AHIP 2025/2026 Final Exam Updated Questions and
Verified Answers, 100% Guaranteed Pass Newest Update
With Verified Answers ||Complete A+ Guide
Consists Of 105 Questions:
1. 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.
2. Ms. Brooks has aggressive cancer and would like to know if Medicare will cover
hospice services in case she needs them. What should you tell her?
...Ans>> Medicare covers hospice services, and they will be available for her.
3. Mr. Diaz continued working with his company and was insured under his
employer's group plan until he reached age 68. He has heard that there is a premium
penalty for those who did not sign up for Part B when first eligible and wants to know
how much he will have to pay. What should you tell him?
...Ans>> Mr. Diaz will not pay any penalty because he had continuous coverage under
,his employer's plan.
4. 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.
5. Hank's Fish Store, Inc. is a small company with just 15 employees located in Florida.
Hank, the store owner, has provided excellent health benefits to the store's workforce.
William, one of the store's long-time employees, will soon be reaching age 65 and
eligible for Medicare. William is in good health. He intends to remain an active full-time
employee, working several years after becoming eligible for Medicare. What type(s) of
retiree health benefit will
,Hank's Fish Store be able to offer William?
...Ans>> Hank's can continue to offer William the same employee health benefit plan, or,
if William enrolls in Medicare Part B, it can enroll him in a Medicare Advantage plan that is
offered to the public.
6. Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B
because he has coverage through an employer plan. If he wants to enroll in a Medicare
Advantage plan, what will he have to do?
...Ans>> He will have to enroll in Part B.
7. Mrs. Velasquez cares for her frail elderly mother, Maria, who lives in North Carolina.
She is worried that without additional support, her mother will need to go into a
nursing home. Mrs. Velasquez asks you if there is any Medicare plan that might allow
her mother to remain in the community rather than going into a nursing home. How
should you advise Mrs. Velasquez?
...Ans>> There are Programs of All-Inclusive Care for the Elderly (PACE) for frail elderly
beneficiaries certified as needing a nursing home level of care but are able to live safely
in the community at the time of enrolment.
8. Which of the following statement(s) is/are correct about a Medicare Sav- ings
Account (MSA) Plans?
I. MSAs may have either a partial network, full network, or no network of
, providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription drug benefits.
III. An individual who is enrolled in an MSA plan is responsible for a minimal deductible
of $500 indexed for inflation.
IV. Non-network providers must accept the same amount that Original
Medicare would pay them as payment in full.
...Ans>> I, II, and IV only
9. Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income level. She
wishes to enroll in a MA MSA plan that she heard about from her neighbor. She also
wants to have prescription drug coverage since her doctor recently prescribed several
expensive medications. Currently, she is enrolled in Original Medicare and a standalone
Part D plan. How would you advise Mrs. Chi?
...Ans>> Mrs. Chi may enroll in a MA MSA plan and remain in her current standalone
Part D prescription drug plan.
10. Mrs. Lyons is in good health, uses a single prescription, and lives indepen- dently in
her own home. She is attracted by the idea of maintaining control over a Medical
Savings Account (MSA) but is not sure if the plan associated with the account will fit her
needs. What specific piece of information about a Medicare MSA plan would it be
important for her to know, prior to enrolling in such a plan?
...Ans>> All MSAs cover Part A and Part B benefits, but not Part D prescription
Verified Answers, 100% Guaranteed Pass Newest Update
With Verified Answers ||Complete A+ Guide
Consists Of 105 Questions:
1. 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.
2. Ms. Brooks has aggressive cancer and would like to know if Medicare will cover
hospice services in case she needs them. What should you tell her?
...Ans>> Medicare covers hospice services, and they will be available for her.
3. Mr. Diaz continued working with his company and was insured under his
employer's group plan until he reached age 68. He has heard that there is a premium
penalty for those who did not sign up for Part B when first eligible and wants to know
how much he will have to pay. What should you tell him?
...Ans>> Mr. Diaz will not pay any penalty because he had continuous coverage under
,his employer's plan.
4. 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.
5. Hank's Fish Store, Inc. is a small company with just 15 employees located in Florida.
Hank, the store owner, has provided excellent health benefits to the store's workforce.
William, one of the store's long-time employees, will soon be reaching age 65 and
eligible for Medicare. William is in good health. He intends to remain an active full-time
employee, working several years after becoming eligible for Medicare. What type(s) of
retiree health benefit will
,Hank's Fish Store be able to offer William?
...Ans>> Hank's can continue to offer William the same employee health benefit plan, or,
if William enrolls in Medicare Part B, it can enroll him in a Medicare Advantage plan that is
offered to the public.
6. Mr. Sanchez has just turned 65 and is entitled to Part A but has not enrolled in Part B
because he has coverage through an employer plan. If he wants to enroll in a Medicare
Advantage plan, what will he have to do?
...Ans>> He will have to enroll in Part B.
7. Mrs. Velasquez cares for her frail elderly mother, Maria, who lives in North Carolina.
She is worried that without additional support, her mother will need to go into a
nursing home. Mrs. Velasquez asks you if there is any Medicare plan that might allow
her mother to remain in the community rather than going into a nursing home. How
should you advise Mrs. Velasquez?
...Ans>> There are Programs of All-Inclusive Care for the Elderly (PACE) for frail elderly
beneficiaries certified as needing a nursing home level of care but are able to live safely
in the community at the time of enrolment.
8. Which of the following statement(s) is/are correct about a Medicare Sav- ings
Account (MSA) Plans?
I. MSAs may have either a partial network, full network, or no network of
, providers.
II. MSA plans cover Part A and Part B benefits but not Part D prescription drug benefits.
III. An individual who is enrolled in an MSA plan is responsible for a minimal deductible
of $500 indexed for inflation.
IV. Non-network providers must accept the same amount that Original
Medicare would pay them as payment in full.
...Ans>> I, II, and IV only
9. Mrs. Chi is age 75 and enjoys a comfortable but not extremely high-income level. She
wishes to enroll in a MA MSA plan that she heard about from her neighbor. She also
wants to have prescription drug coverage since her doctor recently prescribed several
expensive medications. Currently, she is enrolled in Original Medicare and a standalone
Part D plan. How would you advise Mrs. Chi?
...Ans>> Mrs. Chi may enroll in a MA MSA plan and remain in her current standalone
Part D prescription drug plan.
10. Mrs. Lyons is in good health, uses a single prescription, and lives indepen- dently in
her own home. She is attracted by the idea of maintaining control over a Medical
Savings Account (MSA) but is not sure if the plan associated with the account will fit her
needs. What specific piece of information about a Medicare MSA plan would it be
important for her to know, prior to enrolling in such a plan?
...Ans>> All MSAs cover Part A and Part B benefits, but not Part D prescription
