANSWER- I, II, and IV only
