AHIP Final Exam 2025/2026 – Complete
Test Questions and Verified Correct Answers
| Fully Graded A+ Guide
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
answers He may sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis treatments start.
Juan Perez, who is turning age 65 next month, intends to work for several
more years at Small cap, Incorporated. Small cap has a workforce of15
employees and offers
employer-sponsored healthcare coverage. Juan is a naturalized citizen
and has contributed to the Medicare system for over 20 years. Juan asks
you if he will be entitled to Medicare and if he enrolls how that will impact
his employer-sponsored healthcare coverage. How would you respond?
Correct answers Juan is likely to be eligible for Medicare once he turns age
65 and if he enrolls Medicare would become the primary payor of his
healthcare claims and Small cap does not have to continue to offer him
coverage comparable to those under age 65 under its employer-sponsored
group health plan.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand
what coverage Medicare Supplemental Insurance provides since his health
care needs are different from his wife's needs. What could you tell Mr. Moy?
Correct answers Medicare Supplemental Insurance would help cover his
Part A and Part B deductibles or coinsurance in Original Fee-for-Service
AHIP Final Exam 2025/2026 – Complete Test Questions
and Verified Correct Answers | Fully Graded A+ Guide
, AHIP Final Exam 2025/2026 – Complete
Test Questions and Verified Correct Answers
| Fully Graded A+ Guide
(FFS) Medicare as well as possibly some services that Medicare does not
cover.
Mrs. Peňa is 66 years old, has coverage under an employer plan, and will
retire next year. She heard she must enroll in Part B at the beginning of
the year to ensure no gap in coverage. What can you tell her?correct
answersShe may enroll at any time while she is covered under her
employer plan, but she will have a special eight-month enrollment period
after the last month on her employer plan that differs from the standard
general enrollment period, during which she may enroll in Medicare Part B.
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been
employed full time, and paid taxes during that entire period. She is
concerned that she will not qualify for coverage under part A because she
was not born in the United States. What should you tell her?correct
answersMost individuals who are citizens and age 65 or over are covered
under Part A by virtue of having paid Medicare taxes while working, though
some may be covered as a result of paying monthly premiums.
AHIP Final Exam 2025/2026 – Complete Test Questions
and Verified Correct Answers | Fully Graded A+ Guide
, AHIP Final Exam 2025/2026 – Complete
Test Questions and Verified Correct Answers
| Fully Graded A+ Guide
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy
as well, but it provides no drug coverage. She would like to keep the
coverage she has but replace her existing Medigap plan with one that
provides drug coverage. What should you tell her?correct answersMrs.
Gonzalez cannot purchase a Medigap plan that covers drugs, but she
could keep her Medigap policy and enroll in a Part D prescription drug
plan.
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?correct answersMedicare does not cover massage therapy, or,
in general, glasses or dentures.
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
as a result of an illness. In general terms, what could you tell him about his
costs for inpatient hospital services
under Original Medicare?correct answersUnder 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.
AHIP Final Exam 2025/2026 – Complete Test Questions
and Verified Correct Answers | Fully Graded A+ Guide
, AHIP Final Exam 2025/2026 – Complete
Test Questions and Verified Correct Answers
| Fully Graded A+ Guide
Ms. Henderson believes that she will qualify for Medicare Coverage when
she turns 65, without paying any premiums, because she has been working
for 40 years and paying Medicare taxes. What should you tell her?correct
answersTo obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher incomes.
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 MedicarePart D
prescription drug plan. What should you tell him?correct answersHe
generally would pay a monthly premium, annual deductible, and per-
prescription cost-sharing.
Ms. Moore plans to retire when she turns 65 in a few months. She is in
excellent health and will have considerable income when she retires. She
is concerned that her income will make it impossible for her to qualify for
Medicare. What could you tell her to address her concern?correct
answersMedicare is a program for people age 65 or older and those under
age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig's
disease so she will be eligible for Medicare.
Mr. Xi will soon turn age 65 and has come to you for advice as to what
AHIP Final Exam 2025/2026 – Complete Test Questions
and Verified Correct Answers | Fully Graded A+ Guide
Test Questions and Verified Correct Answers
| Fully Graded A+ Guide
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
answers He may sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis treatments start.
Juan Perez, who is turning age 65 next month, intends to work for several
more years at Small cap, Incorporated. Small cap has a workforce of15
employees and offers
employer-sponsored healthcare coverage. Juan is a naturalized citizen
and has contributed to the Medicare system for over 20 years. Juan asks
you if he will be entitled to Medicare and if he enrolls how that will impact
his employer-sponsored healthcare coverage. How would you respond?
Correct answers Juan is likely to be eligible for Medicare once he turns age
65 and if he enrolls Medicare would become the primary payor of his
healthcare claims and Small cap does not have to continue to offer him
coverage comparable to those under age 65 under its employer-sponsored
group health plan.
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand
what coverage Medicare Supplemental Insurance provides since his health
care needs are different from his wife's needs. What could you tell Mr. Moy?
Correct answers Medicare Supplemental Insurance would help cover his
Part A and Part B deductibles or coinsurance in Original Fee-for-Service
AHIP Final Exam 2025/2026 – Complete Test Questions
and Verified Correct Answers | Fully Graded A+ Guide
, AHIP Final Exam 2025/2026 – Complete
Test Questions and Verified Correct Answers
| Fully Graded A+ Guide
(FFS) Medicare as well as possibly some services that Medicare does not
cover.
Mrs. Peňa is 66 years old, has coverage under an employer plan, and will
retire next year. She heard she must enroll in Part B at the beginning of
the year to ensure no gap in coverage. What can you tell her?correct
answersShe may enroll at any time while she is covered under her
employer plan, but she will have a special eight-month enrollment period
after the last month on her employer plan that differs from the standard
general enrollment period, during which she may enroll in Medicare Part B.
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been
employed full time, and paid taxes during that entire period. She is
concerned that she will not qualify for coverage under part A because she
was not born in the United States. What should you tell her?correct
answersMost individuals who are citizens and age 65 or over are covered
under Part A by virtue of having paid Medicare taxes while working, though
some may be covered as a result of paying monthly premiums.
AHIP Final Exam 2025/2026 – Complete Test Questions
and Verified Correct Answers | Fully Graded A+ Guide
, AHIP Final Exam 2025/2026 – Complete
Test Questions and Verified Correct Answers
| Fully Graded A+ Guide
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy
as well, but it provides no drug coverage. She would like to keep the
coverage she has but replace her existing Medigap plan with one that
provides drug coverage. What should you tell her?correct answersMrs.
Gonzalez cannot purchase a Medigap plan that covers drugs, but she
could keep her Medigap policy and enroll in a Part D prescription drug
plan.
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?correct answersMedicare does not cover massage therapy, or,
in general, glasses or dentures.
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
as a result of an illness. In general terms, what could you tell him about his
costs for inpatient hospital services
under Original Medicare?correct answersUnder 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.
AHIP Final Exam 2025/2026 – Complete Test Questions
and Verified Correct Answers | Fully Graded A+ Guide
, AHIP Final Exam 2025/2026 – Complete
Test Questions and Verified Correct Answers
| Fully Graded A+ Guide
Ms. Henderson believes that she will qualify for Medicare Coverage when
she turns 65, without paying any premiums, because she has been working
for 40 years and paying Medicare taxes. What should you tell her?correct
answersTo obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher incomes.
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 MedicarePart D
prescription drug plan. What should you tell him?correct answersHe
generally would pay a monthly premium, annual deductible, and per-
prescription cost-sharing.
Ms. Moore plans to retire when she turns 65 in a few months. She is in
excellent health and will have considerable income when she retires. She
is concerned that her income will make it impossible for her to qualify for
Medicare. What could you tell her to address her concern?correct
answersMedicare is a program for people age 65 or older and those under
age 65 with certain disabilities, end-stage renal disease, and Lou Gehrig's
disease so she will be eligible for Medicare.
Mr. Xi will soon turn age 65 and has come to you for advice as to what
AHIP Final Exam 2025/2026 – Complete Test Questions
and Verified Correct Answers | Fully Graded A+ Guide
