AHIP | Modules 1-5
OBJECTIVE ASSESSMENT - EXAM
AHIP Modules
1-5 Exam
Complete Q&As | Verified
100 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Medicare Advantage Plans (Part C) Enrollment Periods & Eligibility
Medicare Prescription Drug Coverage (Part D) Compliance & Marketing Guidelines
Medicare Supplement Insurance (Medigap)
COVER PAGE - 1
, SECTION 1 | Medicare Basics & Eligibility | Q1-Q20 | AHIP Modules 1-5 Exam 2026/2027
Section 1: Medicare Basics & Eligibility
Q1 Question 1 of 100
Robert is a 64-year-old American citizen who has worked and paid Medicare taxes for 30 years. He
visits a licensed agent to understand when his Medicare coverage will begin. He has not yet filed any
application. At what point does Robert first become eligible for premium-free Part A?
A. On the first day of the month he turns 65
B. On the first day of the month he turns 64
C. On the first day of the calendar year he turns 65
D. On the first day of the month he files his application
Correct Answer: A
Rationale:
Most people become eligible for premium-free Part A at age 65 if they or their spouse paid Medicare taxes
for at least 40 quarters. Coverage can begin the first day of the month of the 65th birthday. Filing the
application does not change the eligibility date itself; it only activates enrollment.
Q2 Question 2 of 100
Maria is 67 and still working full-time for an employer with 20 employees, covered by the employer's
group health plan. She asks whether she must enroll in Medicare Part B now. Which statement best
describes her situation under current CMS guidance?
A. She must enroll in Part B immediately because she is past age 65
B. She can delay Part B without penalty because her employer group plan is primary-eligible
C. She must enroll in Part B but will lose her employer coverage automatically
D. She can delay Part B only if she also drops her employer coverage
Correct Answer: B
Rationale:
When an active employee is covered by a group health plan from an employer with 20 or more employees,
the employer plan remains primary and the individual can delay Part B without penalty. A Special
Enrollment Period later allows Part B enrollment without penalty. Answer A is wrong because delayed
enrollment is permitted under these conditions.
AHIP Modules 1-5 Exam - 2026/2027 | Passing Score: 75% | Page 2 of 52
, SECTION 1 | Medicare Basics & Eligibility | Q1-Q20 | AHIP Modules 1-5 Exam 2026/2027
Q3 Question 3 of 100
James, 70, has been receiving Social Security retirement benefits for three years and has had Part B
automatically deducted from his check. He recently lost his job-based coverage and wants to add a
Part D drug plan. What enrollment mechanism allows him to enroll in Part D outside the normal
window?
A. Initial Enrollment Period only
B. Open Enrollment Period that runs all year
C. Special Enrollment Period triggered by loss of creditable coverage
D. General Enrollment Period that runs every January only
Correct Answer: C
Rationale:
Loss of creditable prescription drug coverage triggers a Special Enrollment Period (SEP) allowing the
beneficiary to enroll in Part D outside the normal Annual Enrollment Period. The Initial Enrollment Period
has already passed. A year-round open enrollment does not exist for Part D.
Q4 Question 4 of 100
Linda is turning 65 on March 20. She wants to know the exact dates of her Initial Enrollment Period
(IEP) for Medicare. Which window applies?
A. January 1 through March 31 of the year she turns 65
B. January 1 through July 31 of the year she turns 65
C. The three-month period surrounding her birthday month only
D. The seven-month period beginning three months before her birthday month and ending three
months after it
Correct Answer: D
Rationale:
The IEP is a seven-month window starting three months before the birthday month, including the birthday
month, and ending three months after it. For Linda's March birthday, that is January through July. The
three-month window in choice C is too narrow.
AHIP Modules 1-5 Exam - 2026/2027 | Passing Score: 75% | Page 3 of 52
, SECTION 1 | Medicare Basics & Eligibility | Q1-Q20 | AHIP Modules 1-5 Exam 2026/2027
Q5 Question 5 of 100
David, 72, did not enroll in Part B when first eligible because he was covered under his wife's
employer plan. He now wants to enroll during the General Enrollment Period (GEP). When does the
GEP occur and when would coverage start?
A. January 1 to March 31 each year, coverage begins July 1 of the same year
B. January 1 to March 31 each year, coverage begins April 1 of the same year
C. October 15 to December 7 each year, coverage begins January 1 of the next year
D. April 1 to June 30 each year, coverage begins October 1 of the same year
Correct Answer: A
Rationale:
The General Enrollment Period runs January 1 through March 31 each year, with coverage effective July 1
of the same year. Choice B reflects the old pre-2023 rule. Choice C describes the Annual Election Period
for Part D and MA.
Q6 Question 6 of 100
Susan, 66, has been told she qualifies for Medicare based on a disability rather than age. She has
been receiving Social Security Disability Insurance (SSDI) for 18 months. When will her Medicare
coverage begin?
A. Immediately upon SSDI approval
B. After 24 months of SSDI payments
C. After 12 months of SSDI payments
D. At age 65 regardless of SSDI duration
Correct Answer: B
Rationale:
Most people under 65 become eligible for Medicare after receiving SSDI for 24 months. Coverage begins
the 25th month of SSDI payments. Choice C is too early and choice D ignores the special pathway for
disabled beneficiaries.
AHIP Modules 1-5 Exam - 2026/2027 | Passing Score: 75% | Page 4 of 52
OBJECTIVE ASSESSMENT - EXAM
AHIP Modules
1-5 Exam
Complete Q&As | Verified
100 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Medicare Advantage Plans (Part C) Enrollment Periods & Eligibility
Medicare Prescription Drug Coverage (Part D) Compliance & Marketing Guidelines
Medicare Supplement Insurance (Medigap)
COVER PAGE - 1
, SECTION 1 | Medicare Basics & Eligibility | Q1-Q20 | AHIP Modules 1-5 Exam 2026/2027
Section 1: Medicare Basics & Eligibility
Q1 Question 1 of 100
Robert is a 64-year-old American citizen who has worked and paid Medicare taxes for 30 years. He
visits a licensed agent to understand when his Medicare coverage will begin. He has not yet filed any
application. At what point does Robert first become eligible for premium-free Part A?
A. On the first day of the month he turns 65
B. On the first day of the month he turns 64
C. On the first day of the calendar year he turns 65
D. On the first day of the month he files his application
Correct Answer: A
Rationale:
Most people become eligible for premium-free Part A at age 65 if they or their spouse paid Medicare taxes
for at least 40 quarters. Coverage can begin the first day of the month of the 65th birthday. Filing the
application does not change the eligibility date itself; it only activates enrollment.
Q2 Question 2 of 100
Maria is 67 and still working full-time for an employer with 20 employees, covered by the employer's
group health plan. She asks whether she must enroll in Medicare Part B now. Which statement best
describes her situation under current CMS guidance?
A. She must enroll in Part B immediately because she is past age 65
B. She can delay Part B without penalty because her employer group plan is primary-eligible
C. She must enroll in Part B but will lose her employer coverage automatically
D. She can delay Part B only if she also drops her employer coverage
Correct Answer: B
Rationale:
When an active employee is covered by a group health plan from an employer with 20 or more employees,
the employer plan remains primary and the individual can delay Part B without penalty. A Special
Enrollment Period later allows Part B enrollment without penalty. Answer A is wrong because delayed
enrollment is permitted under these conditions.
AHIP Modules 1-5 Exam - 2026/2027 | Passing Score: 75% | Page 2 of 52
, SECTION 1 | Medicare Basics & Eligibility | Q1-Q20 | AHIP Modules 1-5 Exam 2026/2027
Q3 Question 3 of 100
James, 70, has been receiving Social Security retirement benefits for three years and has had Part B
automatically deducted from his check. He recently lost his job-based coverage and wants to add a
Part D drug plan. What enrollment mechanism allows him to enroll in Part D outside the normal
window?
A. Initial Enrollment Period only
B. Open Enrollment Period that runs all year
C. Special Enrollment Period triggered by loss of creditable coverage
D. General Enrollment Period that runs every January only
Correct Answer: C
Rationale:
Loss of creditable prescription drug coverage triggers a Special Enrollment Period (SEP) allowing the
beneficiary to enroll in Part D outside the normal Annual Enrollment Period. The Initial Enrollment Period
has already passed. A year-round open enrollment does not exist for Part D.
Q4 Question 4 of 100
Linda is turning 65 on March 20. She wants to know the exact dates of her Initial Enrollment Period
(IEP) for Medicare. Which window applies?
A. January 1 through March 31 of the year she turns 65
B. January 1 through July 31 of the year she turns 65
C. The three-month period surrounding her birthday month only
D. The seven-month period beginning three months before her birthday month and ending three
months after it
Correct Answer: D
Rationale:
The IEP is a seven-month window starting three months before the birthday month, including the birthday
month, and ending three months after it. For Linda's March birthday, that is January through July. The
three-month window in choice C is too narrow.
AHIP Modules 1-5 Exam - 2026/2027 | Passing Score: 75% | Page 3 of 52
, SECTION 1 | Medicare Basics & Eligibility | Q1-Q20 | AHIP Modules 1-5 Exam 2026/2027
Q5 Question 5 of 100
David, 72, did not enroll in Part B when first eligible because he was covered under his wife's
employer plan. He now wants to enroll during the General Enrollment Period (GEP). When does the
GEP occur and when would coverage start?
A. January 1 to March 31 each year, coverage begins July 1 of the same year
B. January 1 to March 31 each year, coverage begins April 1 of the same year
C. October 15 to December 7 each year, coverage begins January 1 of the next year
D. April 1 to June 30 each year, coverage begins October 1 of the same year
Correct Answer: A
Rationale:
The General Enrollment Period runs January 1 through March 31 each year, with coverage effective July 1
of the same year. Choice B reflects the old pre-2023 rule. Choice C describes the Annual Election Period
for Part D and MA.
Q6 Question 6 of 100
Susan, 66, has been told she qualifies for Medicare based on a disability rather than age. She has
been receiving Social Security Disability Insurance (SSDI) for 18 months. When will her Medicare
coverage begin?
A. Immediately upon SSDI approval
B. After 24 months of SSDI payments
C. After 12 months of SSDI payments
D. At age 65 regardless of SSDI duration
Correct Answer: B
Rationale:
Most people under 65 become eligible for Medicare after receiving SSDI for 24 months. Coverage begins
the 25th month of SSDI payments. Choice C is too early and choice D ignores the special pathway for
disabled beneficiaries.
AHIP Modules 1-5 Exam - 2026/2027 | Passing Score: 75% | Page 4 of 52
