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AHIP Final Exam Version 1 Newest 2025/2026 Exam
Complete Questions And 100%Correct Detailed
Answers |Already Graded A+|
Mr. Diaz continued working with his company and was
insured under his employer's group plan until he reached
age 68. He has heard that there is a premium penalty for
those who did not sign up for Part B when first eligible and
wants to know how much he will have to pay. What should
you tell him? - ANSWER-Mr. Diaz will not pay any penalty
because he had continuous coverage under his
employer's plan.
Mr. Davis is 52 years old and has recently been diagnosed
with end-stage renal disease (ESRD) and will soon begin
dialysis. He is wondering if he can obtain coverage under
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Medicare. What should you tell him? - ANSWER-He may
sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis
treatments start.
Mr. Singh would like drug coverage but does not want to
be enrolled in a Medicare Advantage plan. What should
you tell him? - ANSWER-Mr. Singh can enroll in a stand-
alone prescription drug plan and continue to be covered
for Part A and Part B services through Original Fee-for-
Service Medicare.
Mrs. Geisler's neighbor told her she should look at her
Part D options during the annual Medicare enrollment
period because features of Part D might have changed.
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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? - ANSWER-Part D covers prescription
drugs and she should look at her premiums, formulary,
and cost-sharing among other factors to see if they have
changed.
Mrs. Turner is comparing her employer's 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? -
ANSWER-Original Medicare covers ambulance services.
Mr. Schmidt would like to plan for retirement and has
asked you what is covered under Original Fee-for-Service
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(FFS) Medicare? What could you tell him? - ANSWER-
Part A, which covers hospital, skilled nursing facility,
hospice, and home health services and Part B, which
covers professional services such as those provided by a
doctor are covered under Original Medicare.
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 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? - ANSWER-Medicare will cover
Mrs. Shield's skilled nursing services provided during the
AHIP Final Exam Version 1 Newest 2025/2026 Exam
Complete Questions And 100%Correct Detailed
Answers |Already Graded A+|
Mr. Diaz continued working with his company and was
insured under his employer's group plan until he reached
age 68. He has heard that there is a premium penalty for
those who did not sign up for Part B when first eligible and
wants to know how much he will have to pay. What should
you tell him? - ANSWER-Mr. Diaz will not pay any penalty
because he had continuous coverage under his
employer's plan.
Mr. Davis is 52 years old and has recently been diagnosed
with end-stage renal disease (ESRD) and will soon begin
dialysis. He is wondering if he can obtain coverage under
,2|Page
Medicare. What should you tell him? - ANSWER-He may
sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis
treatments start.
Mr. Singh would like drug coverage but does not want to
be enrolled in a Medicare Advantage plan. What should
you tell him? - ANSWER-Mr. Singh can enroll in a stand-
alone prescription drug plan and continue to be covered
for Part A and Part B services through Original Fee-for-
Service Medicare.
Mrs. Geisler's neighbor told her she should look at her
Part D options during the annual Medicare enrollment
period because features of Part D might have changed.
,3|Page
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? - ANSWER-Part D covers prescription
drugs and she should look at her premiums, formulary,
and cost-sharing among other factors to see if they have
changed.
Mrs. Turner is comparing her employer's 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? -
ANSWER-Original Medicare covers ambulance services.
Mr. Schmidt would like to plan for retirement and has
asked you what is covered under Original Fee-for-Service
, 4|Page
(FFS) Medicare? What could you tell him? - ANSWER-
Part A, which covers hospital, skilled nursing facility,
hospice, and home health services and Part B, which
covers professional services such as those provided by a
doctor are covered under Original Medicare.
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 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? - ANSWER-Medicare will cover
Mrs. Shield's skilled nursing services provided during the
