AHIP 2025/2026 Final Exam Updated Questions and
Verified Answers, 100% Guarantee Pass
Mrs. Turner is comparing her employer's retiree insurance
to Original Medicare and would like to know which of the
following services Original Medicare will cover if the
appropriate criteria are met. What could you tell her? - ans-
Original Medicare covers ambulance services.
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? - ans-Mrs. Duarte should file an appeal of this
initial determination within 120 days of the date she
received the MSN in the mail.
,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? - ans-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.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed
income. What could you tell Mrs. Park that might be of
assistance? - ans-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. Quinn recently turned 66 and decided after many years
of work to retire and begin receiving Social Security
benefits. Shortly thereafter Mrs. Quinn received a letter
informing her that she had been automatically enrolled in
Medicare Part B. She wants to understand what this means.
What should you tell Mrs. Quinn? - ans-Part B primarily
covers physician services. She will be paying a monthly
, premium and, except for many preventive and screening
tests, generally will have 20% co-payments for these
services, in addition to an annual deductible.
Anita Magri will turn age 65 in August 2023. Anita intends to
enroll in Original Medicare Part A and Part B. She would also
like to enroll in a Medicare Supplement (Medigap) plan.
Anita's older neighbor Mel has told her about the Medigap
Plan F in which he is enrolled. It not only provides foreign
travel emergency benefits but also covers his Medicare Part
B deductible. Anita comes to you for advice. What should
you tell her? - ans-You are sorry to disappoint Anita, but a
Medigap F plan is no longer available to those who turn age
65 after January 1, 2020. Anita might instead consider other
Medigap plans that offer foreign travel benefits but do not
cover the Part B deductible.
Mr. Singh would like drug coverage but does not want to be
enrolled in a Medicare Advantage plan. What should you tell
him? - ans-Mr. Singh can enroll in a stand-alone prescription
drug plan and continue to be covered for Part A and Part B
services through Original Fee-for-Service Medicare.
Verified Answers, 100% Guarantee Pass
Mrs. Turner is comparing her employer's retiree insurance
to Original Medicare and would like to know which of the
following services Original Medicare will cover if the
appropriate criteria are met. What could you tell her? - ans-
Original Medicare covers ambulance services.
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? - ans-Mrs. Duarte should file an appeal of this
initial determination within 120 days of the date she
received the MSN in the mail.
,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? - ans-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.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed
income. What could you tell Mrs. Park that might be of
assistance? - ans-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. Quinn recently turned 66 and decided after many years
of work to retire and begin receiving Social Security
benefits. Shortly thereafter Mrs. Quinn received a letter
informing her that she had been automatically enrolled in
Medicare Part B. She wants to understand what this means.
What should you tell Mrs. Quinn? - ans-Part B primarily
covers physician services. She will be paying a monthly
, premium and, except for many preventive and screening
tests, generally will have 20% co-payments for these
services, in addition to an annual deductible.
Anita Magri will turn age 65 in August 2023. Anita intends to
enroll in Original Medicare Part A and Part B. She would also
like to enroll in a Medicare Supplement (Medigap) plan.
Anita's older neighbor Mel has told her about the Medigap
Plan F in which he is enrolled. It not only provides foreign
travel emergency benefits but also covers his Medicare Part
B deductible. Anita comes to you for advice. What should
you tell her? - ans-You are sorry to disappoint Anita, but a
Medigap F plan is no longer available to those who turn age
65 after January 1, 2020. Anita might instead consider other
Medigap plans that offer foreign travel benefits but do not
cover the Part B deductible.
Mr. Singh would like drug coverage but does not want to be
enrolled in a Medicare Advantage plan. What should you tell
him? - ans-Mr. Singh can enroll in a stand-alone prescription
drug plan and continue to be covered for Part A and Part B
services through Original Fee-for-Service Medicare.
