AHIP Study Guide 2026 COMPREHENSIVE
EXAM QUESTIONS WITH DETAILED VERIFIED
AND 100% CORRECT ANSWERS BRAND NEW
EXAM ALREADY GRADED A+!!
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Terms in this set (100)
Ms. Moore plans to retire when she Medicare is a program for people age 65 or
turns 65 in a few months. She is in older and those under age 65 with certain
excellent health and will have disabilities, end-stage renal disease, and Lou
considerable income when she Gehrig's disease so she will be eligible for
retires. She is concerned that her Medicare.
income will make it impossible for
her to qualify for Medicare. What
could you tell her to address her
concern?
Mrs. Chen will be 65 soon, has Most individuals who are citizens and age 65 or
been a citizen for twelve years, has over are covered under Part A by virtue of having
been employed full time, and paid paid Medicare taxes while working, though some
taxes during that entire period. She may be covered as a result of paying monthly
is concerned that she will not premiums.
qualify for coverage under part A
because she was not born in the
United States. What should you tell
her?
,Mr. Patel is in good health and is Under Original Medicare, there is a single
preparing a budget in anticipation deductible amount due for the first 60 days of
of his retirement when he turns 66. any inpatient hospital stay, after which it converts
He wants to understand the health into a per-day coinsurance amount through day
care costs he might be exposed to 90. After day 90, he would pay a daily amount up
under Medicare if he were to to 60 days over his lifetime, after which he would
require hospitalization as a result of be responsible for all costs.
an illness. In general terms, what
could you tell him about his costs
for inpatient hospital services under
Original Medicare?
Mrs. Park is an elderly retiree. Mrs. She should contact her state Medicaid agency to
Park has a low fixed income. What see if she qualifies for one of several programs
could you tell Mrs. Park that might that can help with Medicare costs for which she is
be of assistance? responsible.
Mr. Schmidt would like to plan for Part A, which covers hospital, skilled nursing
retirement and has asked you what facility, hospice, and home health services and
is covered under Original Fee-for- Part B, which covers professional services such as
Service (FFS) Medicare? What those provided by a doctor are covered under
could you tell him? Original Medicare.
Mrs. West wears glasses and Medicare does not cover massage therapy, or, in
dentures and has enjoyed general, glasses or dentures.
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?
, Mr. Alonso receives some help He generally would pay a monthly premium,
paying for his two generic annual deductible, and per-prescription cost-
prescription drugs from his sharing.
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?
.Mrs. Peñais 66 years old, has She may enroll at any time while she is covered
coverage under an employer plan, under her employer plan, but she will have a
and will retire next year. She heard special eight-month enrollment period after the
she must enroll in Part B at the last month on her employer plan that differs from
beginning of the year to ensure no the standard general enrollment period, during
gap in coverage. What can you tell which she may enroll in Medicare Part B.
her?
Mrs. Gonzalez is enrolled in She cannot purchase a Medigap plan that covers
Original Medicare and has a drugs, but she could keep her Medigap policy
Medigap policy as well, but it and enroll in a Part D prescription drug plan.
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?
Mr. Davis is 52 years old and has He may sign-up for Medicare at any time
recently been diagnosed with end- however coverage usually begins on the fourth
stage renal disease (ESRD) and will month after dialysis treatments start.
soon begin dialysis. He is
wondering if he can obtain
coverage under Medicare. What
should you tell him?
EXAM QUESTIONS WITH DETAILED VERIFIED
AND 100% CORRECT ANSWERS BRAND NEW
EXAM ALREADY GRADED A+!!
Save
Terms in this set (100)
Ms. Moore plans to retire when she Medicare is a program for people age 65 or
turns 65 in a few months. She is in older and those under age 65 with certain
excellent health and will have disabilities, end-stage renal disease, and Lou
considerable income when she Gehrig's disease so she will be eligible for
retires. She is concerned that her Medicare.
income will make it impossible for
her to qualify for Medicare. What
could you tell her to address her
concern?
Mrs. Chen will be 65 soon, has Most individuals who are citizens and age 65 or
been a citizen for twelve years, has over are covered under Part A by virtue of having
been employed full time, and paid paid Medicare taxes while working, though some
taxes during that entire period. She may be covered as a result of paying monthly
is concerned that she will not premiums.
qualify for coverage under part A
because she was not born in the
United States. What should you tell
her?
,Mr. Patel is in good health and is Under Original Medicare, there is a single
preparing a budget in anticipation deductible amount due for the first 60 days of
of his retirement when he turns 66. any inpatient hospital stay, after which it converts
He wants to understand the health into a per-day coinsurance amount through day
care costs he might be exposed to 90. After day 90, he would pay a daily amount up
under Medicare if he were to to 60 days over his lifetime, after which he would
require hospitalization as a result of be responsible for all costs.
an illness. In general terms, what
could you tell him about his costs
for inpatient hospital services under
Original Medicare?
Mrs. Park is an elderly retiree. Mrs. She should contact her state Medicaid agency to
Park has a low fixed income. What see if she qualifies for one of several programs
could you tell Mrs. Park that might that can help with Medicare costs for which she is
be of assistance? responsible.
Mr. Schmidt would like to plan for Part A, which covers hospital, skilled nursing
retirement and has asked you what facility, hospice, and home health services and
is covered under Original Fee-for- Part B, which covers professional services such as
Service (FFS) Medicare? What those provided by a doctor are covered under
could you tell him? Original Medicare.
Mrs. West wears glasses and Medicare does not cover massage therapy, or, in
dentures and has enjoyed general, glasses or dentures.
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?
, Mr. Alonso receives some help He generally would pay a monthly premium,
paying for his two generic annual deductible, and per-prescription cost-
prescription drugs from his sharing.
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?
.Mrs. Peñais 66 years old, has She may enroll at any time while she is covered
coverage under an employer plan, under her employer plan, but she will have a
and will retire next year. She heard special eight-month enrollment period after the
she must enroll in Part B at the last month on her employer plan that differs from
beginning of the year to ensure no the standard general enrollment period, during
gap in coverage. What can you tell which she may enroll in Medicare Part B.
her?
Mrs. Gonzalez is enrolled in She cannot purchase a Medigap plan that covers
Original Medicare and has a drugs, but she could keep her Medigap policy
Medigap policy as well, but it and enroll in a Part D prescription drug plan.
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?
Mr. Davis is 52 years old and has He may sign-up for Medicare at any time
recently been diagnosed with end- however coverage usually begins on the fourth
stage renal disease (ESRD) and will month after dialysis treatments start.
soon begin dialysis. He is
wondering if he can obtain
coverage under Medicare. What
should you tell him?
