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2025 AHIP Final Exam Questions And Answers Latest 2024/ 2025 Graded A+ | 100% Verified!
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2025 AHIP Final Exam Questions And Answers Latest 2024/ 2025 Graded A+ | 100% Verified!
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2025 AHIP Final Exam1. 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?: 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.
2. 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?: Medicare does not cover massage therapy, or, in general,
,glasses or dentures.
3. Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income. What
could you tell Mrs. Park that might be of assistance?: 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.
4.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?: He generally would pay
a monthly premium, annual deductible, and per-prescription cost-
sharing.
5. 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?: 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.
6. 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?: He may sign-
up for Medicare at any time however coverage usually begins on the
fourth month after dialysis treatments start.
7. Mrs. Duarte is enrolled in Original Medicare Parts A and B. She has
recently reviewed her Medicare Summary Notice (MSN) and disagrees with a
determi- nation that partially denied one of her claims for services. What
advice would you give her?: Mrs. Duarte should file an appeal of this
initial determination within 120 days of the date she received the MSN
in the mail.
, 8. 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?: 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.
9. Mr. Rainey is experiencing paranoid delusions and his physician feels
that he should be hospitalized. What should you tell Mr. Rainey (or his
representa- tive) about the length of an inpatient psychiatric hospital stay
that Medicare will cover?: Medicare will cover a total of 190 days of
inpatient psychiatric care during Mr. Rainey's entire lifetime.
10. 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
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