2025 AHIP FINAL EXAM QUESTIONS AND
VERIFIED ANSWERS WELL GRADED
(NEW 2025 /2026 UPDATE)QUESTIONS
WITH VERIFIED ANSWERS 100%
CORRECT /A+ GRADE
He may sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis treatments
start. - CORRECT ANSWER-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?
Mrs. Duarte should file an appeal of this initial determination
within 120 days of the date she received the MSN in the mail. -
CORRECT ANSWER-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?
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. - CORRECT ANSWER-Mrs. Geisler's
neighbor told her she should look at her Part D options during
the annual Medicare enrollment period because the features of
Part D might have changed. Mrs. Geisler can't remember what
,Part D is so she called you to ask what her neighbor was talking
about. What could you tell her?
Medicare will cover a total of 190 days of inpatient psychiatric
care during Mr. Rainey's entire lifetime. - CORRECT ANSWER-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?
Beneficiaries under Original Medicare have no cost-sharing for
most preventive services. - CORRECT ANSWER-Mr. Xi will soon turn
age 65 and has come to you for advice as to what services are
provided under Original Medicare. What should you tell Mr. Xi
that best describes the health coverage provided to Medicare
beneficiaries?
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. - CORRECT ANSWER-Mr.
Singh would like drug coverage but does not want to be enrolled
in a Medicare Advantage plan. What should you tell him?
Most 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. - CORRECT ANSWER-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 qualify for coverage under part A
because she was not born in the United States. What should you
tell her?
,Part B primarily covers physician services. She will be paying a
monthly premium and, except for many preventive and
screening tests, generally will have 20% co-payments for these
services, in addition to an annual deductible. - CORRECT ANSWER-
Mrs. Quinn recently turned 66 and decided after many years of
work to retire and begin receiving Social Security benefits.
Shortly thereafter Mrs. Quinn received a letter informing her
that she had been automatically enrolled in Medicare Part B.
She wants to understand what this means. What should you tell
Mrs. Quinn?
Under 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. - CORRECT ANSWER-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 to under Medicare if he were to require
hospitalization because of an illness. In general terms, what
could you tell him about his costs for inpatient hospital services
under Original Medicare?
The Part B deductible is no longer covered for individuals newly
eligible for Medicare starting January 1, 2020. - CORRECT ANSWER-
What impact, if any, have recent regulatory changes had on
Medigap plans?
Medigap plans do not cover Original Medicare benefits, but
they coordinate with Original Medicare coverage. - CORRECT
, ANSWER-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?
Original Medicare covers ambulance services. - CORRECT ANSWER-
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?
Medicare covers hospice services, and they will be available for
her. - CORRECT ANSWER-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?
Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan. - CORRECT ANSWER-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?
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. -
CORRECT ANSWER-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
VERIFIED ANSWERS WELL GRADED
(NEW 2025 /2026 UPDATE)QUESTIONS
WITH VERIFIED ANSWERS 100%
CORRECT /A+ GRADE
He may sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis treatments
start. - CORRECT ANSWER-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?
Mrs. Duarte should file an appeal of this initial determination
within 120 days of the date she received the MSN in the mail. -
CORRECT ANSWER-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?
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. - CORRECT ANSWER-Mrs. Geisler's
neighbor told her she should look at her Part D options during
the annual Medicare enrollment period because the features of
Part D might have changed. Mrs. Geisler can't remember what
,Part D is so she called you to ask what her neighbor was talking
about. What could you tell her?
Medicare will cover a total of 190 days of inpatient psychiatric
care during Mr. Rainey's entire lifetime. - CORRECT ANSWER-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?
Beneficiaries under Original Medicare have no cost-sharing for
most preventive services. - CORRECT ANSWER-Mr. Xi will soon turn
age 65 and has come to you for advice as to what services are
provided under Original Medicare. What should you tell Mr. Xi
that best describes the health coverage provided to Medicare
beneficiaries?
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. - CORRECT ANSWER-Mr.
Singh would like drug coverage but does not want to be enrolled
in a Medicare Advantage plan. What should you tell him?
Most 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. - CORRECT ANSWER-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 qualify for coverage under part A
because she was not born in the United States. What should you
tell her?
,Part B primarily covers physician services. She will be paying a
monthly premium and, except for many preventive and
screening tests, generally will have 20% co-payments for these
services, in addition to an annual deductible. - CORRECT ANSWER-
Mrs. Quinn recently turned 66 and decided after many years of
work to retire and begin receiving Social Security benefits.
Shortly thereafter Mrs. Quinn received a letter informing her
that she had been automatically enrolled in Medicare Part B.
She wants to understand what this means. What should you tell
Mrs. Quinn?
Under 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. - CORRECT ANSWER-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 to under Medicare if he were to require
hospitalization because of an illness. In general terms, what
could you tell him about his costs for inpatient hospital services
under Original Medicare?
The Part B deductible is no longer covered for individuals newly
eligible for Medicare starting January 1, 2020. - CORRECT ANSWER-
What impact, if any, have recent regulatory changes had on
Medigap plans?
Medigap plans do not cover Original Medicare benefits, but
they coordinate with Original Medicare coverage. - CORRECT
, ANSWER-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?
Original Medicare covers ambulance services. - CORRECT ANSWER-
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?
Medicare covers hospice services, and they will be available for
her. - CORRECT ANSWER-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?
Mr. Diaz will not pay any penalty because he had continuous
coverage under his employer's plan. - CORRECT ANSWER-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?
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. -
CORRECT ANSWER-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
