Ahip 2025 Module 1 complete questions
and answers
Mr’ Xi will soon turn age 65 and has come to you for advice as to what services
are provided under Original Medicare’ What should you tell Mr’ Xi that best
describes the health coverage provided to Medicare beneficiaries? - correct
answer Beneficiaries under Original Medicare have no cost-sharing for most
preventive services
Mrs’ Quinn recently turned 66 and decided after many years of work to begin
receiving Social Security benefits’ Shortly thereafter Mrs’ Quinn received a letter
informing her that she has been automatically enrolled in Medicare Part B’ She
wants to understand what this means’ What should you tell Mrs’ Quinn? - correct
answer Part B primarily covers physician services’ She will be paying a monthly
premium and, except for many preventive screening and tests, generally will have
20 percent co-payments for these services in addition to an annual deductible
Mr’ 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 treatment
, Mr’ Alonso receives some help paying for his two generic prescription drugs from
his employer's retiree coverage, but he wants to compare it to a Part D
prescription drug plan’ He asks you what costs he would generally expect to
encounter when enrolling into a standard Medicare Part D prescription drug plan’
What should you tell him? - correct answer He generally would pay a monthly
premium, annual deductible, and per-prescription cost sharing’
Ms’ Brooks has an aggressive cancer and would like to know if Medicare will
cover hospice services in case she needs them’ What should you tell her? -
correct answer Medicare covers hospice services and they will be available to
her’
Mrs’ Park is an elderly retiree’ Mrs’ Park has a low fixed income’ What could you
tell Mrs’ Park that might be of assistance? - correct answer She should contact
her state Medicaid agency to see if she qualifies for one of several programs that
can help with Medicare costs for which she is responsible’
Mrs’ Duarte is enrolled in Original Medicare Parts A and B’ She has recently
reviewed her Medicare Summary Notice (MSN) and disagrees with a
determination that partially denied one of her claims for services’ What advice
would you give her? - correct answer Mrs’ Duarte should file an appeal of this
initial determination within 120 days of the date she received the MSN in the mail’
and answers
Mr’ Xi will soon turn age 65 and has come to you for advice as to what services
are provided under Original Medicare’ What should you tell Mr’ Xi that best
describes the health coverage provided to Medicare beneficiaries? - correct
answer Beneficiaries under Original Medicare have no cost-sharing for most
preventive services
Mrs’ Quinn recently turned 66 and decided after many years of work to begin
receiving Social Security benefits’ Shortly thereafter Mrs’ Quinn received a letter
informing her that she has been automatically enrolled in Medicare Part B’ She
wants to understand what this means’ What should you tell Mrs’ Quinn? - correct
answer Part B primarily covers physician services’ She will be paying a monthly
premium and, except for many preventive screening and tests, generally will have
20 percent co-payments for these services in addition to an annual deductible
Mr’ 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 treatment
, Mr’ Alonso receives some help paying for his two generic prescription drugs from
his employer's retiree coverage, but he wants to compare it to a Part D
prescription drug plan’ He asks you what costs he would generally expect to
encounter when enrolling into a standard Medicare Part D prescription drug plan’
What should you tell him? - correct answer He generally would pay a monthly
premium, annual deductible, and per-prescription cost sharing’
Ms’ Brooks has an aggressive cancer and would like to know if Medicare will
cover hospice services in case she needs them’ What should you tell her? -
correct answer Medicare covers hospice services and they will be available to
her’
Mrs’ Park is an elderly retiree’ Mrs’ Park has a low fixed income’ What could you
tell Mrs’ Park that might be of assistance? - correct answer She should contact
her state Medicaid agency to see if she qualifies for one of several programs that
can help with Medicare costs for which she is responsible’
Mrs’ Duarte is enrolled in Original Medicare Parts A and B’ She has recently
reviewed her Medicare Summary Notice (MSN) and disagrees with a
determination that partially denied one of her claims for services’ What advice
would you give her? - correct answer Mrs’ Duarte should file an appeal of this
initial determination within 120 days of the date she received the MSN in the mail’
