AHIP 2025 Assessment
Questions And Correct
Answers 2025-2026
GRADED A+
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 amont other factors to see if they have changed.
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 will have to
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.
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.
What impact, if any, have recent regulatory changes had on Medigap plans? -
ANS-The Part B deductible is no longer covered for individuals newly eligible for
Medicare starting January 1, 2020
Mr. Rainey is experiencing paranoid delusions and his physician feels that he
should be hospitalized. What should you tell Mr. Rainey (or his representative)
about the length of an inpatient psychiatric hospital stay that Medicare will
cover? - ANS-Medicare will cover a total of 190 days of inpatient psychiatric care
during Mr. Rainey's entire lifetime.
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.
Questions And Correct
Answers 2025-2026
GRADED A+
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 amont other factors to see if they have changed.
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 will have to
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.
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.
What impact, if any, have recent regulatory changes had on Medigap plans? -
ANS-The Part B deductible is no longer covered for individuals newly eligible for
Medicare starting January 1, 2020
Mr. Rainey is experiencing paranoid delusions and his physician feels that he
should be hospitalized. What should you tell Mr. Rainey (or his representative)
about the length of an inpatient psychiatric hospital stay that Medicare will
cover? - ANS-Medicare will cover a total of 190 days of inpatient psychiatric care
during Mr. Rainey's entire lifetime.
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.
