7/29/25, 3:09 PM 2025 AHIP Final EXAM COMPLETE QUESTIONS AND ANSWERS | ALREADY PASSED | 2025 LATEST!! Flashcards | Quizlet
2025 AHIP Final EXAM COMPLETE QUESTIONS
AND ANSWERS | ALREADY PASSED | 2025
LATEST!!
Save
Terms in this set (105)
Medicare will cover Mrs. Mrs. Shields is covered by Original Medicare. She
Shield's skilled nursing sustained a hip fracture and is being successfully
services provided during treated for that condition. However, she and her
the first 20 days of her physicians feel that after her lengthy hospital stay, she
stay, after which she would will need a month or two of nursing and rehabilitative
have a copay until she has care. What should you tell them about Original
been in the facility for 100 Medicare's coverage of care in a skilled nursing
days. facility?
Mrs. West wears glasses and dentures and has
Medicare does not cover
enjoyed considerable pain relief from arthritis through
massage therapy, or, in
massage therapy. She is concerned about whether or
general, glasses or
not Medicare will cover these items and services.
dentures.
What should you tell her?
She should contact her Mrs. Park is an elderly retiree. Mrs. Park has a low
state Medicaid agency to fixed income. What could you tell Mrs. Park that might
see if she qualifies for one be of assistance?
of several programs that
can help with Medicare
costs for which she is
responsible.
https://quizlet.com/1062842694/2025-ahip-final-exam-complete-questions-and-answers-already-passed-2025-latest-flash-cards/?new 1/27
,7/29/25, 3:09 PM 2025 AHIP Final EXAM COMPLETE QUESTIONS AND ANSWERS | ALREADY PASSED | 2025 LATEST!! Flashcards | Quizlet
Mr. Alonso receives some help paying for his two
generic prescription drugs from his employer's retiree
He generally would pay a
coverage, but he wants to compare it to a Part D
monthly premium, annual
prescription drug plan. He asks you what costs he
deductible, and per-
would generally expect to encounter when enrolling
prescription cost-sharing.
into a standard Medicare Part D prescription drug
plan. What should you tell him?
Mrs. Gonzalez cannot Mrs. Gonzalez is enrolled in Original Medicare and
purchase a Medigap plan has a Medigap policy as well, but it provides no drug
that covers drugs, but she coverage. She would like to keep the coverage she
could keep her Medigap has but replace her existing Medigap plan with one
policy and enroll in a Part that provides drug coverage. What should you tell
D prescription drug plan. her?
He may sign-up for Mr. Davis is 52 years old and has recently been
Medicare at any time diagnosed with end-stage renal disease (ESRD) and
however coverage usually will soon begin dialysis. He is wondering if he can
begins on the fourth obtain coverage under Medicare. What should you
month after dialysis tell him?
treatments start.
Mrs. Duarte should file an Mrs. Duarte is enrolled in Original Medicare Parts A
appeal of this initial and B. She has recently reviewed her Medicare
determination within 120 Summary Notice (MSN) and disagrees with a
days of the date she determination that partially denied one of her claims
received the MSN in the for services. What advice would you give her?
mail.
Part D covers prescription Mrs. Geisler's neighbor told her she should look at her
drugs and she should look Part D options during the annual Medicare enrollment
at her premiums, period because the features of Part D might have
formulary, and cost- changed. Mrs. Geisler can't remember what Part D is
sharing among other so she called you to ask what her neighbor was
factors to see if they have talking about. What could you tell her?
changed.
https://quizlet.com/1062842694/2025-ahip-final-exam-complete-questions-and-answers-already-passed-2025-latest-flash-cards/?new 2/27
, 7/29/25, 3:09 PM 2025 AHIP Final EXAM COMPLETE QUESTIONS AND ANSWERS | ALREADY PASSED | 2025 LATEST!! Flashcards | Quizlet
Mr. Rainey is experiencing paranoid delusions and his
Medicare will cover a total
physician feels that he should be hospitalized. What
of 190 days of inpatient
should you tell Mr. Rainey (or his representative) about
psychiatric care during Mr.
the length of an inpatient psychiatric hospital stay that
Rainey's entire lifetime.
Medicare will cover?
Mr. Xi will soon turn age 65 and has come to you for
Beneficiaries under
advice as to what services are provided under
Original Medicare have no
Original Medicare. What should you tell Mr. Xi that
cost-sharing for most
best describes the health coverage provided to
preventive services.
Medicare beneficiaries?
Mr. Singh can enroll in a Mr. Singh would like drug coverage but does not want
stand-alone prescription to be enrolled in a Medicare Advantage plan. What
drug plan and continue to should you tell him?
be covered for Part A and
Part B services through
Original Fee-for-Service
Medicare.
Most individuals who are Mrs. Chen will be 65 soon, has been a citizen for
citizens and age 65 or twelve years, has been employed full time, and paid
over are covered under taxes during that entire period. She is concerned that
Part A by virtue of having she will not qualify for coverage under part A because
paid Medicare taxes while she was not born in the United States. What should
working, though some you tell her?
may be covered as a result
of paying monthly
premiums.
https://quizlet.com/1062842694/2025-ahip-final-exam-complete-questions-and-answers-already-passed-2025-latest-flash-cards/?new 3/27
2025 AHIP Final EXAM COMPLETE QUESTIONS
AND ANSWERS | ALREADY PASSED | 2025
LATEST!!
Save
Terms in this set (105)
Medicare will cover Mrs. Mrs. Shields is covered by Original Medicare. She
Shield's skilled nursing sustained a hip fracture and is being successfully
services provided during treated for that condition. However, she and her
the first 20 days of her physicians feel that after her lengthy hospital stay, she
stay, after which she would will need a month or two of nursing and rehabilitative
have a copay until she has care. What should you tell them about Original
been in the facility for 100 Medicare's coverage of care in a skilled nursing
days. facility?
Mrs. West wears glasses and dentures and has
Medicare does not cover
enjoyed considerable pain relief from arthritis through
massage therapy, or, in
massage therapy. She is concerned about whether or
general, glasses or
not Medicare will cover these items and services.
dentures.
What should you tell her?
She should contact her Mrs. Park is an elderly retiree. Mrs. Park has a low
state Medicaid agency to fixed income. What could you tell Mrs. Park that might
see if she qualifies for one be of assistance?
of several programs that
can help with Medicare
costs for which she is
responsible.
https://quizlet.com/1062842694/2025-ahip-final-exam-complete-questions-and-answers-already-passed-2025-latest-flash-cards/?new 1/27
,7/29/25, 3:09 PM 2025 AHIP Final EXAM COMPLETE QUESTIONS AND ANSWERS | ALREADY PASSED | 2025 LATEST!! Flashcards | Quizlet
Mr. Alonso receives some help paying for his two
generic prescription drugs from his employer's retiree
He generally would pay a
coverage, but he wants to compare it to a Part D
monthly premium, annual
prescription drug plan. He asks you what costs he
deductible, and per-
would generally expect to encounter when enrolling
prescription cost-sharing.
into a standard Medicare Part D prescription drug
plan. What should you tell him?
Mrs. Gonzalez cannot Mrs. Gonzalez is enrolled in Original Medicare and
purchase a Medigap plan has a Medigap policy as well, but it provides no drug
that covers drugs, but she coverage. She would like to keep the coverage she
could keep her Medigap has but replace her existing Medigap plan with one
policy and enroll in a Part that provides drug coverage. What should you tell
D prescription drug plan. her?
He may sign-up for Mr. Davis is 52 years old and has recently been
Medicare at any time diagnosed with end-stage renal disease (ESRD) and
however coverage usually will soon begin dialysis. He is wondering if he can
begins on the fourth obtain coverage under Medicare. What should you
month after dialysis tell him?
treatments start.
Mrs. Duarte should file an Mrs. Duarte is enrolled in Original Medicare Parts A
appeal of this initial and B. She has recently reviewed her Medicare
determination within 120 Summary Notice (MSN) and disagrees with a
days of the date she determination that partially denied one of her claims
received the MSN in the for services. What advice would you give her?
mail.
Part D covers prescription Mrs. Geisler's neighbor told her she should look at her
drugs and she should look Part D options during the annual Medicare enrollment
at her premiums, period because the features of Part D might have
formulary, and cost- changed. Mrs. Geisler can't remember what Part D is
sharing among other so she called you to ask what her neighbor was
factors to see if they have talking about. What could you tell her?
changed.
https://quizlet.com/1062842694/2025-ahip-final-exam-complete-questions-and-answers-already-passed-2025-latest-flash-cards/?new 2/27
, 7/29/25, 3:09 PM 2025 AHIP Final EXAM COMPLETE QUESTIONS AND ANSWERS | ALREADY PASSED | 2025 LATEST!! Flashcards | Quizlet
Mr. Rainey is experiencing paranoid delusions and his
Medicare will cover a total
physician feels that he should be hospitalized. What
of 190 days of inpatient
should you tell Mr. Rainey (or his representative) about
psychiatric care during Mr.
the length of an inpatient psychiatric hospital stay that
Rainey's entire lifetime.
Medicare will cover?
Mr. Xi will soon turn age 65 and has come to you for
Beneficiaries under
advice as to what services are provided under
Original Medicare have no
Original Medicare. What should you tell Mr. Xi that
cost-sharing for most
best describes the health coverage provided to
preventive services.
Medicare beneficiaries?
Mr. Singh can enroll in a Mr. Singh would like drug coverage but does not want
stand-alone prescription to be enrolled in a Medicare Advantage plan. What
drug plan and continue to should you tell him?
be covered for Part A and
Part B services through
Original Fee-for-Service
Medicare.
Most individuals who are Mrs. Chen will be 65 soon, has been a citizen for
citizens and age 65 or twelve years, has been employed full time, and paid
over are covered under taxes during that entire period. She is concerned that
Part A by virtue of having she will not qualify for coverage under part A because
paid Medicare taxes while she was not born in the United States. What should
working, though some you tell her?
may be covered as a result
of paying monthly
premiums.
https://quizlet.com/1062842694/2025-ahip-final-exam-complete-questions-and-answers-already-passed-2025-latest-flash-cards/?new 3/27
