AHIP Certification – AHIP 2026/2027 Final Exam
Preparation, A+ Certified Practice Exam with
Verified Answers for Medicare Compliance
Mr., Moy’s, wife ,has ,a ,Medicare ,Advantage ,plan, ,but ,he ,wants ,to
,understand ,what coverage ,Medicare ,Supplemental ,Insurance ,provides ,since
,his ,health ,care ,needs ,are,different ,from ,his ,wife's ,needs. ,What ,could ,you
,tell ,Mr. ,Moy?correct ,answersMedicare,Supplemental ,Insurance ,would ,help
,cover ,his ,Part ,A ,and ,Part ,B ,deductibles ,or coinsurance ,in ,Original ,Fee-for-
Service ,(FFS) ,Medicare ,as ,well ,as ,possibly ,some services ,that ,Medicare
,does ,not ,cover.
Mrs. ,Peňa ,is ,66 ,years ,old, ,has ,coverage ,under ,an ,employer ,plan, ,and ,will
,retire ,next year. ,She ,heard ,she ,must ,enroll ,in ,Part ,B ,at ,the ,beginning ,of
,the ,year ,to ,ensure ,no ,gap,in ,coverage. ,What ,can ,you ,tell ,her?correct
,answersShe ,may ,enroll ,at ,any ,time ,while ,she ,is ,covered ,under ,her
,employer ,plan, ,but ,she ,will ,have ,a ,special ,eight-month enrollment ,period
,after ,the ,last ,month ,on ,her ,employer ,plan ,that ,differs ,from ,the ,standard
,general ,enrollment ,period, ,during ,which ,she ,may ,enroll ,in ,Medicare ,Part
,B.
Mrs. ,Chen ,will ,be ,65 ,soon, ,has ,been ,a ,citizen ,for ,twelve ,years, ,has ,been
,employed ,full time, ,and ,paid ,taxes ,during ,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?correct
,answersMost ,individuals ,who ,are ,citizens ,and ,age ,65 ,or ,over ,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.
AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
,AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
Mrs. ,Gonzalez ,is ,enrolled ,in ,Original ,Medicare ,and ,has ,a ,Medigap ,policy
,as ,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?correct ,answersMrs.
,Gonzalez ,cannot ,purchase ,a ,Medigap ,plan ,that ,covers ,drugs,,but ,she ,could
,keep ,her ,Medigap ,policy ,and ,enroll ,in ,a ,Part ,D ,prescription ,drug ,plan.
Mrs. ,West ,wears ,glasses ,and ,dentures ,and ,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?correct ,answersMedicare does ,not ,cover ,massage ,therapy, ,or,
,in ,general, ,glasses ,or ,dentures.
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 ,health ,care ,costs
,he ,might ,be ,exposed ,to,under ,Medicare ,if ,he ,were ,to ,require ,hospitalization
,as ,a ,result ,of ,an ,illness. ,In ,general terms, ,what ,could ,you ,tell ,him ,about
,his ,costs ,for ,inpatient ,hospital ,services
under ,Original ,Medicare?correct ,answersUnder ,Original ,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.
Ms. ,Henderson ,believes ,that ,she ,will ,qualify ,for ,Medicare ,Coverage ,when
,she ,turns ,65, ,without ,paying ,any ,premiums, ,because ,she ,has ,been ,working
AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
,AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
,for ,40 ,years ,and ,paying ,Medicare ,taxes. ,What ,should ,you ,tell ,her?correct
,answersTo ,obtain ,Part ,B ,coverage, she ,must ,pay ,a ,standard ,monthly
,premium, ,though ,it ,is ,higher ,for ,individuals ,with ,higher,incomes.
Mr. ,Alonso ,receives ,some ,help ,paying ,for ,his ,two ,generic ,prescription
,drugs ,from ,his 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 ,MedicarePart
,D ,prescription ,drug ,plan. ,What ,should ,you ,tell ,him?correct,answers ,He
,generally ,would ,pay ,a ,monthly ,premium, ,annual ,deductible, ,and ,per-
prescription ,cost-sharing.
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 Medicare. ,What ,should ,you ,tell ,him?correct
,answersHe ,may ,sign-up ,for ,Medicare ,at any ,time ,however ,coverage
,usually ,begins ,on ,the ,fourth ,month ,after ,dialysis ,treatments start.
Juan ,Perez, ,who ,is ,turning ,age ,65 ,next ,month, ,intends ,to ,work ,for ,several
,more ,years ,at,Smallcap, ,Incorporated. ,Smallcap ,has ,a ,workforce ,of15
,employees ,and ,offers
employer-sponsored ,healthcare ,coverage. ,Juan ,is ,a ,naturalized ,citizen ,and
,has contributed ,to ,the ,Medicare ,system ,for ,over ,20 ,years. ,Juan ,asks ,you
,if ,he ,will ,be entitled ,to ,Medicare ,and ,if ,he ,enrolls ,how ,that ,will ,impact
,his ,employer-sponsored healthcare ,coverage. ,How ,would ,you
,respond?correct ,answersJuan ,is ,likely ,to ,be eligible ,for ,Medicare ,once ,he
,turns ,age ,65 ,and ,if ,he ,enrolls ,Medicare ,would ,become ,the,primary ,payor
AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
, AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
,of ,his ,healthcare ,claims ,and ,Smallcap ,does ,not ,have ,to ,continue ,to ,offer
him ,coverage ,comparable ,to ,those ,under ,age ,65 ,under ,its ,employer-
sponsored ,group ,health ,plan.
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 ,to ,address,her ,concern?correct
,answersMedicare ,is ,a ,program ,for ,people ,age ,65 ,or ,older ,and those ,under
,age ,65 ,with ,certain ,disabilities, ,end-stage ,renal ,disease, ,and ,Lou ,Gehrig's
disease ,so ,she ,will ,be ,eligible ,for ,Medicare.
Mr. ,Xi ,will ,soon ,turn ,age ,65 ,and ,has ,come ,to ,you ,for ,advice ,as ,to ,what
,services ,are provided ,under ,Original ,Medicare. ,What ,should ,you ,tell ,Mr.
,Xi ,that ,best ,describes ,the health ,coverage ,provided ,to ,Medicare
,beneficiaries?correct ,answersBeneficiaries ,under,Original ,Medicare ,have ,no
,cost-sharing ,for ,most ,preventive ,services ,which ,include immunizations ,such
,as ,annual ,flu ,shots.
AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
Preparation, A+ Certified Practice Exam with
Verified Answers for Medicare Compliance
Mr., Moy’s, wife ,has ,a ,Medicare ,Advantage ,plan, ,but ,he ,wants ,to
,understand ,what coverage ,Medicare ,Supplemental ,Insurance ,provides ,since
,his ,health ,care ,needs ,are,different ,from ,his ,wife's ,needs. ,What ,could ,you
,tell ,Mr. ,Moy?correct ,answersMedicare,Supplemental ,Insurance ,would ,help
,cover ,his ,Part ,A ,and ,Part ,B ,deductibles ,or coinsurance ,in ,Original ,Fee-for-
Service ,(FFS) ,Medicare ,as ,well ,as ,possibly ,some services ,that ,Medicare
,does ,not ,cover.
Mrs. ,Peňa ,is ,66 ,years ,old, ,has ,coverage ,under ,an ,employer ,plan, ,and ,will
,retire ,next year. ,She ,heard ,she ,must ,enroll ,in ,Part ,B ,at ,the ,beginning ,of
,the ,year ,to ,ensure ,no ,gap,in ,coverage. ,What ,can ,you ,tell ,her?correct
,answersShe ,may ,enroll ,at ,any ,time ,while ,she ,is ,covered ,under ,her
,employer ,plan, ,but ,she ,will ,have ,a ,special ,eight-month enrollment ,period
,after ,the ,last ,month ,on ,her ,employer ,plan ,that ,differs ,from ,the ,standard
,general ,enrollment ,period, ,during ,which ,she ,may ,enroll ,in ,Medicare ,Part
,B.
Mrs. ,Chen ,will ,be ,65 ,soon, ,has ,been ,a ,citizen ,for ,twelve ,years, ,has ,been
,employed ,full time, ,and ,paid ,taxes ,during ,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?correct
,answersMost ,individuals ,who ,are ,citizens ,and ,age ,65 ,or ,over ,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.
AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
,AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
Mrs. ,Gonzalez ,is ,enrolled ,in ,Original ,Medicare ,and ,has ,a ,Medigap ,policy
,as ,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?correct ,answersMrs.
,Gonzalez ,cannot ,purchase ,a ,Medigap ,plan ,that ,covers ,drugs,,but ,she ,could
,keep ,her ,Medigap ,policy ,and ,enroll ,in ,a ,Part ,D ,prescription ,drug ,plan.
Mrs. ,West ,wears ,glasses ,and ,dentures ,and ,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?correct ,answersMedicare does ,not ,cover ,massage ,therapy, ,or,
,in ,general, ,glasses ,or ,dentures.
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 ,health ,care ,costs
,he ,might ,be ,exposed ,to,under ,Medicare ,if ,he ,were ,to ,require ,hospitalization
,as ,a ,result ,of ,an ,illness. ,In ,general terms, ,what ,could ,you ,tell ,him ,about
,his ,costs ,for ,inpatient ,hospital ,services
under ,Original ,Medicare?correct ,answersUnder ,Original ,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.
Ms. ,Henderson ,believes ,that ,she ,will ,qualify ,for ,Medicare ,Coverage ,when
,she ,turns ,65, ,without ,paying ,any ,premiums, ,because ,she ,has ,been ,working
AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
,AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
,for ,40 ,years ,and ,paying ,Medicare ,taxes. ,What ,should ,you ,tell ,her?correct
,answersTo ,obtain ,Part ,B ,coverage, she ,must ,pay ,a ,standard ,monthly
,premium, ,though ,it ,is ,higher ,for ,individuals ,with ,higher,incomes.
Mr. ,Alonso ,receives ,some ,help ,paying ,for ,his ,two ,generic ,prescription
,drugs ,from ,his 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 ,MedicarePart
,D ,prescription ,drug ,plan. ,What ,should ,you ,tell ,him?correct,answers ,He
,generally ,would ,pay ,a ,monthly ,premium, ,annual ,deductible, ,and ,per-
prescription ,cost-sharing.
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 Medicare. ,What ,should ,you ,tell ,him?correct
,answersHe ,may ,sign-up ,for ,Medicare ,at any ,time ,however ,coverage
,usually ,begins ,on ,the ,fourth ,month ,after ,dialysis ,treatments start.
Juan ,Perez, ,who ,is ,turning ,age ,65 ,next ,month, ,intends ,to ,work ,for ,several
,more ,years ,at,Smallcap, ,Incorporated. ,Smallcap ,has ,a ,workforce ,of15
,employees ,and ,offers
employer-sponsored ,healthcare ,coverage. ,Juan ,is ,a ,naturalized ,citizen ,and
,has contributed ,to ,the ,Medicare ,system ,for ,over ,20 ,years. ,Juan ,asks ,you
,if ,he ,will ,be entitled ,to ,Medicare ,and ,if ,he ,enrolls ,how ,that ,will ,impact
,his ,employer-sponsored healthcare ,coverage. ,How ,would ,you
,respond?correct ,answersJuan ,is ,likely ,to ,be eligible ,for ,Medicare ,once ,he
,turns ,age ,65 ,and ,if ,he ,enrolls ,Medicare ,would ,become ,the,primary ,payor
AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
, AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
,of ,his ,healthcare ,claims ,and ,Smallcap ,does ,not ,have ,to ,continue ,to ,offer
him ,coverage ,comparable ,to ,those ,under ,age ,65 ,under ,its ,employer-
sponsored ,group ,health ,plan.
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 ,to ,address,her ,concern?correct
,answersMedicare ,is ,a ,program ,for ,people ,age ,65 ,or ,older ,and those ,under
,age ,65 ,with ,certain ,disabilities, ,end-stage ,renal ,disease, ,and ,Lou ,Gehrig's
disease ,so ,she ,will ,be ,eligible ,for ,Medicare.
Mr. ,Xi ,will ,soon ,turn ,age ,65 ,and ,has ,come ,to ,you ,for ,advice ,as ,to ,what
,services ,are provided ,under ,Original ,Medicare. ,What ,should ,you ,tell ,Mr.
,Xi ,that ,best ,describes ,the health ,coverage ,provided ,to ,Medicare
,beneficiaries?correct ,answersBeneficiaries ,under,Original ,Medicare ,have ,no
,cost-sharing ,for ,most ,preventive ,services ,which ,include immunizations ,such
,as ,annual ,flu ,shots.
AHIP Final Exam Test Questions and Answers
(2022/2023) Rated A+ Answers Correct/Verified
