AHIPv FinalvExamvUpdated Questions and Verified Answers, 100% Guarantee Pass Grade A+

AHIP 2025-2026 v



Final Exam Updated Questions and Verified Answers, 100% Guarantee Pas
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Grade A+
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  Mr. Bauer is 49 years old, but eighteen months ago he was decla
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red dis abled by the Social Security Administration and has been
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receiving disabilitypayments. He v v v




is wondering whether he can obtain coverage under Medicare.W
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hat should youtell him ANS
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Afterreceivingsuchdisabilitypaymentsfor24months,he will be automati v v v




allyenrolled in Medi care, regardless of age.v v v v v




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 Ms. Henderson believes that she will qualify for Medicare Cover
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ge when she turns 65,
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without paying any premiums, because she has been working fo
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40 years and paying M
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edicare taxes. What should you tell her ANS To obtain Part B covera
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ge, shemust paya stan
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dard monthly premium, though it is higher forindividuals with higher inc
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mes.

,  Mrs. West wears glasses and dentures and has enjoyed conside
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able pain relieffrom ar v v v




thritisthrough massagetherapy.Sheisconcernedabout whether v v




r not Medicare will cov
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er these items and services. What should you tell her ANS Medica
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edoesnotcover massag etherapy,or,ingeneral,glassesordentures. v




 Mrs.AndrewsaskedhowaPrivateFee-for-
Service(PFFS) planmight affecther accessto services sincesherecei v v v v v




vessomeassistancefor v




her health carecosts fromtheState.What should you tell her ANS Me
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dicaidmayprovideaddit
ionalbenefits, but Medicaid will coordinate benefits only with Medicaid partic
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ipating providers.  v




Mr.Castillo,anaturalizedcitizen,previouslyenrolledinMedicarePart v




Bbuthas recently v v




stopped paying his Part B premium. Mr. Castillo is still covered by Par
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t A. He would like to e
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nroll in a Medicare Advantage (MA) plan and is still covered by Part A
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What should you tell
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him ANS He is not eligible to enroll ina Medicare Advantage plan until he reen
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olls in Medicare Part B.
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 Juan Perez, who is turning age 65 next month, intends to work fo
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r several moreyears at S
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, mallcap,Incorporated.Smallcaphasaworkforceof15employ-
eesandoffers employer sponsoredhealthcarecoverage.Juanis a v v v




aturalizedcitizen and has contributed to the Med v v v v v v




icare system for over 20 years. Juan asks you if hewill be entitled
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to Medicareand if he enrolls howthat will impacthis employer-
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sponsored healthcarecoverage.Howwould you respond ANS Juanis
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kely to be eligible for Me
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dicare once he turns age 65 and if he enrolls Medicarewould become the pri
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mary payor of his health
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care claims and Smallcap does not have to continue tooffer
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v himcoverage comparableto those unde r age 65 under itsemployer- v v v v v v v




sponsored group health plan.
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 Mrs. Duarte is enrolled in Original Medicare Parts A and B. She h
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s recentlyreviewed he
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r Medicare Summary Notice (MSN) and disagrees with a determ
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nation that partially denied one of her claims for services. What ad
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ice wouldyou give her
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v ANS Mrs. Duarte should file an appeal of this initial determination within12
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days of the date s he received the MSN in the mail.
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 Mrs.PeHais66yearsold,hascoverageunderanemployer plan,and v




willretirenext year. v v

, She heard she must enroll in Part B at the beginning of the year t
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o ensure no gap in coverag
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e. What can you tell her ANS She may enroll at any time whilesheiscover
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dunderher employerpl v




an,butshewillhaveaspecialeightmonth enrollment period after the last mon v v v v v v




h on her employer plan that differs from the standard
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v general enrollment period, during which she may enroll in Medicare Part B.
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Mr. Patel is in good health and is preparing a budget in anticipation
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of his retirement when he tur
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ns 66. He wants to understand the health care costs hemight be ex
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osed to under Medicare if he w v v v v v v




ere torequire hospitalization as aresult of an illness. In general ter
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ms, what could you tell him a
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bout his costsfor inpatient hospital services
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under Original Medicare ANS Under Original Medicare, there is a single d
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eductible amount duef v v




orthefirst60daysofanyinpatient hospitalstay,afterwhichitconvertsinto a pe v v v




day coinsurance amount through day 90. After day 90, he would pay a daily
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mountupto60days v




overhislifetime, afterwhichhewouldberesponsibleforall costs. v v





Mrs. Chen will be 65 soon, has been a citizen for twelve years, ha
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s been employed full tim
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e, and paid taxes during that entire period. She is concernedtha
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