Medicare Overview, Ahip
Certification Exam Study
Guide – Practice Questions
with Verified Answers.
GRADED A+. Latest
2026/2027 Update
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,Mrs. Turner is comparing her employer’s retiree insurance to Original Medicare and would like to know which
of the following services Original Medicare will cover if the appropriate criteria are met. What could you tell
her?
Question 1Answer
a.
Original Medicare covers cosmetic surgery.
b.
Original Medicare covers ambulance services.
Correct: Original Medicare does cover ambulance services.
c.
Original Medicare covers routine dental care.
d.
Original Medicare covers routine long-term custodial care.
Source: Slide – Other Part B Items and Services, Slide – Not Covered by Medicare Part A & B
Question 2
Correct
Mrs. Geisler’s neighbor told her she should look at her Part D options during the annual Medicare enrollment
period because the features of Part D might have changed. Mrs. Geisler can’t remember what Part D is so she
called you to ask what her neighbor was talking about. What could you tell her?
Question 2Answer
a.
Part D covers prescription drugs and she should look at her premiums, formulary, and cost-sharing among
other factors to see if they have changed.
Correct: Part D provides prescription drug coverage. Premiums, plan formularies, and cost-sharing, among
other factors, may change from one plan year to another.
b.
Part D covers physician and non-physician practitioner services and the deductible has not changed this year,
but the physician charges may go up.
c.
Part D covers long-term care services, and she should not worry because there has been no change in
coverage.
d.
Part D covers hospital and home health services and the cost-sharing has changed this year.
Source: Module 1, Slide - Original Medicare and Part D Prescription Drug Coverage
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,Question 3
Correct
What impact, if any, have recent regulatory changes had on Medigap plans?
Question 3Answer
a.
The Part A deductible is no longer covered for individuals newly eligible for Medicare starting January 1,
2020.
b.
The Part A deductible is no longer covered under Medigap plans for all enrollees starting January 1, 2020.
c.
The Part B deductible is now covered for some newly eligible individuals depending on their financial status.
d.
The Part B deductible is no longer covered for individuals newly eligible for Medicare starting January 1,
2020.
Correct: Starting January 1, 2020, Medigap plans sold to individuals who are newly eligible for Medicare are
no longer allowed to cover the Part B deductible. If an individual already had one of the plans before January
1, 2020, they can keep their plan. If an individual was eligible for Medicare before January 1, 2020, but not yet
enrolled, he or she may be able to purchase one of these plans.
Source: Module 1, Slide - Medigap Rules for Individuals who became Eligible for Medicare after December
31, 2019
Question 4
Correct
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?
Question 4Answer
a.
Most 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.
Correct: Most individuals who are citizens and age 65 or older may qualify for coverage either because they
pay a monthly premium or because they paid Medicare taxes while working for a specific duration.
b.
All individuals who are citizens and age 65 or over will be covered under Part A.
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, c.
Most individuals who are citizens and age 65 or over and are covered under Part A must pay a monthly
premium for that coverage.
d.
Most individuals who are citizens and age 65 or over and wish to be covered under Part A must enroll in a
Medicare Advantage Plan.
Source: Module 1, Slide - Eligibility for Part A & B Benefits and Slide - Medicare Premiums Part A
Question 5
Correct
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?
Question 5Answer
a.
Medicare covers glasses, but not dentures or massage therapy.
b.
Medicare does not cover massage therapy, or, in general, glasses or dentures.
Correct: Neither Medicare Part A nor Part B covers massage therapy, dentures, or routine eye examinations to
prescribe eyeglasses.
c.
Medicare covers 50% of the cost of these three services.
d.
Medicare covers 80% of the cost of these three services.
Source: Module 1, Slide – Not Covered by Medicare Part A & B
Question 6
Correct
Mrs. Quinn recently turned 66 and decided after many years of work to retire and begin receiving Social
Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her that she had been automatically
enrolled in Medicare Part B. She wants to understand what this means. What should you tell Mrs. Quinn?
Question 6Answer
a.
She will need to pay no premiums for Part B as she qualifies for premium-free coverage due to the number of
quarters she has worked.
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Certification Exam Study
Guide – Practice Questions
with Verified Answers.
GRADED A+. Latest
2026/2027 Update
messages.downloaded_by
,Mrs. Turner is comparing her employer’s retiree insurance to Original Medicare and would like to know which
of the following services Original Medicare will cover if the appropriate criteria are met. What could you tell
her?
Question 1Answer
a.
Original Medicare covers cosmetic surgery.
b.
Original Medicare covers ambulance services.
Correct: Original Medicare does cover ambulance services.
c.
Original Medicare covers routine dental care.
d.
Original Medicare covers routine long-term custodial care.
Source: Slide – Other Part B Items and Services, Slide – Not Covered by Medicare Part A & B
Question 2
Correct
Mrs. Geisler’s neighbor told her she should look at her Part D options during the annual Medicare enrollment
period because the features of Part D might have changed. Mrs. Geisler can’t remember what Part D is so she
called you to ask what her neighbor was talking about. What could you tell her?
Question 2Answer
a.
Part D covers prescription drugs and she should look at her premiums, formulary, and cost-sharing among
other factors to see if they have changed.
Correct: Part D provides prescription drug coverage. Premiums, plan formularies, and cost-sharing, among
other factors, may change from one plan year to another.
b.
Part D covers physician and non-physician practitioner services and the deductible has not changed this year,
but the physician charges may go up.
c.
Part D covers long-term care services, and she should not worry because there has been no change in
coverage.
d.
Part D covers hospital and home health services and the cost-sharing has changed this year.
Source: Module 1, Slide - Original Medicare and Part D Prescription Drug Coverage
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,Question 3
Correct
What impact, if any, have recent regulatory changes had on Medigap plans?
Question 3Answer
a.
The Part A deductible is no longer covered for individuals newly eligible for Medicare starting January 1,
2020.
b.
The Part A deductible is no longer covered under Medigap plans for all enrollees starting January 1, 2020.
c.
The Part B deductible is now covered for some newly eligible individuals depending on their financial status.
d.
The Part B deductible is no longer covered for individuals newly eligible for Medicare starting January 1,
2020.
Correct: Starting January 1, 2020, Medigap plans sold to individuals who are newly eligible for Medicare are
no longer allowed to cover the Part B deductible. If an individual already had one of the plans before January
1, 2020, they can keep their plan. If an individual was eligible for Medicare before January 1, 2020, but not yet
enrolled, he or she may be able to purchase one of these plans.
Source: Module 1, Slide - Medigap Rules for Individuals who became Eligible for Medicare after December
31, 2019
Question 4
Correct
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?
Question 4Answer
a.
Most 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.
Correct: Most individuals who are citizens and age 65 or older may qualify for coverage either because they
pay a monthly premium or because they paid Medicare taxes while working for a specific duration.
b.
All individuals who are citizens and age 65 or over will be covered under Part A.
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, c.
Most individuals who are citizens and age 65 or over and are covered under Part A must pay a monthly
premium for that coverage.
d.
Most individuals who are citizens and age 65 or over and wish to be covered under Part A must enroll in a
Medicare Advantage Plan.
Source: Module 1, Slide - Eligibility for Part A & B Benefits and Slide - Medicare Premiums Part A
Question 5
Correct
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?
Question 5Answer
a.
Medicare covers glasses, but not dentures or massage therapy.
b.
Medicare does not cover massage therapy, or, in general, glasses or dentures.
Correct: Neither Medicare Part A nor Part B covers massage therapy, dentures, or routine eye examinations to
prescribe eyeglasses.
c.
Medicare covers 50% of the cost of these three services.
d.
Medicare covers 80% of the cost of these three services.
Source: Module 1, Slide – Not Covered by Medicare Part A & B
Question 6
Correct
Mrs. Quinn recently turned 66 and decided after many years of work to retire and begin receiving Social
Security benefits. Shortly thereafter Mrs. Quinn received a letter informing her that she had been automatically
enrolled in Medicare Part B. She wants to understand what this means. What should you tell Mrs. Quinn?
Question 6Answer
a.
She will need to pay no premiums for Part B as she qualifies for premium-free coverage due to the number of
quarters she has worked.
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