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AHIP Final Exam Test Questions & Verified Answers | Complete Guide

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This document contains the AHIP Final Exam test questions with verified answers, offering a reliable and accurate resource for exam preparation. It is designed to help learners practice with real exam-style questions, understand key concepts, and build confidence before taking the official assessment. Perfect for mastering the AHIP exam, this guide ensures efficient study and better results.

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AHIP Final Exam Test Questions and Answers
Verified Answers
Mr. Davis is 52 years old and has recently been diagnosed with end-stage
renal disease(ESRD) and will soon begin dialysis. He is wondering if he
can obtain coverage under Medicare. What should you tell him? Correct
answers He may sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis treatments start.


Juan Perez, who is turning age 65 next month, intends to work for several
more years atSmall cap, Incorporated. Small cap has a workforce of15
employees and offers
employer-sponsored healthcare coverage. Juan is a naturalized citizen
and has contributed to the Medicare system for over 20 years. Juan asks
you if he will be entitled to Medicare and if he enrolls how that will impact
his employer-sponsored healthcare coverage. How would you respond?
Correct answers Juan is likely to be eligible for Medicare once he turns age
65 and if he enrolls Medicare would become theprimary payor of his
healthcare claims and Small cap does not have to continue to offer him
coverage comparable to those under age 65 under its employer-sponsored
group health plan.


Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand
what coverage Medicare Supplemental Insurance provides since his health
care needs aredifferent from his wife's needs. What could you tell Mr. Moy?
AHIP Final Exam Test Questions and
Answers (2022/2023) (Verified Answers)

,2




Correct answers MedicareSupplemental Insurance would help cover his
Part A and Part B deductibles or coinsurance in Original Fee-for-Service




AHIP Final Exam Test Questions and
Answers (2022/2023) (Verified Answers)

,3




(FFS) Medicare as well as possibly some services that Medicare does not
cover.


Mrs. Peňa is 66 years old, has coverage under an employer plan, and will
retire next year. She heard she must enroll in Part B at the beginning of
the year to ensure no gapin coverage. What can you tell her?correct
answersShe may enroll at any time while she is covered under her
employer plan, but she will have a special eight-month enrollment period
after the last month on her employer plan that differs from the standard
general enrollment period, during which she may enroll in Medicare Part B.


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 qualifyfor coverage under part A because she
was not born in the United States. What shouldyou tell her?correct
answersMost 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.




AHIP Final Exam Test Questions and
Answers (2022/2023) (Verified Answers)

, 4




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?correct answersMrs.
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.


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 willcover these items and services. What should
you tell her?correct answersMedicare does not cover massage therapy, or,
in general, glasses or dentures.


Mr. Patel is in good health and is preparing a budget in anticipation of his
retirement when he turns 66. He wants to understand the health care costs
he might be exposed tounder Medicare if he were to require hospitalization
as a result of an illness. In general terms, what could you tell him about his
costs for inpatient hospital services
under Original Medicare?correct answersUnder Original Medicare, there is
a single deductible amount due for the first 60 days of any inpatient
hospital stay, after which it converts into a per-day coinsurance amount
through day 90. After day 90, he would paya daily amount up to 60 days
over his lifetime, after which he would be responsible for all costs.

AHIP Final Exam Test Questions and
Answers (2022/2023) (Verified Answers)

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