,
2026 AHIP
MODULES 1-5 EXAM
Actual Questions and Answers
What’s Inside?
,
Actual,AHIP,2026,Module,1–
5,Exam,questions,with,verified,and,correct,
answers
Covers,all,five,official,AHIP,course,modules
,,including:
1. Medicare,Basics,
2. Medicare,Advantage,(Part,C),
3. Medicare,Part,D,Prescription,Coverage,
4. Marketing,&,Enrollment,Guidelines,
5. Fraud,,Waste,,and,Abuse,(FWA),Prevention,
All,answers,have,been,verified,by,industry,experts,for,accura
cy
Exam,questions,formatted,to,mirror,the,actual,AHIP,online,te
sting,interface
,Table of Contents
, ,
2026,AHIP,Module,1 ............................................ 3
2026,AHIP,Module,2 .......................................... 21
2026,AHIP,Module,3 .......................................... 38
2026,AHIP,Module,4 .......................................... 53
2026,AHIP,Module,5 .......................................... 67
, 2026 AHIP Module 1
, , ,
**1.,Mr.,Capadona,would,like,to,purchase,a,Medicare,Advantage,(MA),pla
n,and,a,Medigap,plan,to,pick,up,costs,not,covered,by,that,plan.,What,sho
uld,you,tell,him?**
A),You,can,sell,him,a,Medigap,plan,to,help,with,costs,not,covered,under,Medic
are,Advantage.,,
B),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.,,
C),Medigap,plans,are,designed,to,work,alongside,Medicare,Advantage,plans.,
,
D),He,must,disenroll,from,his,MA,plan,before,buying,a,Medigap,plan.
**Correct,Answer:**,,
B),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.
**Expert,Rationale:**,,
Medigap,plans,are,supplemental,policies,that,fill,gaps,in,Original,Medicare,(Pa
rts,A,and,B),coverage.,Federal,law,prohibits,issuance,of,a,Medigap,policy,to,an
yone,currently,enrolled,in,a,Medicare,Advantage,plan;,Medigap,cannot,pay,co
sts,associated,with,MA.,This,ensures,coordination,of,benefits,and,prevents,du
plicate,coverage.
---
, **2.,Agent,John,Miller,is,meeting,with,Jerry,Smith,,a,new,prospect.,Jerry,i
s,currently,enrolled,in,Medicare,Parts,A,and,B.,Jerry,has,also,purchased,
a,Medicare,Supplement,(Medigap),plan,which,he,has,had,for,several,yea
rs.,However,,the,plan,does,not,provide,drug,benefits.,How,would,you,adv
ise,Agent,John,Miller,to,proceed?**
A),Advise,Jerry,to,switch,to,a,Medicare,Advantage,plan,for,drug,coverage.,,
B),Tell,prospect,Jerry,Smith,that,he,should,consider,adding,a,standalone,Part,
D,prescription,drug,coverage,policy,to,his,present,coverage.,,
C),Inform,Jerry,that,Medigap,automatically,covers,prescription,drugs.,,
D),Recommend,canceling,the,Medigap,plan.
**Correct,Answer:**,,
B),Tell,prospect,Jerry,Smith,that,he,should,consider,adding,a,standalone,Part,
D,prescription,drug,coverage,policy,to,his,present,coverage.
**Expert,Rationale:**,,
Medigap,plans,sold,after,2006,do,not,include,prescription,drug,coverage.,Ben
eficiaries,needing,drug,coverage,must,enroll,in,a,standalone,Medicare,Part,D,
plan.,This,allows,individuals,to,retain,their,Medigap,coverage,while,accessing,
necessary,medications,through,an,appropriate,channel.
---
**3.,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?**
2026 AHIP
MODULES 1-5 EXAM
Actual Questions and Answers
What’s Inside?
,
Actual,AHIP,2026,Module,1–
5,Exam,questions,with,verified,and,correct,
answers
Covers,all,five,official,AHIP,course,modules
,,including:
1. Medicare,Basics,
2. Medicare,Advantage,(Part,C),
3. Medicare,Part,D,Prescription,Coverage,
4. Marketing,&,Enrollment,Guidelines,
5. Fraud,,Waste,,and,Abuse,(FWA),Prevention,
All,answers,have,been,verified,by,industry,experts,for,accura
cy
Exam,questions,formatted,to,mirror,the,actual,AHIP,online,te
sting,interface
,Table of Contents
, ,
2026,AHIP,Module,1 ............................................ 3
2026,AHIP,Module,2 .......................................... 21
2026,AHIP,Module,3 .......................................... 38
2026,AHIP,Module,4 .......................................... 53
2026,AHIP,Module,5 .......................................... 67
, 2026 AHIP Module 1
, , ,
**1.,Mr.,Capadona,would,like,to,purchase,a,Medicare,Advantage,(MA),pla
n,and,a,Medigap,plan,to,pick,up,costs,not,covered,by,that,plan.,What,sho
uld,you,tell,him?**
A),You,can,sell,him,a,Medigap,plan,to,help,with,costs,not,covered,under,Medic
are,Advantage.,,
B),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.,,
C),Medigap,plans,are,designed,to,work,alongside,Medicare,Advantage,plans.,
,
D),He,must,disenroll,from,his,MA,plan,before,buying,a,Medigap,plan.
**Correct,Answer:**,,
B),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.
**Expert,Rationale:**,,
Medigap,plans,are,supplemental,policies,that,fill,gaps,in,Original,Medicare,(Pa
rts,A,and,B),coverage.,Federal,law,prohibits,issuance,of,a,Medigap,policy,to,an
yone,currently,enrolled,in,a,Medicare,Advantage,plan;,Medigap,cannot,pay,co
sts,associated,with,MA.,This,ensures,coordination,of,benefits,and,prevents,du
plicate,coverage.
---
, **2.,Agent,John,Miller,is,meeting,with,Jerry,Smith,,a,new,prospect.,Jerry,i
s,currently,enrolled,in,Medicare,Parts,A,and,B.,Jerry,has,also,purchased,
a,Medicare,Supplement,(Medigap),plan,which,he,has,had,for,several,yea
rs.,However,,the,plan,does,not,provide,drug,benefits.,How,would,you,adv
ise,Agent,John,Miller,to,proceed?**
A),Advise,Jerry,to,switch,to,a,Medicare,Advantage,plan,for,drug,coverage.,,
B),Tell,prospect,Jerry,Smith,that,he,should,consider,adding,a,standalone,Part,
D,prescription,drug,coverage,policy,to,his,present,coverage.,,
C),Inform,Jerry,that,Medigap,automatically,covers,prescription,drugs.,,
D),Recommend,canceling,the,Medigap,plan.
**Correct,Answer:**,,
B),Tell,prospect,Jerry,Smith,that,he,should,consider,adding,a,standalone,Part,
D,prescription,drug,coverage,policy,to,his,present,coverage.
**Expert,Rationale:**,,
Medigap,plans,sold,after,2006,do,not,include,prescription,drug,coverage.,Ben
eficiaries,needing,drug,coverage,must,enroll,in,a,standalone,Medicare,Part,D,
plan.,This,allows,individuals,to,retain,their,Medigap,coverage,while,accessing,
necessary,medications,through,an,appropriate,channel.
---
**3.,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?**
