AHIP (Medicare) Final Exam — Latest
(2025/2026) Verified Questions & Correct
Answers
,2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
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 answer ✅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 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 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 answer
✅Juan 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.
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
answer ✅Medicare 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.
2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
,2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
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 gap in coverage. What can you tell her? - correct answer ✅She 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.
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? - correct answer ✅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.
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 answer ✅Mrs. 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.
2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
, 2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
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
answer ✅Medicare does not cover massage therapy, or, in general, glasses or
dentures.
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 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 answer ✅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.
Henderson believes that she will qualify for Medicare Coverage when she turns
65, without paying any premiums, because she has been working for 40 years
and paying Medicare taxes. What should you tell her? - correct answer ✅To
2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
(2025/2026) Verified Questions & Correct
Answers
,2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
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 answer ✅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 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 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 answer
✅Juan 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.
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
answer ✅Medicare 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.
2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
,2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
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 gap in coverage. What can you tell her? - correct answer ✅She 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.
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? - correct answer ✅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.
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 answer ✅Mrs. 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.
2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
, 2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
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
answer ✅Medicare does not cover massage therapy, or, in general, glasses or
dentures.
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 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 answer ✅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.
Henderson believes that she will qualify for Medicare Coverage when she turns
65, without paying any premiums, because she has been working for 40 years
and paying Medicare taxes. What should you tell her? - correct answer ✅To
2025 AHIP Exam Questions and Answers Correct &
Verified Latest!!!
