AHIP STUDY GUIDE WITH MODULE 1 TO MODULE
5 WITH PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS CURRENTLY TESTED AND
APPROVED!!! 2025/2026 NEW UPDATE
Module 1
1. Mr. Schmidt would like to plan for retirement and has asked you
what is covered under Original Fee-for-Service (FFS) Medicare?
What could you tell him?
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.
2. 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?
Medicare does not cover massage therapy, or, in general, glasses
or dentures.
Page 1 of 40
,3. 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 Medicare Part D prescription drug plan. What should you tell
him?
He generally would pay a monthly premium, annual deductible,
and per-prescription cost- sharing.
4. Mrs. Peña 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?
She 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.
5. 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?
Page 2 of 40
, Mrs. 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.
6. 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?
He may sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis treatments start.
7. Ms. Henderson believes that she will qualify for Medicare
Coverage when she turns 65, without paying any premiums, because
she has been working for 40 years and paying Medicare taxes. What
should you tell her?
To obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher incomes.
8. Mr. Capadona would like to purchase a Medicare Advantage
(MA) plan and a Medigap plan to pick up costs not covered by that
plan. What should you tell him?
Page 3 of 40
, It is illegal for you to sell Mr. Capadona a Medigap plan if
he is enrolled in an MA plan, and besides, Medigap only works with
Original Medicare.
9. Mr. Rainey is experiencing paranoid delusions and his physician
feels that he 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?
Medicare will cover a total of 190 days of inpatient psychiatric
care during Mr. Rainey’s entire lifetime.
10. 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?
Medicare 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.
11. 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
Page 4 of 40
5 WITH PRACTICE EXAM QUESTIONS WITH
CORRECT ANSWERS CURRENTLY TESTED AND
APPROVED!!! 2025/2026 NEW UPDATE
Module 1
1. Mr. Schmidt would like to plan for retirement and has asked you
what is covered under Original Fee-for-Service (FFS) Medicare?
What could you tell him?
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.
2. 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?
Medicare does not cover massage therapy, or, in general, glasses
or dentures.
Page 1 of 40
,3. 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 Medicare Part D prescription drug plan. What should you tell
him?
He generally would pay a monthly premium, annual deductible,
and per-prescription cost- sharing.
4. Mrs. Peña 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?
She 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.
5. 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?
Page 2 of 40
, Mrs. 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.
6. 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?
He may sign-up for Medicare at any time however coverage
usually begins on the fourth month after dialysis treatments start.
7. Ms. Henderson believes that she will qualify for Medicare
Coverage when she turns 65, without paying any premiums, because
she has been working for 40 years and paying Medicare taxes. What
should you tell her?
To obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher incomes.
8. Mr. Capadona would like to purchase a Medicare Advantage
(MA) plan and a Medigap plan to pick up costs not covered by that
plan. What should you tell him?
Page 3 of 40
, It is illegal for you to sell Mr. Capadona a Medigap plan if
he is enrolled in an MA plan, and besides, Medigap only works with
Original Medicare.
9. Mr. Rainey is experiencing paranoid delusions and his physician
feels that he 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?
Medicare will cover a total of 190 days of inpatient psychiatric
care during Mr. Rainey’s entire lifetime.
10. 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?
Medicare 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.
11. 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
Page 4 of 40
