10/15/25, 1:43 PM AHIP FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE LATEST 2025/2026 ACTUAL EXAM 135 QUESTIONS WITH CORR…
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AHIP FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE
LATEST 2025/2026 ACTUAL EXAM 135 QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED GRADED A+
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Terms in this set (100)
Mrs. Shields is covered by Original Medicare will cover Mrs. Shield's skilled nursing services provided during the first 20
Medicare. She sustained a hip fracture and days of her stay, after which she would have a copay until she has been in the facility
is being successfully treated for that for 100 days.
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?
Mrs. West wears glasses and dentures and Medicare does not cover massage therapy, or, in general, glasses or dentures.
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?
Mrs. Park is an elderly retiree. Mrs. Park has She should contact her state Medicaid agency to see if she qualifies for one of
a low fixed income. What could you tell several programs that can help with Medicare costs for which she is responsible.
Mrs. Park that might be of assistance?
https://quizlet.com/1047557769/ahip-final-exam-practice-exam-and-study-guide-latest-20252026-actual-exam-135-questions-with-correct-answers-10… 1/17
,10/15/25, 1:43 PM AHIP FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE LATEST 2025/2026 ACTUAL EXAM 135 QUESTIONS WITH CORR…
Mr. Alonso receives some help paying for He generally would pay a monthly premium, annual deductible, and per-prescription
his two generic prescription drugs from his cost-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. Gonzalez is enrolled in Original Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could
Medicare and has a Medigap policy as keep her Medigap policy and enroll in a Part D prescription drug plan.
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?
Mr. Davis is 52 years old and has recently He may sign-up for Medicare at any time however coverage usually begins on the
been diagnosed with end-stage renal fourth month after dialysis treatments start.
disease (ESRD) and will soon begin dialysis.
He is wondering if he can obtain coverage
under Medicare. What should you tell him?
Mrs. Duarte is enrolled in Original Mrs. Duarte should file an appeal of this initial determination within 120 days of the
Medicare Parts A and B. She has recently date she received the MSN in the mail.
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?
Mrs. Geisler's neighbor told her she should Part D covers prescription drugs and she should look at her premiums, formulary,
look at her Part D options during the annual and cost-sharing among other factors to see if they have changed.
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?
Mr. Rainey is experiencing paranoid Medicare will cover a total of 190 days of inpatient psychiatric care during Mr.
delusions and his physician feels that he Rainey's entire lifetime.
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?
Mr. Xi will soon turn age 65 and has come Beneficiaries under Original Medicare have no cost-sharing for most preventive
to you for advice as to what services are services.
provided under Original Medicare. What
should you tell Mr. Xi that best describes
the health coverage provided to Medicare
beneficiaries?
Mr. Singh would like drug coverage but Mr. Singh can enroll in a stand-alone prescription drug plan and continue to be
does not want to be enrolled in a Medicare covered for Part A and Part B services through Original Fee-for-Service Medicare.
Advantage plan. What should you tell him?
https://quizlet.com/1047557769/ahip-final-exam-practice-exam-and-study-guide-latest-20252026-actual-exam-135-questions-with-correct-answers-10… 2/17
, 10/15/25, 1:43 PM AHIP FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE LATEST 2025/2026 ACTUAL EXAM 135 QUESTIONS WITH CORR…
Mrs. Chen will be 65 soon, has been a Most individuals who are citizens and age 65 or over are covered under Part A by
citizen for twelve years, has been virtue of having paid Medicare taxes while working, though some may be covered as
employed full time, and paid taxes during a result of paying monthly premiums.
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?
Mrs. Quinn recently turned 66 and decided Part B primarily covers physician services. She will be paying a monthly premium
after many years of work to retire and and, except for many preventive and screening tests, generally will have 20% co-
begin receiving Social Security benefits. payments for these services, in addition to an annual deductible.
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?
Mr. Patel is in good health and is preparing Under Original Medicare, there is a single deductible amount due for the first 60
a budget in anticipation of his retirement days of any inpatient hospital stay, after which it converts into a per-day coinsurance
when he turns 66. He wants to understand amount through day 90. After day 90, he would pay a daily amount up to 60 days
the health care costs he might be exposed over his lifetime, after which he would be responsible for all costs.
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?
What impact, if any, have recent regulatory The Part B deductible is no longer covered for individuals newly eligible for
changes had on Medigap plans? Medicare starting January 1, 2020.
Mrs. Paterson is concerned about the Medigap plans do not cover Original Medicare benefits, but they coordinate with
deductibles and co-payments associated Original Medicare coverage.
with Original Medicare. What can you tell
her about Medigap as an option to address
this concern?
Mrs. Turner is comparing her employer's Original Medicare covers ambulance services.
retiree insurance to Original Medicare and
would like to know which of the following
services Original Medicare will cover if the
appropriate criteria are met. What could
you tell her?
Ms. Brooks has aggressive cancer and Medicare covers hospice services, and they will be available for her.
would like to know if Medicare will cover
hospice services in case she needs them.
What should you tell her?
https://quizlet.com/1047557769/ahip-final-exam-practice-exam-and-study-guide-latest-20252026-actual-exam-135-questions-with-correct-answers-10… 3/17
Unlimited learning tools are available now. Upgrade
AHIP FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE
LATEST 2025/2026 ACTUAL EXAM 135 QUESTIONS WITH
CORRECT ANSWERS 100% VERIFIED GRADED A+
16 studiers today Leave the first rating
Save
Students also studied
Flashcard sets Practice tests
Medical Coding Lession 3 South Carolina Property and Casual... Arkansas State Laws Quiz Genera
Teacher 94 terms Teacher 172 terms Teacher 52 terms Teacher
jmuia5891 Preview Linu_Koom Preview Nkalu9 Preview Lal
C C
Terms in this set (100)
Mrs. Shields is covered by Original Medicare will cover Mrs. Shield's skilled nursing services provided during the first 20
Medicare. She sustained a hip fracture and days of her stay, after which she would have a copay until she has been in the facility
is being successfully treated for that for 100 days.
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?
Mrs. West wears glasses and dentures and Medicare does not cover massage therapy, or, in general, glasses or dentures.
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?
Mrs. Park is an elderly retiree. Mrs. Park has She should contact her state Medicaid agency to see if she qualifies for one of
a low fixed income. What could you tell several programs that can help with Medicare costs for which she is responsible.
Mrs. Park that might be of assistance?
https://quizlet.com/1047557769/ahip-final-exam-practice-exam-and-study-guide-latest-20252026-actual-exam-135-questions-with-correct-answers-10… 1/17
,10/15/25, 1:43 PM AHIP FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE LATEST 2025/2026 ACTUAL EXAM 135 QUESTIONS WITH CORR…
Mr. Alonso receives some help paying for He generally would pay a monthly premium, annual deductible, and per-prescription
his two generic prescription drugs from his cost-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. Gonzalez is enrolled in Original Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could
Medicare and has a Medigap policy as keep her Medigap policy and enroll in a Part D prescription drug plan.
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?
Mr. Davis is 52 years old and has recently He may sign-up for Medicare at any time however coverage usually begins on the
been diagnosed with end-stage renal fourth month after dialysis treatments start.
disease (ESRD) and will soon begin dialysis.
He is wondering if he can obtain coverage
under Medicare. What should you tell him?
Mrs. Duarte is enrolled in Original Mrs. Duarte should file an appeal of this initial determination within 120 days of the
Medicare Parts A and B. She has recently date she received the MSN in the mail.
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?
Mrs. Geisler's neighbor told her she should Part D covers prescription drugs and she should look at her premiums, formulary,
look at her Part D options during the annual and cost-sharing among other factors to see if they have changed.
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?
Mr. Rainey is experiencing paranoid Medicare will cover a total of 190 days of inpatient psychiatric care during Mr.
delusions and his physician feels that he Rainey's entire lifetime.
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?
Mr. Xi will soon turn age 65 and has come Beneficiaries under Original Medicare have no cost-sharing for most preventive
to you for advice as to what services are services.
provided under Original Medicare. What
should you tell Mr. Xi that best describes
the health coverage provided to Medicare
beneficiaries?
Mr. Singh would like drug coverage but Mr. Singh can enroll in a stand-alone prescription drug plan and continue to be
does not want to be enrolled in a Medicare covered for Part A and Part B services through Original Fee-for-Service Medicare.
Advantage plan. What should you tell him?
https://quizlet.com/1047557769/ahip-final-exam-practice-exam-and-study-guide-latest-20252026-actual-exam-135-questions-with-correct-answers-10… 2/17
, 10/15/25, 1:43 PM AHIP FINAL EXAM, PRACTICE EXAM AND STUDY GUIDE LATEST 2025/2026 ACTUAL EXAM 135 QUESTIONS WITH CORR…
Mrs. Chen will be 65 soon, has been a Most individuals who are citizens and age 65 or over are covered under Part A by
citizen for twelve years, has been virtue of having paid Medicare taxes while working, though some may be covered as
employed full time, and paid taxes during a result of paying monthly premiums.
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?
Mrs. Quinn recently turned 66 and decided Part B primarily covers physician services. She will be paying a monthly premium
after many years of work to retire and and, except for many preventive and screening tests, generally will have 20% co-
begin receiving Social Security benefits. payments for these services, in addition to an annual deductible.
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?
Mr. Patel is in good health and is preparing Under Original Medicare, there is a single deductible amount due for the first 60
a budget in anticipation of his retirement days of any inpatient hospital stay, after which it converts into a per-day coinsurance
when he turns 66. He wants to understand amount through day 90. After day 90, he would pay a daily amount up to 60 days
the health care costs he might be exposed over his lifetime, after which he would be responsible for all costs.
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?
What impact, if any, have recent regulatory The Part B deductible is no longer covered for individuals newly eligible for
changes had on Medigap plans? Medicare starting January 1, 2020.
Mrs. Paterson is concerned about the Medigap plans do not cover Original Medicare benefits, but they coordinate with
deductibles and co-payments associated Original Medicare coverage.
with Original Medicare. What can you tell
her about Medigap as an option to address
this concern?
Mrs. Turner is comparing her employer's Original Medicare covers ambulance services.
retiree insurance to Original Medicare and
would like to know which of the following
services Original Medicare will cover if the
appropriate criteria are met. What could
you tell her?
Ms. Brooks has aggressive cancer and Medicare covers hospice services, and they will be available for her.
would like to know if Medicare will cover
hospice services in case she needs them.
What should you tell her?
https://quizlet.com/1047557769/ahip-final-exam-practice-exam-and-study-guide-latest-20252026-actual-exam-135-questions-with-correct-answers-10… 3/17
