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AHIP FRAUD WASTE AND ABUSE EXAM NEWEST
2025/ 2026 ACTUAL EXAM COMPLETE QUESTIONS
AND 100% CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||LATEST EXAM!!!
Ms. Moore plans to retire when she turns 65 in a few
months. She is in excellent health and will have
considerable income when she retires. She is concerned
that her income will make it impossible for her to qualify for
Medicare. What could you tell her? - Answer-Medicare is a
program for people age 65 or older & those age under 65
with certain disabilities; ESRD, & ALS so she will be
eligible for Medicare.
Mrs. Chen will be 65 soon, has been a citizen for 12 years,
has been employed full-time, & paid taxes during the
entire period. She is concerned that she will not qualify for
coverage under Part A because she was not born in the
U.S. what should you tell her? - Answer-Most people who
are citizens & age 65 and older are covered under Part A
by virtue of having paid Medicare taxes while working,
though some may be covered as a result of paying
monthly premiums.
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Mr. Patel is in good health and is preparing a budget in
anticipation of his retirement when he turns 66. He wants
to understand the healthcare costs he might be exposed
under Medicare if he were to require hospitalization as a
result of an illness. What could you tell him about his costs
for inpatient hospital services under OG Medicare? -
Answer-Under OG Medicare, there is a single deductible
amount due for the first 60 days of any inpatient hospital
stay, after which it converts into a per-day coinsurance
amount through day 90. After day 90, he would pay a daily
amount up to 60 days over his lifetime, after which he
would be responsible for all costs.
Mrs. Park is an elderly retiree and has a low fixed income.
Would could you tell Mrs. Park that may help her? -
Answer-She could contact her state Medicaid to see if she
qualifies for one of several programs that can help with
Medicare costs for which she is responsible.
Mr. Schmidt would like to plan for retirement and has
asked you what is covered under OG Medicare? What
would you tell him? - Answer-Part A covers hospital, SNF,
hospice, & home health services & Part B, which covers
professional services such as those provided by a doctor
are covered under OG Medicare
AHIP FRAUD WASTE AND ABUSE EXAM NEWEST
2025/ 2026 ACTUAL EXAM COMPLETE QUESTIONS
AND 100% CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED
A+||LATEST EXAM!!!
Ms. Moore plans to retire when she turns 65 in a few
months. She is in excellent health and will have
considerable income when she retires. She is concerned
that her income will make it impossible for her to qualify for
Medicare. What could you tell her? - Answer-Medicare is a
program for people age 65 or older & those age under 65
with certain disabilities; ESRD, & ALS so she will be
eligible for Medicare.
Mrs. Chen will be 65 soon, has been a citizen for 12 years,
has been employed full-time, & paid taxes during the
entire period. She is concerned that she will not qualify for
coverage under Part A because she was not born in the
U.S. what should you tell her? - Answer-Most people who
are citizens & age 65 and older are covered under Part A
by virtue of having paid Medicare taxes while working,
though some may be covered as a result of paying
monthly premiums.
, 2|Page
Mr. Patel is in good health and is preparing a budget in
anticipation of his retirement when he turns 66. He wants
to understand the healthcare costs he might be exposed
under Medicare if he were to require hospitalization as a
result of an illness. What could you tell him about his costs
for inpatient hospital services under OG Medicare? -
Answer-Under OG Medicare, there is a single deductible
amount due for the first 60 days of any inpatient hospital
stay, after which it converts into a per-day coinsurance
amount through day 90. After day 90, he would pay a daily
amount up to 60 days over his lifetime, after which he
would be responsible for all costs.
Mrs. Park is an elderly retiree and has a low fixed income.
Would could you tell Mrs. Park that may help her? -
Answer-She could contact her state Medicaid to see if she
qualifies for one of several programs that can help with
Medicare costs for which she is responsible.
Mr. Schmidt would like to plan for retirement and has
asked you what is covered under OG Medicare? What
would you tell him? - Answer-Part A covers hospital, SNF,
hospice, & home health services & Part B, which covers
professional services such as those provided by a doctor
are covered under OG Medicare
