AHIP EXAM / AHIP 2026 FINAL EXAM / LATEST AHIP FINAL EXAM
COMPLETE ACCURATE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% CORRECT VERIFIED SOLUTIONS) NEWEST
UPDATED VERSIONN|GUARANTEED SUCCESS (BRAND NEW!!)
APPROVED AHIP FINAL EXAM 2026
Ms. Ramos is enrolled in a Medicare Advantage plan that includes
prescription drug plan (PDP) coverage. She is traveling and wishes to
fill two of the prescriptions that she has lost. How would you advise her?
Answer- She may fill prescriptions for covered drugs at non-network
pharmacies, but likely at a higher cost than paid at an in-network
pharmacy.
What types of tools can Medicare Part D prescription drug plans use that
affect the way their enrollees can access medications?
Answer- Part D plans do not have to cover all medications. As a result,
their formularies, or lists of covered drugs, will vary from plan to plan.
In addition, they can use cost containment techniques such as tiered co-
payments and step therapy.
Mrs. Esmeralda Avila is a Medicare beneficiary enrolled in a MA-PD
plan you represent. Her neighbor recently suffered from a painful case of
shingles. Mrs. Avila hopes to avoid such an illness through vaccination.
She asks you whether the cost of the shingles vaccination will be
covered under the plan you represent. What should you say?
Answer- Yes, there is no cost sharing for the shingles vaccine even in
the deductible phase of her prescription drug plan because it is an adult
vaccine recommended by the Advisory Committee on Immunization
Practices (AICP).
,Mrs. Strickland is a new Medicare beneficiary who has just retired from
retail work. She is interested in selecting a Medicare Part D prescription
drug plan. She takes several medications and is concerned that she has
not been able to identify a plan that covers all of her medications. She
does not want to make an abrupt change to new drugs that would be
covered and asks what she should do. What should you tell her?
Answer- Every Part D drug plan is required to cover a single one-month
fill of her existing medications sometime during a 90-day transition
period.
Mrs. Nguyen is a retired federal worker with coverage under a Federal
Employee Health Benefits (FEHB) plan that includes creditable drug
coverage. She is ready to turn 65 and become Medicare eligible for the
first time. What issues might she consider about whether to enroll in a
Medicare prescription drug plan?
Answer- She could compare the coverage to see if the Medicare Part D
plan offers better benefits and coverage than the FEHB plan for the
specific medications she needs and whether any additional benefits are
worth the Part D premium costs on top of her FEHB contribution.
Mr. Sutton has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal from
his savings account until it is exhausted, and then have his premiums
withheld from his Social Security check. What should you tell him?
, Answer- In general, he must select a single Part D premium payment
mechanism that will be used throughout the year.
Stephanie King becomes eligible for Medicare for the first time in July.
With the help of Agent James Chan, she enrolls in Feel Better Medicare
Advantage plan with an effective date of July 1st. Which statement best
describes how Agent Chan may be compensated under CMS rules?
Answer- Feel Better will pay Agent Chan initial year compensation for
July through December. The renewal amounts will be paid starting in
January if Ms. King remains enrolled the following year.
Mr. Lynn, an agent for Acme Insurance, Inc. thinks that, since state laws
are preempted concerning the marketing of Medicare health plans, he
doesn't have much to worry about. What might you, as his colleague,
advise him concerning the type of scrutiny he will be under?
Answer- Organizations sponsoring Medicare health plans are
responsible for the behavior of their contracted representatives and will
be conducting monitoring activities to ensure compliance with all
applicable federal law and guidance and plan policies. Furthermore, state
agent licensure laws are not preempted and he must abide by their
requirements.
Stefan Marsh is a newly appointed agent. Stefan intends to conduct an
educational session on Medicare at a senior citizen’s center near his
COMPLETE ACCURATE QUESTIONS AND CORRECT DETAILED
ANSWERS (100% CORRECT VERIFIED SOLUTIONS) NEWEST
UPDATED VERSIONN|GUARANTEED SUCCESS (BRAND NEW!!)
APPROVED AHIP FINAL EXAM 2026
Ms. Ramos is enrolled in a Medicare Advantage plan that includes
prescription drug plan (PDP) coverage. She is traveling and wishes to
fill two of the prescriptions that she has lost. How would you advise her?
Answer- She may fill prescriptions for covered drugs at non-network
pharmacies, but likely at a higher cost than paid at an in-network
pharmacy.
What types of tools can Medicare Part D prescription drug plans use that
affect the way their enrollees can access medications?
Answer- Part D plans do not have to cover all medications. As a result,
their formularies, or lists of covered drugs, will vary from plan to plan.
In addition, they can use cost containment techniques such as tiered co-
payments and step therapy.
Mrs. Esmeralda Avila is a Medicare beneficiary enrolled in a MA-PD
plan you represent. Her neighbor recently suffered from a painful case of
shingles. Mrs. Avila hopes to avoid such an illness through vaccination.
She asks you whether the cost of the shingles vaccination will be
covered under the plan you represent. What should you say?
Answer- Yes, there is no cost sharing for the shingles vaccine even in
the deductible phase of her prescription drug plan because it is an adult
vaccine recommended by the Advisory Committee on Immunization
Practices (AICP).
,Mrs. Strickland is a new Medicare beneficiary who has just retired from
retail work. She is interested in selecting a Medicare Part D prescription
drug plan. She takes several medications and is concerned that she has
not been able to identify a plan that covers all of her medications. She
does not want to make an abrupt change to new drugs that would be
covered and asks what she should do. What should you tell her?
Answer- Every Part D drug plan is required to cover a single one-month
fill of her existing medications sometime during a 90-day transition
period.
Mrs. Nguyen is a retired federal worker with coverage under a Federal
Employee Health Benefits (FEHB) plan that includes creditable drug
coverage. She is ready to turn 65 and become Medicare eligible for the
first time. What issues might she consider about whether to enroll in a
Medicare prescription drug plan?
Answer- She could compare the coverage to see if the Medicare Part D
plan offers better benefits and coverage than the FEHB plan for the
specific medications she needs and whether any additional benefits are
worth the Part D premium costs on top of her FEHB contribution.
Mr. Sutton has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal from
his savings account until it is exhausted, and then have his premiums
withheld from his Social Security check. What should you tell him?
, Answer- In general, he must select a single Part D premium payment
mechanism that will be used throughout the year.
Stephanie King becomes eligible for Medicare for the first time in July.
With the help of Agent James Chan, she enrolls in Feel Better Medicare
Advantage plan with an effective date of July 1st. Which statement best
describes how Agent Chan may be compensated under CMS rules?
Answer- Feel Better will pay Agent Chan initial year compensation for
July through December. The renewal amounts will be paid starting in
January if Ms. King remains enrolled the following year.
Mr. Lynn, an agent for Acme Insurance, Inc. thinks that, since state laws
are preempted concerning the marketing of Medicare health plans, he
doesn't have much to worry about. What might you, as his colleague,
advise him concerning the type of scrutiny he will be under?
Answer- Organizations sponsoring Medicare health plans are
responsible for the behavior of their contracted representatives and will
be conducting monitoring activities to ensure compliance with all
applicable federal law and guidance and plan policies. Furthermore, state
agent licensure laws are not preempted and he must abide by their
requirements.
Stefan Marsh is a newly appointed agent. Stefan intends to conduct an
educational session on Medicare at a senior citizen’s center near his
