AHIP 2025/2026 Final Exam Updated Questions and Verified Answers, 100% Guarantee Pass

AHIP2025FinalExamUpdatedQuestionsandVerifiedAnswers,100%Gua c. c. c. c. c. c.




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➢ Mrs.Chen will be65 soon,has been a citizenfortwelve years,has been employed full tim
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e,and paidtaxesduring that entireperiod. Sheisconcernedthat shewillnot qualifyforcover
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ageunderpart Abecauseshewasnot borninthe United States.What should you tell her AN
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S Most individualswho arecitizensandage 65 oroverarecoveredunderPartA byvirtue ofhaving
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c . paid Medicare taxes while working,thoughsome maybecovered as a result ofpaying monthlypr
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emiums.
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➢ Mrs. Gonzalez is enrolled in Original Medicare and has a Medigappolicyaswell,but it pr
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ovidesno drug coverage.She would like tokeep the coverageshehas but replaceherexisti
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ng Medigap plan with one that provides drug coverage.What should you tell her ANS Mrs.
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Gonzalez cannot purchasea Medigap
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,planthatcoversdrugs,butshecouldkeepherMedigappolicyandenrollinaPartDprescriptiondr
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ug plan.
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➢ Mrs.West wearsglassesanddenturesand has enjoyedconsiderable painrelieffromar
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thritisthroughmassagetherapy.Sheisconcernedabout whetherornot Medicare willcov
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erthese items andservices.What should you tellher ANS Medicaredoesnotcovermassag
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etherapy,or,ingeneral,glassesordentures.
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➢ Mr.Davis is 52yearsold andhas recentlybeendiagnosedwithend-
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stagerenaldisease (ESRD) and willsoonbegindialysis.Heis wonderingifhecanobtaincov
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erage underMedicare.Whatshouldyoutellhim ANS He maysign-
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upforMedicareatanytimehowevercoverageusuallybegins onthefourthmonthafterdialysistre
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atments start.
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➢ JuanPerez,who is turning age 65 nextmonth,intends toworkforseveralmoreyears atS
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mallcap,Incorporated.Smallcaphasaworkforceof15employ-eesandoffersemployer-
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sponsoredhealthcarecoverage.Juanis anaturalizedcitizenandhas contributedtotheMed
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icare systemforover20 years.Juanasksyouifhewillbe entitledto Medicareandifhe enrolls
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c . howthatwillimpacthis employer- v




sponsored healthcarecoverage.Howwouldyourespond ANSJuanis likelyto be eligible forMe
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dicare once he turns age 65 andifheenrolls Medicarewouldbecome the primarypayorofhis health
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care claims andSmallcap does nothave to continueto offerhimcoverage comparableto those unde
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rage 65 underitsemployer-sponsoredgroup healthplan.
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, ➢ Mr.Moy'swife has aMedicareAdvantageplan, but he wantsto under- v v v v v v




stand what coverage Medicare Supplemental Insurance provides since his health care nee
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ds are different fromhis wife'sneeds.What could you tell Mr.Moy ANS MedicareSupplemen
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tal Insurance would help coverhis Part A and Part Bdeductibles orcoinsurance in Original Fee-for-
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Service (FFS)Medicare as well as possiblysome services that Medicare does notcover.
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➢ Mrs.PeHais66yearsold,hascoverageunderanemployerplan,andwillretirenext year. v




She heard shemust enroll in Part Bat the beginning ofthe yearto ensureno gapin coverag
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e. What can you tell her ANS She mayenroll at anytime whilesheiscoveredunderheremployerpl
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an,butshewillhaveaspecialeight-
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monthenrollment period afterthelast monthon heremployerplanthat differs from thestandard
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general enrollment period,during which shemayenrollinMedicare Part B.
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Mr.Patel is in good health andispreparing a budget inanticipationofhis retirement whenhe tur
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ns 66. He wants to understand the health care costs hemight be exposed to underMedicare ifhew
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eretorequire hospitalization as aresult ofan illness.In generalterms, what could you tell him a
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bout hiscostsforinpatient hospital services
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underOriginal Medicare ANS UnderOriginal Medicare, there is a single deductible amount duef
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orthefirst60daysofanyinpatient hospitalstay,afterwhichitconvertsinto a per-
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daycoinsurance amount through day90.Afterday90,hewould paya dailyamountupto60days
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overhislifetime,afterwhichhewouldberesponsibleforall costs.
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➢ Ms. Henderson believes that shewill qualifyforMedicare Coverage when sheturns65,
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, withoutpaying anypremiums, because she has beenworking for 40 years andpaying M
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c. edicaretaxes. What shouldyou tellher ANS Toobtain Part Bcoverage,shemustpaya stan
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c. dard monthlypremium,though it is higherforindividuals with higherincomes.
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➢ Mr.Alonsoreceivessomehelppaying forhis two generic prescription drugs fromhis e v v v v v v v




mployer's retiree coverage,but hewants to compare it to a Part Dprescription drug plan.H
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e asks you what costshe would generallyex-
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pect to encounterwhenenrollinginto a standard MedicarePart Dprescriptiondrugplan.Wh
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at should youtell him ANS He generallywouldpayamonthlypremium,annual deductible,and p
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er-prescription cost-sharing.
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➢ Ms. Mooreplans to retire when sheturns 65 in a fewmonths. She is inexcellent he
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c. althand willhave considerableincome when she retires.
v v v v v Sheis concerned that herinco
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c. me willmake it impossible for her to qualify forMedicare.What couldyou tell herto add
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c. ress herconcern ANS Medicare is a
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programfor peopleage65orolder and those under age65with certain disabilities,end-
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stage renal disease,and Lou Gehrig's disease soshe will be eligible forMedicare.
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➢ Mr. Xi willsoonturnage 65 and has come toyouforadviceas to what servicesareprovi
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dedunderOriginalMedicare.What shouldyoutell Mr.Xithatbest describesthehealth covera
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ge provided to Medicare beneficiaries ANS Ben-eficiariesunderOriginalMedicarehave nocost-
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sharingformostpreventiveserviceswhich include immunizations suchas annual flu shots.
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