AHIP Test Bank Exam 2025 -2026 \Latest
version with Complete questions and accurate
detailed answers \Graded A+
Mrs. Chen will be 65 soon, Most individuals who are citizens and age 65 or over
has been a citizen for are covered under Part A by virtue of having paid
twelve years, has been Medicare taxes while working, though some may be
employed full time, and paid covered as a result of paying monthly premiums.
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?
Mrs. Gonzalez is enrolled Mrs. Gonzalez cannot purchase a Medigap plan that
in Original Medicare and covers drugs, but she could keep her Medigap policy
has a Medigap policy as and enroll in a Part D prescription drug plan.
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?
Mrs. West wears glasses Medicare does not cover massage therapy, or, in general, glasses
and dentures and has or dentures.
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?
Mr. Patel is in good health Under Original Medicare, there is a single deductible amount due
and is preparing a budget for the first 60
days of any inpatient hospital stay, after which it
in anticipation of his
converts into a per-day coinsurance amount through
retirement when he turns
day 90. After day 90, he would pay a daily amount up
66. He wants to understand
to 60 days over his lifetime, after which he would be
the health care costs he
responsible for all costs.
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?
Ms. Henderson believes that To obtain Part B coverage, she must pay a standard
she will monthly premium, though it is higher for individuals
qualify for Medicare
with higher incomes.
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?
,Mr. Alonso receives some He generally would pay a monthly premium, annual
help paying for his two deductible, and per-prescription cost-sharing.
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?
Mr. Xi will soon turn age 65 Beneficiaries under Original Medicare have no cost-
and has come to you for sharing for most preventive services which include
advice as to what services immunizations such as annual flu shots.
are provided under
Original Medicare. What
should you tell Mr. Xi that
best describes
the health coverage
provided to Medicare
beneficiaries?
Mrs. Duarte is enrolled in Mrs. Duarte should file an appeal of this initial
Original determination within 120 days of the date she received
Medicare Parts A and B.
the MSN in the mail.
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?
Mr. Capadona would like to It is illegal for you to sell Mr. Capadona a Medigap plan
purchase a Medicare if he is enrolled in an MA plan, and besides, Medigap
, Advantage (MA) plan and only works with Original Medicare.
a
Medigap plan to pick up
costs not covered by that
plan. What should you tell
him?
Mrs. Park is an elderly She should contact her state Medicaid agency to see
retiree. Mrs. Park has a low if she qualifies for one of several programs that can
fixed income. What could help with Medicare costs for which she is responsible.
you tell
Mrs. Park that might be of
assistance?
Mr. Rainey is experiencing Medicare will cover a total of 190 days of inpatient
paranoid psychiatric care during Mr. Rainey's entire lifetime.
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?
Mr. Schmidt would like to plan Part A, which covers hospital, skilled nursing facility, hospice, and
for home health
retirement and has asked services and Part B, which covers professional services
you what is covered under such as those provided by a doctor are covered under
Original Fee-for-Service Original Medicare.
(FFS) Medicare? What could
you tell him?
Agent John Miller is Tell prospect Jerry Smith that he should consider adding
meeting with Jerry Smith, a standalone Part D prescription drug coverage policy
a new prospect. Jerry is to his present coverage.
currently enrolled in
Medicare Parts A and B.
Jerry has also purchased
a Medicare
Supplement (Medigap) plan
which he has had for
several years. However,
version with Complete questions and accurate
detailed answers \Graded A+
Mrs. Chen will be 65 soon, Most individuals who are citizens and age 65 or over
has been a citizen for are covered under Part A by virtue of having paid
twelve years, has been Medicare taxes while working, though some may be
employed full time, and paid covered as a result of paying monthly premiums.
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?
Mrs. Gonzalez is enrolled Mrs. Gonzalez cannot purchase a Medigap plan that
in Original Medicare and covers drugs, but she could keep her Medigap policy
has a Medigap policy as and enroll in a Part D prescription drug plan.
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?
Mrs. West wears glasses Medicare does not cover massage therapy, or, in general, glasses
and dentures and has or dentures.
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?
Mr. Patel is in good health Under Original Medicare, there is a single deductible amount due
and is preparing a budget for the first 60
days of any inpatient hospital stay, after which it
in anticipation of his
converts into a per-day coinsurance amount through
retirement when he turns
day 90. After day 90, he would pay a daily amount up
66. He wants to understand
to 60 days over his lifetime, after which he would be
the health care costs he
responsible for all costs.
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?
Ms. Henderson believes that To obtain Part B coverage, she must pay a standard
she will monthly premium, though it is higher for individuals
qualify for Medicare
with higher incomes.
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?
,Mr. Alonso receives some He generally would pay a monthly premium, annual
help paying for his two deductible, and per-prescription cost-sharing.
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?
Mr. Xi will soon turn age 65 Beneficiaries under Original Medicare have no cost-
and has come to you for sharing for most preventive services which include
advice as to what services immunizations such as annual flu shots.
are provided under
Original Medicare. What
should you tell Mr. Xi that
best describes
the health coverage
provided to Medicare
beneficiaries?
Mrs. Duarte is enrolled in Mrs. Duarte should file an appeal of this initial
Original determination within 120 days of the date she received
Medicare Parts A and B.
the MSN in the mail.
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?
Mr. Capadona would like to It is illegal for you to sell Mr. Capadona a Medigap plan
purchase a Medicare if he is enrolled in an MA plan, and besides, Medigap
, Advantage (MA) plan and only works with Original Medicare.
a
Medigap plan to pick up
costs not covered by that
plan. What should you tell
him?
Mrs. Park is an elderly She should contact her state Medicaid agency to see
retiree. Mrs. Park has a low if she qualifies for one of several programs that can
fixed income. What could help with Medicare costs for which she is responsible.
you tell
Mrs. Park that might be of
assistance?
Mr. Rainey is experiencing Medicare will cover a total of 190 days of inpatient
paranoid psychiatric care during Mr. Rainey's entire lifetime.
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?
Mr. Schmidt would like to plan Part A, which covers hospital, skilled nursing facility, hospice, and
for home health
retirement and has asked services and Part B, which covers professional services
you what is covered under such as those provided by a doctor are covered under
Original Fee-for-Service Original Medicare.
(FFS) Medicare? What could
you tell him?
Agent John Miller is Tell prospect Jerry Smith that he should consider adding
meeting with Jerry Smith, a standalone Part D prescription drug coverage policy
a new prospect. Jerry is to his present coverage.
currently enrolled in
Medicare Parts A and B.
Jerry has also purchased
a Medicare
Supplement (Medigap) plan
which he has had for
several years. However,
