2025 AHIP - Final Exam Questions and Answers

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? Question 1 Answer A. Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's entire lifetime. b. Medicare will cover, at its allowable amount, as many stays as are needed throughout Mr. Rainey's life, as long as no single stay exceeds 190 days. c. Medicare inpatient psychiatric coverage is limited to the same number of days covered for typical inpatient stays. d. Inpatient psychiatric services are not covered under Original Medicare. - a 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? Question 2 Answer a. 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. b. Part D covers physician and non-physician practitioner services and the deductible has not changed this year, but the physician charges may go up. c. Part D covers long-term care services, and she should not worry because there has been no change in coverage. d. Part D covers hospital and home health services and the cost-sharing has changed this year. - a 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? Question 3Answer a. Medigap is a replacement for Original Medicare and she has been paying for double coverage. She should simply drop her Medigap policy. b. 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. c. Mrs. Gonzalez can purchase a Medigap plan that covers drugs, but it likely will not offer coverage that is equivalent to that provided under Part D. d. Mrs. Gonzalez should purchase a K or L Medigap plan. - b Mr