AHIP FINAL EXAM STUDY GUIDE
AHIP FINAL EXAM STUDY GUIDE.
GRADED A+. QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST 2025/2026
UPDATE
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 answersHe 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 at Smallcap, Incorporated. Smallcap 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
,AHIP FINAL EXAM STUDY GUIDE
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 answersJuan is likely to be eligible for Medicare
once he turns age 65 and if he enrolls Medicare would become the
primary payor of his healthcare claims and Smallcap 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 are different from his wife's needs. What
could you tell Mr. Moy?correct answersMedicare Supplemental
Insurance would help cover his Part A and Part B deductibles or
coinsurance in Original Fee-for-Service (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
coverage. What can you tell her?correct answersShe may enroll at any time while she
covered underof
beginning herthe
employer
year plan, but she no
to ensure will gap
have n
a special eight-month enrollment
is
, l OM o A R c P S D| 1 6 2 9 05 3 9
2
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 time,
full
and paid taxes during that entire period. She is concerned that she will not
coverage
for
qualify
under part A because she was not born in the United States. What should you tell
her?correct answersMost individuals who are citizens and covered
age 65 or over are under
Part A by virtue of having paid Medicare taxes while some may be
working, though covered
as a result of paying monthly premiums.
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 er
h
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 s
he
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 will cover 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
turns 66. He wants to understand the health care costs he might be exposed under Medicare
to
he were to require hospitalization as a result of an illness. In terms, whatcould you
general
, l OM o A R c P S D| 1 6 2 9 05 3 9
3
retirement when he
if
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 pay a daily
amount up to 60 days over his lifetime, after which he would be
responsible for all costs.
AHIP FINAL EXAM STUDY GUIDE.
GRADED A+. QUESTIONS AND 100%
VERIFIED ANSWERS. LATEST 2025/2026
UPDATE
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 answersHe 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 at Smallcap, Incorporated. Smallcap 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
,AHIP FINAL EXAM STUDY GUIDE
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 answersJuan is likely to be eligible for Medicare
once he turns age 65 and if he enrolls Medicare would become the
primary payor of his healthcare claims and Smallcap 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 are different from his wife's needs. What
could you tell Mr. Moy?correct answersMedicare Supplemental
Insurance would help cover his Part A and Part B deductibles or
coinsurance in Original Fee-for-Service (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
coverage. What can you tell her?correct answersShe may enroll at any time while she
covered underof
beginning herthe
employer
year plan, but she no
to ensure will gap
have n
a special eight-month enrollment
is
, l OM o A R c P S D| 1 6 2 9 05 3 9
2
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 time,
full
and paid taxes during that entire period. She is concerned that she will not
coverage
for
qualify
under part A because she was not born in the United States. What should you tell
her?correct answersMost individuals who are citizens and covered
age 65 or over are under
Part A by virtue of having paid Medicare taxes while some may be
working, though covered
as a result of paying monthly premiums.
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 er
h
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 s
he
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 will cover 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
turns 66. He wants to understand the health care costs he might be exposed under Medicare
to
he were to require hospitalization as a result of an illness. In terms, whatcould you
general
, l OM o A R c P S D| 1 6 2 9 05 3 9
3
retirement when he
if
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 pay a daily
amount up to 60 days over his lifetime, after which he would be
responsible for all costs.
