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2025 AHIP Final Exam questions with correct answers verified 100%
2025 AHIP Final Exam questions with correct answers verified 100%2025 AHIP Final Exam questions with correct answers verified 100%
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 fe...
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2025 AHIP Final Exam questions with co
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Mrs.olsShieldsolsisolscoveredolsbyolsOriginalolsMedicare.olsSheolssustainedolsaolshipolsfractureolsandolsisolsbeingolssuccess
fullyolstreatedolsforolsthatolscondition.olsHowever,olssheolsandolsherolsphysiciansolsfeelolsthatolsafterolsherolslengthyolsho
spitalolsstay,olssheolswillolsneedolsaolsmontholsorolstwoolsofolsnursingolsandolsrehabilitativeolscare.olsWhatolsshouldolsyouols
tellolsthemolsaboutolsOriginalolsMedicare'solscoverageolsofolscareolsinolsaolsskilledolsnursingolsfacility?ols-
olscorrectolsanswers-
MedicareolswillolscoverolsMrs.olsShield'solsskilledolsnursingolsservicesolsprovidedolsduringolstheolsfirstols20olsdaysolsofolsh
erolsstay,olsafterolswhicholssheolswouldolshaveolsaolscopayolsuntilolssheolshasolsbeenolsinolstheolsfacilityolsforols100olsdays.
Mrs.olsWestolswearsolsglassesolsandolsdenturesolsandolshasolsenjoyedolsconsiderableolspainolsreliefolsfromolsarthritisolst
hrougholsmassageolstherapy.olsSheolsisolsconcernedolsaboutolswhetherolsorolsnotolsMedicareolswillolscoverolstheseolsite
msolsandolsservices.olsWhatolsshouldolsyouolstellolsher?ols-olscorrectolsanswers-
Medicareolsdoesolsnotolscoverolsmassageolstherapy,olsor,olsinolsgeneral,olsglassesolsorolsdentures.
Mrs.olsParkolsisolsanolselderlyolsretiree.olsMrs.olsParkolshasolsaolslowolsfixedolsincome.olsWhatolscouldolsyouolstellolsMrs.olsP
arkolsthatolsmightolsbeolsofolsassistance?ols-olscorrectolsanswers-
SheolsshouldolscontactolsherolsstateolsMedicaidolsagencyolstoolsseeolsifolssheolsqualifiesolsforolsoneolsofolsseveralolsprogra
msolsthatolscanolshelpolswitholsMedicareolscostsolsforolswhicholssheolsisolsresponsible.
Mr.olsAlonsoolsreceivesolssomeolshelpolspayingolsforolshisolstwoolsgenericolsprescriptionolsdrugsolsfromolshisolsemployer
'solsretireeolscoverage,olsbutolsheolswantsolstoolscompareolsitolstoolsaolsPartolsDolsprescriptionolsdrugolsplan.olsHeolsasksolsy
ouolswhatolscostsolsheolswouldolsgenerallyolsexpectolstoolsencounterolswhenolsenrollingolsintoolsaolsstandardolsMedicar
eolsPartolsDolsprescriptionolsdrugolsplan.olsWhatolsshouldolsyouolstellolshim?ols-olscorrectolsanswers-
Heolsgenerallyolswouldolspayolsaolsmonthlyolspremium,olsannualolsdeductible,olsandolsper-prescriptionolscost-
sharing.
Mrs.olsGonzalezolsisolsenrolledolsinolsOriginalolsMedicareolsandolshasolsaolsMedigapolspolicyolsasolswell,olsbutolsitolsprovid
esolsnoolsdrugolscoverage.olsSheolswouldolslikeolstoolskeepolstheolscoverageolssheolshasolsbutolsreplaceolsherolsexistingolsM
edigapolsplanolswitholsoneolsthatolsprovidesolsdrugolscoverage.olsWhatolsshouldolsyouolstellolsher?ols-
olscorrectolsanswers-
Mrs.olsGonzalezolscannotolspurchaseolsaolsMedigapolsplanolsthatolscoversolsdrugs,olsbutolssheolscouldolskeepolsherolsMe
digapolspolicyolsandolsenrollolsinolsaolsPartolsDolsprescriptionolsdrugolsplan.
Mr.olsDavisolsisols52olsyearsolsoldolsandolshasolsrecentlyolsbeenolsdiagnosedolswitholsend-
stageolsrenalolsdiseaseols(ESRD)olsandolswillolssoonolsbeginolsdialysis.olsHeolsisolswonderingolsifolsheolscanolsobtainolscover
ageolsunderolsMedicare.olsWhatolsshouldolsyouolstellolshim?ols-olscorrectolsanswers-Heolsmayolssign-
upolsforolsMedicareolsatolsanyolstimeolshoweverolscoverageolsusuallyolsbeginsolsonolstheolsfourtholsmontholsafterolsdialys
isolstreatmentsolsstart.
Mrs.olsDuarteolsisolsenrolledolsinolsOriginalolsMedicareolsPartsolsAolsandolsB.olsSheolshasolsrecentlyolsreviewedolsherolsMe
dicareolsSummaryolsNoticeols(MSN)olsandolsdisagreesolswitholsaolsdeterminationolsthatolspartiallyolsdeniedolsoneolsofols
,herolsclaimsolsforolsservices.olsWhatolsadviceolswouldolsyouolsgiveolsher?ols-olscorrectolsanswers-
Mrs.olsDuarteolsshouldolsfileolsanolsappealolsofolsthisolsinitialolsdeterminationolswithinols120olsdaysolsofolstheolsdateolsshe
olsreceivedolstheolsMSNolsinolstheolsmail.
Mrs.olsGeisler'solsneighborolstoldolsherolssheolsshouldolslookolsatolsherolsPartolsDolsoptionsolsduringolstheolsannualolsMedi
careolsenrollmentolsperiodolsbecauseolstheolsfeaturesolsofolsPartolsDolsmightolshaveolschanged.olsMrs.olsGeislerolscan'tols
rememberolswhatolsPartolsDolsisolssoolssheolscalledolsyouolstoolsaskolswhatolsherolsneighborolswasolstalkingolsabout.olsWha
tolscouldolsyouolstellolsher?ols-olscorrectolsanswers-
PartolsDolscoversolsprescriptionolsdrugsolsandolssheolsshouldolslookolsatolsherolspremiums,olsformulary,olsandolscost-
sharingolsamongolsotherolsfactorsolstoolsseeolsifolstheyolshaveolschanged.
Mr.olsRaineyolsisolsexperiencingolsparanoidolsdelusionsolsandolshisolsphysicianolsfeelsolsthatolsheolsshouldolsbeolshospita
lized.olsWhatolsshouldolsyouolstellolsMr.olsRaineyols(orolshisolsrepresentative)olsaboutolstheolslengtholsofolsanolsinpatientol
spsychiatricolshospitalolsstayolsthatolsMedicareolswillolscover?ols-olscorrectolsanswers-
Medicareolswillolscoverolsaolstotalolsofols190olsdaysolsofolsinpatientolspsychiatricolscareolsduringolsMr.olsRainey'solsentireol
slifetime.
Mr.olsXiolswillolssoonolsturnolsageols65olsandolshasolscomeolstoolsyouolsforolsadviceolsasolstoolswhatolsservicesolsareolsprovide
dolsunderolsOriginalolsMedicare.olsWhatolsshouldolsyouolstellolsMr.olsXiolsthatolsbestolsdescribesolstheolshealtholscoverag
eolsprovidedolstoolsMedicareolsbeneficiaries?ols-olscorrectolsanswers-
BeneficiariesolsunderolsOriginalolsMedicareolshaveolsnoolscost-sharingolsforolsmostolspreventiveolsservices.
Mr.olsSingholswouldolslikeolsdrugolscoverageolsbutolsdoesolsnotolswantolstoolsbeolsenrolledolsinolsaolsMedicareolsAdvantag
eolsplan.olsWhatolsshouldolsyouolstellolshim?ols-olscorrectolsanswers-Mr.olsSingholscanolsenrollolsinolsaolsstand-
aloneolsprescriptionolsdrugolsplanolsandolscontinueolstoolsbeolscoveredolsforolsPartolsAolsandolsPartolsBolsservicesolsthroug
holsOriginalolsFee-for-ServiceolsMedicare.
Mrs.olsChenolswillolsbeols65olssoon,olshasolsbeenolsaolscitizenolsforolstwelveolsyears,olshasolsbeenolsemployedolsfullolstime,ol
sandolspaidolstaxesolsduringolsthatolsentireolsperiod.olsSheolsisolsconcernedolsthatolssheolswillolsnotolsqualifyolsforolscovera
geolsunderolspartolsAolsbecauseolssheolswasolsnotolsbornolsinolstheolsUnitedolsStates.olsWhatolsshouldolsyouolstellolsher?ols-
olscorrectolsanswers-
Mostolsindividualsolswhoolsareolscitizensolsandolsageols65olsorolsoverolsareolscoveredolsunderolsPartolsAolsbyolsvirtueolsofolsh
avingolspaidolsMedicareolstaxesolswhileolsworking,olsthougholssomeolsmayolsbeolscoveredolsasolsaolsresultolsofolspayingols
monthlyolspremiums.
Mrs.olsQuinnolsrecentlyolsturnedols66olsandolsdecidedolsafterolsmanyolsyearsolsofolsworkolstoolsretireolsandolsbeginolsrecei
vingolsSocialolsSecurityolsbenefits.olsShortlyolsthereafterolsMrs.olsQuinnolsreceivedolsaolsletterolsinformingolsherolsthatols
sheolshadolsbeenolsautomaticallyolsenrolledolsinolsMedicareolsPartolsB.olsSheolswantsolstoolsunderstandolswhatolsthisolsm
eans.olsWhatolsshouldolsyouolstellolsMrs.olsQuinn?ols-olscorrectolsanswers-
PartolsBolsprimarilyolscoversolsphysicianolsservices.olsSheolswillolsbeolspayingolsaolsmonthlyolspremiumolsand,olsexceptolsf
orolsmanyolspreventiveolsandolsscreeningolstests,olsgenerallyolswillolshaveols20%olsco-
paymentsolsforolstheseolsservices,olsinolsadditionolstoolsanolsannualolsdeductible.
Mr.olsPatelolsisolsinolsgoodolshealtholsandolsisolspreparingolsaolsbudgetolsinolsanticipationolsofolshisolsretirementolswhenolsh
eolsturnsols66.olsHeolswantsolstoolsunderstandolstheolshealtholscareolscostsolsheolsmightolsbeolsexposedolstoolsunderolsMed
icareolsifolsheolswereolstoolsrequireolshospitalizationolsbecauseolsofolsanolsillness.olsInolsgeneralolsterms,olswhatolscouldols
youolstellolshimolsaboutolshisolscostsolsforolsinpatientolshospitalolsservicesolsunderolsOriginalolsMedicare?ols-
, olscorrectolsanswers-
UnderolsOriginalolsMedicare,olsthereolsisolsaolssingleolsdeductibleolsamountolsdueolsforolstheolsfirstols60olsdaysolsofolsanyols
inpatientolshospitalolsstay,olsafterolswhicholsitolsconvertsolsintoolsaolsper-
dayolscoinsuranceolsamountolsthrougholsdayols90.olsAfterolsdayols90,olsheolswouldolspayolsaolsdailyolsamountolsupolstools60
olsdaysolsoverolshisolslifetime,olsafterolswhicholsheolswouldolsbeolsresponsibleolsforolsallolscosts.
Whatolsimpact,olsifolsany,olshaveolsrecentolsregulatoryolschangesolshadolsonolsMedigapolsplans?ols-olscorrectolsanswers-
TheolsPartolsBolsdeductibleolsisolsnoolslongerolscoveredolsforolsindividualsolsnewlyolseligibleolsforolsMedicareolsstartingols
Januaryols1,ols2020.
Mrs.olsPatersonolsisolsconcernedolsaboutolstheolsdeductiblesolsandolsco-
paymentsolsassociatedolswitholsOriginalolsMedicare.olsWhatolscanolsyouolstellolsherolsaboutolsMedigapolsasolsanolsoptio
nolstoolsaddressolsthisolsconcern?ols-olscorrectolsanswers-
MedigapolsplansolsdoolsnotolscoverolsOriginalolsMedicareolsbenefits,olsbutolstheyolscoordinateolswitholsOriginalolsMedi
careolscoverage.
Mrs.olsTurnerolsisolscomparingolsherolsemployer'solsretireeolsinsuranceolstoolsOriginalolsMedicareolsandolswouldolslikeols
toolsknowolswhicholsofolstheolsfollowingolsservicesolsOriginalolsMedicareolswillolscoverolsifolstheolsappropriateolscriteriaol
sareolsmet.olsWhatolscouldolsyouolstellolsher?ols-olscorrectolsanswers-
OriginalolsMedicareolscoversolsambulanceolsservices.
Ms.olsBrooksolshasolsaggressiveolscancerolsandolswouldolslikeolstoolsknowolsifolsMedicareolswillolscoverolshospiceolsservic
esolsinolscaseolssheolsneedsolsthem.olsWhatolsshouldolsyouolstellolsher?ols-olscorrectolsanswers-
Medicareolscoversolshospiceolsservices,olsandolstheyolswillolsbeolsavailableolsforolsher.
Mr.olsDiazolscontinuedolsworkingolswitholshisolscompanyolsandolswasolsinsuredolsunderolshisolsemployer'solsgroupolspla
nolsuntilolsheolsreachedolsageols68.olsHeolshasolsheardolsthatolsthereolsisolsaolspremiumolspenaltyolsforolsthoseolswhoolsdidols
notolssignolsupolsforolsPartolsBolswhenolsfirstolseligibleolsandolswantsolstoolsknowolshowolsmucholsheolswillolshaveolstoolspay.ols
Whatolsshouldolsyouolstellolshim?ols-olscorrectolsanswers-
Mr.olsDiazolswillolsnotolspayolsanyolspenaltyolsbecauseolsheolshadolscontinuousolscoverageolsunderolshisolsemployer'solspl
an.
AnitaolsMagriolswillolsturnolsageols65olsinolsAugustols2023.olsAnitaolsintendsolstoolsenrollolsinolsOriginalolsMedicareolsPartol
sAolsandolsPartolsB.olsSheolswouldolsalsoolslikeolstoolsenrollolsinolsaolsMedicareolsSupplementols(Medigap)olsplan.olsAnita'sol
solderolsneighborolsMelolshasolstoldolsherolsaboutolstheolsMedigapolsPlanolsFolsinolswhicholsheolsisolsenrolled.olsItolsnotolsonl
yolsprovidesolsforeignolstravelolsemergencyolsbenefitsolsbutolsalsoolscoversolshisolsMedicareolsPartolsBolsdeductible.olsA
nitaolscomesolstoolsyouolsforolsadvice.olsWhatolsshouldolsyouolstellolsher?ols-olscorrectolsanswers-
YouolsareolssorryolstoolsdisappointolsAnita,olsbutolsaolsMedigapolsFolsplanolsisolsnoolslongerolsavailableolstoolsthoseolswhoolst
urnolsageols65olsafterolsJanuaryols1,ols2020.olsAnitaolsmightolsinsteadolsconsiderolsotherolsMedigapolsplansolsthatolsoffero
lsforeignolstravelolsbenefitsolsbutolsdoolsnotolscoverolstheolsPartolsBolsdeductible.
Hank'solsFisholsStore,olsInc.olsisolsaolssmallolscompanyolswitholsjustols15olsemployeesolslocatedolsinolsFlorida.olsHank,olsth
eolsstoreolsowner,olshasolsprovidedolsexcellentolshealtholsbenefitsolstoolstheolsstore'solsworkforce.olsWilliam,olsoneolsofol
stheolsstore'solslong-
timeolsemployees,olswillolssoonolsbeolsreachingolsageols65olsandolseligibleolsforolsMedicare.olsWilliamolsisolsinolsgoodolshe
alth.olsHeolsintendsolstoolsremainolsanolsactiveolsfull-
timeolsemployee,olsworkingolsseveralolsyearsolsafterolsbecomingolseligibleolsforolsMedicare.olsWhatolstype(s)olsofolsreti