2025 AHIP FINAL EXAM 2025. A PASS EXAM STUDY GUIDE WITH VERIFIED ANSWERS. ACTUAL EXAM LATEST UPDATE. NEW EXAM!!!
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Course
2025 AHIP 2024
Institution
2025 AHIP 2024
2025 AHIP FINAL EXAM 2025. A PASS EXAM
STUDY GUIDE WITH VERIFIED ANSWERS.
ACTUAL EXAM LATEST UPDATE.
NEW EXAM!!!
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you
tell Mrs. Park that might be of assistance? - ANS-She should contact her state
Medicaid agency...
2025 AHIP FINAL EXAM 2025. A PASS EXAM
STUDY GUIDE WITH VERIFIED ANSWERS.
ACTUAL EXAM LATEST UPDATE.
NEW EXAM!!!
Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What could you
tell Mrs. Park that might be of assistance? - ANS✔✔-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? - ANS✔✔-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? - ANS✔✔-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? - ANS✔✔-He may sign-up
for Medicare at any time however coverage usually begins on the fourth month
after dialysis treatments start.
Mr. Torres has a small savings account. He would like to pay for his monthly Part
D premiums with an automatic monthly withdrawal from his savings account
until it is exhausted, and then have his premiums withheld from his Social
Security check. What should you tell him? - ANS✔✔-In general, he must select a
,single Part D premium payment mechanism that will be used throughout the
year.
One of your clients, Lauren Nichols, has heard about a Medicare concept from
one of her neighbors called TrOOP. She asks you to explain it. What do you say?
- ANS✔✔-TrOOP stands for true out-of-pocket costs that count toward the
Medicare Part D catastrophic limit and include not only expenses paid by a
beneficiary but also in some instances amounts paid by or through qualified
State Pharmaceutical Assistance Programs.
Mr. Zachow has a condition for which three drugs are available. He has tried two
but had an allergic reaction to them. Only the third drug works for him and it is
not on his Part D plan's formulary. What could you tell him to do? - ANS✔✔-Mr.
Zachow has a right to request a formulary exception to obtain coverage for his
Part D drug. He or his physician could obtain the standardized request form on
the plan's website, fill it out, and submit it to his plan.
Mrs. Lopez is enrolled in a cost plan for her Medicare benefits. She has recently
lost creditable coverage previously available through her husband's employer.
She is interested in enrolling in a Medicare Part D prescription drug plan (PDP).
What should you tell her? - ANS✔✔-If a Part D benefit is offered through her
plan she may choose to enroll in that plan or a standalone PDP.
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.
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 among other factors to see if they have changed.
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.
, Mr. Xi will soon turn age 65 and has come to you for advice as to what services
are provided under Original Medicare. What should you tell Mr. Xi that best
describes the health coverage provided to Medicare beneficiaries? - ANS✔✔-
Beneficiaries under Original Medicare have no cost-sharing for most preventive
services.
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 can
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. 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? - ANS✔✔-Most 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.
Mrs. Quinn recently turned 66 and decided after many years of work to retire
and begin receiving Social Security benefits. Shortly thereafter Mrs. Quinn
received a letter informing her that she had been automatically enrolled in
Medicare Part B. She wants to understand what this means. What should you tell
Mrs. Quinn? - ANS✔✔-Part B primarily covers physician services. She will be
paying a monthly premium and, except for many preventive and screening tests,
generally will have 20% co-payments for these services, in addition to an annual
deductible.
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
because of an illness. In general terms, what could you tell him about his costs
for inpatient hospital services under Original Medicare? - ANS✔✔-Under 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.
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