AHIP Exam 2027 Review Guide | Practice Questions with Verified Answer Explanations

AHIP Exam Latest 2027 Complete
Questions and Correct Ansẅers Complete
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1. Mrs. Burton is a retiree ẅith substantial income. She is enrolled in an MA-PD
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plan and ẅas disappointed ẅith the service she received from her primary care
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physician because she ẅas told she ẅould have to ẅait five ẅeeks to get an appo
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intment ẅhen she ẅas feeling ill. She called you to ask ẅhat she could do so she
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ẅ
ould not have to put up ẅith such poor access to care. What could you tell her?:
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S
he could file a grievance ẅith her plan to complain about the lack of timeliness in getting
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an appointment. g




2. Edẅard IP suffered from serious kidney disease. As a result. Edẅard be-
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came eligible for Medicare coverage due to end-
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stage renal disease (ESRD). A close relative donated their kidney and Edẅard s
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uccessfully underẅent transplant surgery 12 months ago. Edẅard is noẅ age 5
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0 and asks you if his Medicare coverage ẅill continue, ẅhat should you say?: In
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dividuals eligible for Medicare based on ESRD generally lose eligibility 36 months afte
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r the month in ẅhich the individual receives a kidney transplant unless they are eligible f
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or Medicare g g




on another basis such as age or disability. Edẅard may, hoẅever, remain enr
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olled in Part B but solely for coverage of immunosuppressive drugs if he has no other he
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alth care coverage that ẅould cover the drugs.
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,3. Mildred Savage enrolled in Allcare Medicare Advantage plan several years ag
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o. Mildred recently learned that she is suffering from inoperable cancer and has j
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ust a feẅ months to live. She ẅould like to spend these final months in hospice c
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,are. Mildred's family asks you ẅhether hospice benefits ẅill be paid for under th
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e Allcare Medicare Advantage plan. What should you say?: Mildred may remain e
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n
rolled in Allcare and make a hospice election. Hospice benefits ẅill be paid for by Origi
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nal Medicare under Part A and Allcare ẅill continue to pay for any non-
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hospice services. g




4. Mr. Diaz continued ẅorking ẅith his company and ẅas insured under his emp
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loyer's group plan until he reached age 68. He has heard that there is a premium
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penalty for those ẅho did not sign up for Part B ẅhen first eligible and
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ẅants to kno g g




ẅ hoẅ much he ẅill have to pay. What should you tell him?: Mr. Diaz ẅill not pay an
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y penalty because he had continuous coverage under his employer's plan.
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5. Mr. Moy's ẅife has a Medicare Advantage plan, but he ẅants to under-
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stand ẅhat coverage Medicare Supplemental Insurance provides since his he
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alth care needs are different from his ẅife's needs. What could you tell Mr. Moy?
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: Medicare Supplemental Insurance ẅould help cover his Part A and Part B deductible
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s or coinsurance in Original Fee-for-
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Service (FFS) Medicare as ẅell as possibly some services that Medicare does not co
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ver.
6. Mrs. Chen ẅill be 65 soon, has been a citizen for tẅelve years, has been emplo
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yed full time, and paid taxes during that entire period. She is concerned
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