2025 AHIP Final Exam Questions With Correct Answers
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Course
AHIP
Institution
AHIP
2025 AHIP Final Exam Questions With
Correct Answers
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being
successfully treated for that condition. However, she and her physicians feel that after her
lengthy hospital stay, she will need a month or two of nursing...
2025 AHIP Final Exam Questions With
Correct Answers
Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being
successfully treated for that condition. However, she and her physicians feel that after her
lengthy hospital stay, she will need a month or two of nursing and rehabilitative care. What
should you tell them about Original Medicare's coverage of care in a skilled nursing facility? -
answer✔✔Medicare will cover Mrs. Shield's skilled nursing services provided during the first 20
days of her stay, after which she would have a copay until she has been in the facility for 100
days.
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? - answer✔✔Medicare does not cover massage therapy,
or, in general, glasses or dentures.
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you tell Mrs. Park
that might be of assistance? - answer✔✔She should contact her state Medicaid agency to see if
she qualifies for one of several programs that can help with Medicare costs for which she is
responsible.
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? - answer✔✔He generally would pay a
monthly premium, annual deductible, and per-prescription cost-sharing.
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? - answer✔✔Mrs. 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.
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? - answer✔✔He may sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis treatments start.
What impact, if any, have recent regulatory changes had on Medigap plans? - answer✔✔The
Part B deductible is no longer covered for individuals newly eligible for Medicare starting
January 1, 2020.
Mrs. Paterson is concerned about the deductibles and co-payments associated with Original
Medicare. What can you tell her about Medigap as an option to address this concern? -
answer✔✔Medigap plans do not cover Original Medicare benefits, but they coordinate with
Original Medicare coverage.
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? - answer✔✔Original Medicare covers ambulance services.
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? - answer✔✔Medicare covers hospice
services, and they will be available for her.
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? - answer✔✔Mr. Diaz will not pay any penalty because he had continuous coverage
under his employer's plan.
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? - answer✔✔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.
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
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