AHIP 2025 Mod I| ALL QUESTIONS & CORRECT
VERIFIED ANSWERS | LATES UPDATE 2025
1. Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through massage therapy. She is concerned about whether
or not Medicare will cover these items and services. What should you tell
her? ANS >> Medicare does not cover massage therapy, or, in general, glasses or
dentures
2. 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.
3. 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? ANS >> He generally would pay a monthly
premium, annual deductible, and per-prescription cost-sharing.
4. 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.
5. What impact, if any, have recent regulatory changes had on Medigap plans?-
https://www.stuvia.com/user/Mboffin 1/6
, The Part B deductible is no longer covered for individuals newly eligible for
ANS >>
Medicare starting January 1, 2020.
6. Mr. Patel is in good health and is preparing a budget in anticipation of his
retirement when he turns 66. He wants to understand the health care costs
he might be exposed to under Medicare if he were to require hospitalization
because of an illness. In general terms, what could you tell him about his
costs for inpatient hospital services under Original Medicare? ANS >> Under
Original Medicare, there is a single deductible amount due for the first 60 days of any
inpatient hospital stay, after which it converts into a per-day coinsurance amount
through day
90. After day 90, he would pay a daily amount up to 60 days over his lifetime, after
which he would be responsible for all costs.
7. 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?-
Beneficiaries under Original Medicare have no cost-sharing for most
ANS >>
preventive services.
https://www.stuvia.com/user/Mboffin 2/6
VERIFIED ANSWERS | LATES UPDATE 2025
1. Mrs. West wears glasses and dentures and has enjoyed considerable pain
relief from arthritis through massage therapy. She is concerned about whether
or not Medicare will cover these items and services. What should you tell
her? ANS >> Medicare does not cover massage therapy, or, in general, glasses or
dentures
2. 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.
3. 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? ANS >> He generally would pay a monthly
premium, annual deductible, and per-prescription cost-sharing.
4. 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.
5. What impact, if any, have recent regulatory changes had on Medigap plans?-
https://www.stuvia.com/user/Mboffin 1/6
, The Part B deductible is no longer covered for individuals newly eligible for
ANS >>
Medicare starting January 1, 2020.
6. Mr. Patel is in good health and is preparing a budget in anticipation of his
retirement when he turns 66. He wants to understand the health care costs
he might be exposed to under Medicare if he were to require hospitalization
because of an illness. In general terms, what could you tell him about his
costs for inpatient hospital services under Original Medicare? ANS >> Under
Original Medicare, there is a single deductible amount due for the first 60 days of any
inpatient hospital stay, after which it converts into a per-day coinsurance amount
through day
90. After day 90, he would pay a daily amount up to 60 days over his lifetime, after
which he would be responsible for all costs.
7. 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?-
Beneficiaries under Original Medicare have no cost-sharing for most
ANS >>
preventive services.
https://www.stuvia.com/user/Mboffin 2/6
