AHIP FINAL EXAM 2024/202
sw sw sw
5
AHIP FINAL EXAM 2024/2025 VERIFIED
QUESTIONS AND ANSWERS GRADED A+
Mr. Davis is 52 years old and has recently been diagnosed with end-
sw sw sw sw sw sw sw sw sw sw sw sw
stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he c
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
an obtain coverage under Medicare. What should you tell him?
sw sw sw sw sw sw sw sw sw
CORRECT ANSWERHe may sign- sw sw sw
up for Medicare at any time however coverage usually begins on the fourth mont
sw sw sw sw sw sw sw sw sw sw sw sw sw
h after dialysis treatments start.
sw sw sw sw
Juan Perez, who is turning age 65 next month, intends to work for several more
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
years at Smallcap, Incorporated. Smallcap has a workforce of15 employees and
sw sw sw sw sw sw sw sw sw sw sw
offers employer- sw
sponsored healthcare coverage. Juan is a naturalized citizen and has contributed t
sw sw sw sw sw sw sw sw sw sw sw
o the Medicare system for over 20 years. Juan asks you if he will be entitled to
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
Medicare and if he enrolls how that will impact his employer-
sw sw sw sw sw sw sw sw sw sw
sw sponsored healthcare coverage. How would you respond?
sw sw sw sw sw sw
CORRECT ANSWERJuan is likely to be eligible for Medicare once he turns ag
sw sw sw sw sw sw sw sw sw sw sw sw
e 65 and if he enrolls Medicare would become the primary payor of his healthc
swsw sw sw sw sw sw sw sw sw sw sw sw sw sw
are claims and Smallcap does not have to continue to offer him coverage comp
swsw sw sw sw sw sw sw sw sw sw sw sw sw
arable to those under age 65 under its employer-sponsored group health plan.
swsw sw sw sw sw sw sw sw sw sw sw
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand wha
sw sw sw sw sw sw sw sw sw sw sw sw sw
t coverage Medicare Supplemental Insurance provides since his health care need
sw sw sw sw sw sw sw sw sw sw
s are different from his wife's needs. What could you tell Mr. Moy?CORRECT
sw sw sw sw sw sw sw sw sw sw sw sw swsw
,AHIP FINAL EXAM 2024/202
sw sw sw
5
ANSWERMedicare Supplemental Insurance would help cover his Part A and Par
sw sw sw sw sw sw sw sw sw sw
t B deductibles or coinsurance in Original Fee-for-
swsw sw sw sw sw sw sw
Service (FFS) Medicare as well
sw sw sw sw s w
,AHIP FINAL EXAM 2024/202
sw sw sw
5
as possibly some services that Medicare does not cover.
sw sw sw sw sw sw sw sw
Mrs. Peňa is 66 years old, has coverage under an employer plan, and will retire
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
next year. She heard she must enroll in Part B at the beginning of the year to e
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
nsure no gap in coverage. What can you tell her?CORRECT ANSWERShe may
sw sw sw sw sw sw sw sw sw sw sw
swsw enroll at any time while she is covered under her employer plan, but she will h
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ave a special eight-
swsw sw sw
month enrollment period after the last month on her employer plan that differs f
sw sw sw sw sw sw sw sw sw sw swsw sw sw
rom the standard general enrollment period, during which she may enroll in M
sw sw sw sw sw sw sw sw sw swsw sw sw
edicare Part B. sw sw
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employ
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ed full time, and paid taxes during that entire period. She is concerned that she
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
will not qualify for coverage under part A because she was not born in the Unite
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
d States. What should you tell her?CORRECT ANSWERMost individuals who a
sw sw sw sw sw sw sw sw sw sw
re citizens and age 65 or over are covered under Part A by virtue of having pai
swsw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
d Medicare taxes while working, though some may be covered as a result of pa
swsw sw sw sw sw sw sw sw sw sw sw sw sw sw
ying monthly premiums.
swsw sw
, AHIP FINAL EXAM 2024/202
sw sw sw
5
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as wel
sw sw sw sw sw sw sw sw sw sw sw sw sw
l, but it provides no drug coverage. She would like to keep the coverage she has
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw s
w but replace her existing Medigap plan with one that provides drug coverage. W
sw sw sw sw sw sw sw sw sw sw sw sw
hat should you tell her?CORRECT ANSWERMrs. Gonzalez cannot purchase a
sw sw sw sw sw sw sw sw sw swsw
Medigap plan that covers drugs, but she could keep her Medigap policy and enro
sw sw sw sw sw sw sw sw sw sw sw sw sw
ll in a Part D prescription drug plan.
swsw sw sw sw sw sw sw
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief fr
sw sw sw sw sw sw sw sw sw sw sw sw
om arthritis through massage therapy. She is concerned about whether or not Me
sw sw sw sw sw sw sw sw sw sw sw sw
dicare will cover these items and services. What should you tell her?CORRECT
sw sw sw sw sw sw sw sw sw sw sw s
w ANSWERMedicare does not cover massage therapy, or, in general, glasses or sw sw sw sw sw sw sw swsw sw sw sw
dentures.
Mr. Patel is in good health and is preparing a budget in anticipation of his retire
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ment when he turns 66. He wants to understand the health care costs he might b
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
e exposed to under Medicare if he were to require hospitalization as a result of
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
an illness. In general terms, what could you tell him about his costs for inpatient
sw sw sw sw sw sw sw sw sw sw sw sw sw sw s
w hospital services sw
under Original Medicare?CORRECT ANSWERUnder Original Medicare, there i
sw sw sw sw sw sw sw
s a single deductible amount due for the first 60 days of any inpatient hospital s
swsw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
tay, after which it converts into a per-
swsw sw sw sw sw sw sw
day coinsurance amount through day 90. After day 90, he would pay a daily a
sw sw sw sw sw sw swsw sw sw sw sw sw sw sw
mount up to 60 days over his lifetime, after which he would be responsible for
sw sw sw sw sw sw sw sw sw swsw sw sw sw sw sw
all costs. sw
Ms. Henderson believes that she will qualify for Medicare Coverage when she t
sw sw sw sw sw sw sw sw sw sw sw sw
urns 65, without paying any premiums, because she has been working for 40 ye
sw sw sw sw sw sw sw sw sw sw sw sw sw
ars and paying Medicare taxes. What should you tell her?CORRECT ANSWE
sw sw sw sw sw sw sw sw sw swsw
sw sw sw
5
AHIP FINAL EXAM 2024/2025 VERIFIED
QUESTIONS AND ANSWERS GRADED A+
Mr. Davis is 52 years old and has recently been diagnosed with end-
sw sw sw sw sw sw sw sw sw sw sw sw
stage renal disease (ESRD) and will soon begin dialysis. He is wondering if he c
sw sw sw sw sw sw sw sw sw sw sw sw sw sw
an obtain coverage under Medicare. What should you tell him?
sw sw sw sw sw sw sw sw sw
CORRECT ANSWERHe may sign- sw sw sw
up for Medicare at any time however coverage usually begins on the fourth mont
sw sw sw sw sw sw sw sw sw sw sw sw sw
h after dialysis treatments start.
sw sw sw sw
Juan Perez, who is turning age 65 next month, intends to work for several more
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
years at Smallcap, Incorporated. Smallcap has a workforce of15 employees and
sw sw sw sw sw sw sw sw sw sw sw
offers employer- sw
sponsored healthcare coverage. Juan is a naturalized citizen and has contributed t
sw sw sw sw sw sw sw sw sw sw sw
o the Medicare system for over 20 years. Juan asks you if he will be entitled to
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
Medicare and if he enrolls how that will impact his employer-
sw sw sw sw sw sw sw sw sw sw
sw sponsored healthcare coverage. How would you respond?
sw sw sw sw sw sw
CORRECT ANSWERJuan is likely to be eligible for Medicare once he turns ag
sw sw sw sw sw sw sw sw sw sw sw sw
e 65 and if he enrolls Medicare would become the primary payor of his healthc
swsw sw sw sw sw sw sw sw sw sw sw sw sw sw
are claims and Smallcap does not have to continue to offer him coverage comp
swsw sw sw sw sw sw sw sw sw sw sw sw sw
arable to those under age 65 under its employer-sponsored group health plan.
swsw sw sw sw sw sw sw sw sw sw sw
Mr. Moy's wife has a Medicare Advantage plan, but he wants to understand wha
sw sw sw sw sw sw sw sw sw sw sw sw sw
t coverage Medicare Supplemental Insurance provides since his health care need
sw sw sw sw sw sw sw sw sw sw
s are different from his wife's needs. What could you tell Mr. Moy?CORRECT
sw sw sw sw sw sw sw sw sw sw sw sw swsw
,AHIP FINAL EXAM 2024/202
sw sw sw
5
ANSWERMedicare Supplemental Insurance would help cover his Part A and Par
sw sw sw sw sw sw sw sw sw sw
t B deductibles or coinsurance in Original Fee-for-
swsw sw sw sw sw sw sw
Service (FFS) Medicare as well
sw sw sw sw s w
,AHIP FINAL EXAM 2024/202
sw sw sw
5
as possibly some services that Medicare does not cover.
sw sw sw sw sw sw sw sw
Mrs. Peňa is 66 years old, has coverage under an employer plan, and will retire
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
next year. She heard she must enroll in Part B at the beginning of the year to e
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
nsure no gap in coverage. What can you tell her?CORRECT ANSWERShe may
sw sw sw sw sw sw sw sw sw sw sw
swsw enroll at any time while she is covered under her employer plan, but she will h
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ave a special eight-
swsw sw sw
month enrollment period after the last month on her employer plan that differs f
sw sw sw sw sw sw sw sw sw sw swsw sw sw
rom the standard general enrollment period, during which she may enroll in M
sw sw sw sw sw sw sw sw sw swsw sw sw
edicare Part B. sw sw
Mrs. Chen will be 65 soon, has been a citizen for twelve years, has been employ
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ed full time, and paid taxes during that entire period. She is concerned that she
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
will not qualify for coverage under part A because she was not born in the Unite
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
d States. What should you tell her?CORRECT ANSWERMost individuals who a
sw sw sw sw sw sw sw sw sw sw
re citizens and age 65 or over are covered under Part A by virtue of having pai
swsw sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
d Medicare taxes while working, though some may be covered as a result of pa
swsw sw sw sw sw sw sw sw sw sw sw sw sw sw
ying monthly premiums.
swsw sw
, AHIP FINAL EXAM 2024/202
sw sw sw
5
Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as wel
sw sw sw sw sw sw sw sw sw sw sw sw sw
l, but it provides no drug coverage. She would like to keep the coverage she has
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw s
w but replace her existing Medigap plan with one that provides drug coverage. W
sw sw sw sw sw sw sw sw sw sw sw sw
hat should you tell her?CORRECT ANSWERMrs. Gonzalez cannot purchase a
sw sw sw sw sw sw sw sw sw swsw
Medigap plan that covers drugs, but she could keep her Medigap policy and enro
sw sw sw sw sw sw sw sw sw sw sw sw sw
ll in a Part D prescription drug plan.
swsw sw sw sw sw sw sw
Mrs. West wears glasses and dentures and has enjoyed considerable pain relief fr
sw sw sw sw sw sw sw sw sw sw sw sw
om arthritis through massage therapy. She is concerned about whether or not Me
sw sw sw sw sw sw sw sw sw sw sw sw
dicare will cover these items and services. What should you tell her?CORRECT
sw sw sw sw sw sw sw sw sw sw sw s
w ANSWERMedicare does not cover massage therapy, or, in general, glasses or sw sw sw sw sw sw sw swsw sw sw sw
dentures.
Mr. Patel is in good health and is preparing a budget in anticipation of his retire
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
ment when he turns 66. He wants to understand the health care costs he might b
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
e exposed to under Medicare if he were to require hospitalization as a result of
sw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
an illness. In general terms, what could you tell him about his costs for inpatient
sw sw sw sw sw sw sw sw sw sw sw sw sw sw s
w hospital services sw
under Original Medicare?CORRECT ANSWERUnder Original Medicare, there i
sw sw sw sw sw sw sw
s a single deductible amount due for the first 60 days of any inpatient hospital s
swsw sw sw sw sw sw sw sw sw sw sw sw sw sw sw
tay, after which it converts into a per-
swsw sw sw sw sw sw sw
day coinsurance amount through day 90. After day 90, he would pay a daily a
sw sw sw sw sw sw swsw sw sw sw sw sw sw sw
mount up to 60 days over his lifetime, after which he would be responsible for
sw sw sw sw sw sw sw sw sw swsw sw sw sw sw sw
all costs. sw
Ms. Henderson believes that she will qualify for Medicare Coverage when she t
sw sw sw sw sw sw sw sw sw sw sw sw
urns 65, without paying any premiums, because she has been working for 40 ye
sw sw sw sw sw sw sw sw sw sw sw sw sw
ars and paying Medicare taxes. What should you tell her?CORRECT ANSWE
sw sw sw sw sw sw sw sw sw swsw
