AHIP 2026 Module 1, mod 2, mod 3,
mod 4 & Module 5 | Newest Actual
Exam Questions and Correct
Answers (Verified Solutions) A
Grade
This 2026 AHIP Medicare Training exam is the industry standard for agents and brokers
who wish to sell Medicare Advantage (MA) and Prescription Drug Plans (PDP). The exam
specifically assesses knowledge from the first five modules of the training course.
Module Descriptions (1–5)
The exam covers core topics essential for compliant Medicare sales:
• Module 1: Medicare Basics: Covers Parts A and B, including eligibility, enrollment
periods, and what is covered under Original Medicare.
• Module 2: Medicare Advantage (Part C): Focuses on private health plan options,
coverage rules, and how they interact with Original Medicare.
• Module 3: Medicare Prescription Drug Coverage (Part D): Details the standalone
PDP and MA-PD plans, benefit phases (e.g., the "donut hole"), and eligibility.
• Module 4: Medicare & Medicaid (Dual Eligibles): Explores programs for those
with both Medicare and Medicaid, including Special Needs Plans (SNPs).
• Module 5: Compliance and Marketing Rules: Outlines CMS regulations for
marketing practices, agent conduct, and consumer protections. (Ultimate Guide
for YR. 2026/2027)
Policy: The exam is open-book, allowing you to reference your notes or the
training modules while testing.
1
, Quiz_________________?
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? -
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.
Quiz_________________?
Mrs. Cook is an elderly retiree. Mrs. Cook has a low fixed
income. What could you tell Mrs. Cook that might be of
assistance? -
Answer
She should contact her state Medicaid agency to see if she
qualifies for one of the several programs that can help with
Medicare costs for which she is responsible.
Quiz_________________?
2
, Mr. Moy will soon turn age 65. He is slightly younger than his
wife. 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? -
Answer
Medicare supplemental insurance would help cover his Part A
deductible and Part B coinsurance or copayments in Original
Fee-for-Service (FFS) Medicare as well as possibly some
services that Medicare does not cover
Quiz_________________?
Mr. Vasquez 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 is he were to require hospitalization because of an
illness. In general terms, what could you tell him about his costs
for inpatient hospital services under Original Medicare? -
Answer
Under 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
3
, days over his lifetime, after which he would be responsible for
all costs
Quiz_________________?
Mr. Wu is eligible for Medicare. He has limited financial
resources but failed to qualify for the Part D low-income
subsidy. Where might he turn for help with his prescription
drug costs? -
Answer
Mr. Wu may still qualify for help in paying Part D costs through
his State Pharmaceutical Assistance program (SPAP)
Quiz_________________?
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? -
Answer
To obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher income
4
mod 4 & Module 5 | Newest Actual
Exam Questions and Correct
Answers (Verified Solutions) A
Grade
This 2026 AHIP Medicare Training exam is the industry standard for agents and brokers
who wish to sell Medicare Advantage (MA) and Prescription Drug Plans (PDP). The exam
specifically assesses knowledge from the first five modules of the training course.
Module Descriptions (1–5)
The exam covers core topics essential for compliant Medicare sales:
• Module 1: Medicare Basics: Covers Parts A and B, including eligibility, enrollment
periods, and what is covered under Original Medicare.
• Module 2: Medicare Advantage (Part C): Focuses on private health plan options,
coverage rules, and how they interact with Original Medicare.
• Module 3: Medicare Prescription Drug Coverage (Part D): Details the standalone
PDP and MA-PD plans, benefit phases (e.g., the "donut hole"), and eligibility.
• Module 4: Medicare & Medicaid (Dual Eligibles): Explores programs for those
with both Medicare and Medicaid, including Special Needs Plans (SNPs).
• Module 5: Compliance and Marketing Rules: Outlines CMS regulations for
marketing practices, agent conduct, and consumer protections. (Ultimate Guide
for YR. 2026/2027)
Policy: The exam is open-book, allowing you to reference your notes or the
training modules while testing.
1
, Quiz_________________?
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? -
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.
Quiz_________________?
Mrs. Cook is an elderly retiree. Mrs. Cook has a low fixed
income. What could you tell Mrs. Cook that might be of
assistance? -
Answer
She should contact her state Medicaid agency to see if she
qualifies for one of the several programs that can help with
Medicare costs for which she is responsible.
Quiz_________________?
2
, Mr. Moy will soon turn age 65. He is slightly younger than his
wife. 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? -
Answer
Medicare supplemental insurance would help cover his Part A
deductible and Part B coinsurance or copayments in Original
Fee-for-Service (FFS) Medicare as well as possibly some
services that Medicare does not cover
Quiz_________________?
Mr. Vasquez 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 is he were to require hospitalization because of an
illness. In general terms, what could you tell him about his costs
for inpatient hospital services under Original Medicare? -
Answer
Under 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
3
, days over his lifetime, after which he would be responsible for
all costs
Quiz_________________?
Mr. Wu is eligible for Medicare. He has limited financial
resources but failed to qualify for the Part D low-income
subsidy. Where might he turn for help with his prescription
drug costs? -
Answer
Mr. Wu may still qualify for help in paying Part D costs through
his State Pharmaceutical Assistance program (SPAP)
Quiz_________________?
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? -
Answer
To obtain Part B coverage, she must pay a standard monthly
premium, though it is higher for individuals with higher income
4
