AHIP 2025 FINAL EXAM QUESTIONS WITH CORRECT ANSWERS 100% VERIFIED GRADED A+

AHIP 2025 FINAL EXAM QUESTIONS
WITH CORRECT ANSWERS 100%
VERIFIED GRADED A+
Mrs.nPatersonnisnconcernednaboutnthendeductiblesnandnco-
paymentsnassociatednwithnOriginalnMedicare.nWhatncannyountellnhernaboutnMedigapnasnannoptionn
tonaddressnthisnconcern?n-
nCORRECTnANSWERSnMedigapnplansnhelpnbeneficiariesncovernOriginalnMedicarenbenefits,nbutnthe


yncoordinatenwithnOriginalnMedicarencoverage.



AnitanMagrinwillnturnnagen65ninnAugustn2023.nAnitanintendsntonenrollninnOriginalnMedicarenPartnAna
ndnPartnB.nShenwouldnalsonlikentonenrollninnanMedicarenSupplementn(Medigap)nplan.nAnita'snoldernn
eighbornMelnhasntoldnhernaboutnthenMedigapnPlannFninnwhichnhenisnenrolled.nItnnotnonlynprovidesnf
oreignntravelnemergencynbenefitsnbutnalsoncoversnhisnMedicarenPartnBndeductible.nAnitancomesnton
younfornadvice.nWhatnshouldnyountellnher?n-
nCORRECTnANSWERSnYounarensorryntondisappointnAnita,nbutnanMedigapnFnplannisnnonlongernavailabl


entonthosenwhonturnnagen65nafternJanuaryn1,n2020.nAnitanmightninsteadnconsidernothernMedigapnpl
ansnthatnoffernforeignntravelnbenefitsnbutndonnotncovernthenPartnBndeductible.



Whatnimpact,nifnany,nhavenrecentnregulatorynchangesnhadnonnMedigapnplans?n-
nCORRECTnANSWERSnb.



ThenPartnBndeductiblenisnnonlongerncoverednfornindividualsnnewlyneligiblenfornMedicarenstartingnJa
nuaryn1,n2020.



Mr.nRaineynisnexperiencingnparanoidndelusionsnandnhisnphysiciannfeelsnthatnhenshouldnbenhospitali
zed.nWhatnshouldnyountellnMr.nRaineyn(ornhisnrepresentative)naboutnthenlengthnofnanninpatientnpsy
chiatricnhospitalnstaynthatnMedicarenwillncover?n-
nCORRECTnANSWERSnMedicarenwillncovernantotalnofn190ndaysnofninpatientnpsychiatricncarenduringn


Mr.nRainey'snentirenlifetime.

, Mrs.nShieldsnisncoverednbynOriginalnMedicare.nShensustainednanhipnfracturenandnisnbeingnsuccessful
lyntreatednfornthatncondition.nHowever,nshenandnhernphysiciansnfeelnthatnafternhernlengthynhospital
nstay,nshenwillnneednanmonthnorntwonofnnursingnandnrehabilitativencare.nWhatnshouldnyountellnthemn


aboutnOriginalnMedicare'sncoveragenofncareninnanskillednnursingnfacility?n-nCORRECTnANSWERSn



Mrs.nWestnwearsnglassesnandndenturesnandnhasnenjoyednconsiderablenpainnreliefnfromnarthritisnthr
oughnmassagentherapy.nShenisnconcernednaboutnwhethernornnotnMedicarenwillncovernthesenitemsn
andnservices.nWhatnshouldnyountellnher?n-
nCORRECTnANSWERSnMedicarendoesnnotncovernmassagentherapy,nor,ninngeneral,nglassesnorndentur


es.



Ms.nGibsonnrecentlynlostnhernemployerngroupnhealthnandndrugncoveragenandnnownshenwantsntonen
rollninnanPPOnthatndoesnnotnincludendrugncoverage.nWhatnshouldnyountellnhernaboutnobtainingndrug
ncoverage?n-


nCORRECTnANSWERSnShencannenrollninnthenPPO,nbutnshenwillnnotnbenablentonpurchasenanstand-


alonenMedicarenPartnDnprescriptionndrugnplan.



Mrs.nRadfordnasksnwhetherntherenarenanynspecialneligibilitynrequirementsnfornMedicarenAdvantage
.nWhatnshouldnyountellnher?n-
nCORRECTnANSWERSnMrs.nRadfordnmustnbenentitledntonPartnAnandnenrolledninnPartnBntonenrollninnM


edicarenAdvantage.



Mr.nBarkernenjoysnancomfortablenretirementnincome.nHenrecentlynhadnsurgerynandnexpectednthatn
henwouldnhavencertainnservicesnandnitemsncoverednbynthenplannwithnminimalnout-of-
pocketncostsnbecausenhisnMA-
PDncoveragenhasnbeennveryngood.nHowever,nwhennhenreceivednthenbill,nhenwasnsurprisedntonseenla
rgenchargesninnexcessnofnhisnmaximumnout-of-
pocketnlimitnthatnincludednsomenservicesnandnitemsnhenthoughtnwouldnbenfullyncovered.nHencalledn
yountonasknwhatnhencouldndo?nWhatncouldnyountellnhim?n-
nCORRECTnANSWERSnYouncannofferntonreviewnthenplansnappealnprocessntonhelpnhimnasknthenplannto


nreviewnthencoveragendecision.