Pass AHIP Final Exam Latest
(2025/2026) | 50 Verified
Questions and Correct
Answers | A+ Graded
This study guide includes 50 practice questions covering the key topics
tested on the AHIP Medicare training and certification exam for the
2025/2026 cycle. Questions are drawn from the official AHIP curriculum
and CMS regulations, with detailed rationales for each ,,,,answer,,,, .
Section 1: Medicare Eligibility and Enrollment (Questions 1-10)
Question 1
Juan Perez, who is turning age 65 next month, intends to work for several
more years at Smallcap, Incorporated. Smallcap has a workforce of 15
employees and offers employer-sponsored healthcare coverage. Juan is
a naturalized citizen and has contributed to the Medicare system for over
20 years. Juan asks you if he will be entitled to Medicare and if he enrolls
how that will impact his employer-sponsored healthcare coverage. How
would you respond?
A) Juan is not eligible for Medicare because he is still working
B) Juan is likely to be eligible for Medicare once he turns age 65 and
,Medicare would become the primary payor of his healthcare claims
C) Juan is eligible for Medicare but his employer plan would remain
primary
D) Juan must wait until he retires to enroll in Medicare
Correct ,,,,answer,,,,: B
Rationale: Individuals who have paid Medicare taxes for at least 40
quarters (10 years) are entitled to premium-free Part A at age 65. Since
Smallcap has fewer than 20 employees, Medicare would be primary over
the employer plan .
Question 2
Mrs. Foster is covered by Original Medicare. She sustained a hip fracture
and is being successfully treated for that condition. However, she and
her physicians feel that after her lengthy hospital stay, she will need a
month or two of nursing and rehabilitative care. What should you tell
them about Original Medicare's coverage of care in a skilled nursing
facility?
A) Medicare covers skilled nursing care for up to 30 days with no
copayment
B) Medicare will cover Mrs. Foster's skilled nursing services provided
during the first 20 days of her stay, after which she would have a copay
until she has been in the facility for 100 days
C) Medicare covers all skilled nursing care with no limit
D) Medicare does not cover skilled nursing care under any
circumstances
Correct ,,,,answer,,,,: B
, Rationale: Original Medicare covers 100% of skilled nursing facility
costs for the first 20 days. Days 21-100 require a daily coinsurance
payment. After 100 days, Medicare coverage ends .
Question 3
Ms. Kumar 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 her to
qualify for Medicare. What could you tell her to address her concern?
A) Her income will disqualify her from Medicare
B) She should apply for Medicaid instead
C) Medicare is a program for people age 65 or older and those under age
65 with certain disabilities, end-stage renal disease, and Lou Gehrig's
disease so she will be eligible for Medicare regardless of income
D) She can only qualify for Medicare if her income is below a certain
threshold
Correct ,,,,answer,,,,: C
Rationale: Medicare eligibility is based on age, disability status, or
qualifying conditions—not income. Ms. Kumar will be eligible for
Medicare at age 65 regardless of her retirement income .
Question 4
Mr. Bauer is 49 years old, but eighteen months ago he was declared
disabled by the Social Security Administration and has been receiving
(2025/2026) | 50 Verified
Questions and Correct
Answers | A+ Graded
This study guide includes 50 practice questions covering the key topics
tested on the AHIP Medicare training and certification exam for the
2025/2026 cycle. Questions are drawn from the official AHIP curriculum
and CMS regulations, with detailed rationales for each ,,,,answer,,,, .
Section 1: Medicare Eligibility and Enrollment (Questions 1-10)
Question 1
Juan Perez, who is turning age 65 next month, intends to work for several
more years at Smallcap, Incorporated. Smallcap has a workforce of 15
employees and offers employer-sponsored healthcare coverage. Juan is
a naturalized citizen and has contributed to the Medicare system for over
20 years. Juan asks you if he will be entitled to Medicare and if he enrolls
how that will impact his employer-sponsored healthcare coverage. How
would you respond?
A) Juan is not eligible for Medicare because he is still working
B) Juan is likely to be eligible for Medicare once he turns age 65 and
,Medicare would become the primary payor of his healthcare claims
C) Juan is eligible for Medicare but his employer plan would remain
primary
D) Juan must wait until he retires to enroll in Medicare
Correct ,,,,answer,,,,: B
Rationale: Individuals who have paid Medicare taxes for at least 40
quarters (10 years) are entitled to premium-free Part A at age 65. Since
Smallcap has fewer than 20 employees, Medicare would be primary over
the employer plan .
Question 2
Mrs. Foster is covered by Original Medicare. She sustained a hip fracture
and is being successfully treated for that condition. However, she and
her physicians feel that after her lengthy hospital stay, she will need a
month or two of nursing and rehabilitative care. What should you tell
them about Original Medicare's coverage of care in a skilled nursing
facility?
A) Medicare covers skilled nursing care for up to 30 days with no
copayment
B) Medicare will cover Mrs. Foster's skilled nursing services provided
during the first 20 days of her stay, after which she would have a copay
until she has been in the facility for 100 days
C) Medicare covers all skilled nursing care with no limit
D) Medicare does not cover skilled nursing care under any
circumstances
Correct ,,,,answer,,,,: B
, Rationale: Original Medicare covers 100% of skilled nursing facility
costs for the first 20 days. Days 21-100 require a daily coinsurance
payment. After 100 days, Medicare coverage ends .
Question 3
Ms. Kumar 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 her to
qualify for Medicare. What could you tell her to address her concern?
A) Her income will disqualify her from Medicare
B) She should apply for Medicaid instead
C) Medicare is a program for people age 65 or older and those under age
65 with certain disabilities, end-stage renal disease, and Lou Gehrig's
disease so she will be eligible for Medicare regardless of income
D) She can only qualify for Medicare if her income is below a certain
threshold
Correct ,,,,answer,,,,: C
Rationale: Medicare eligibility is based on age, disability status, or
qualifying conditions—not income. Ms. Kumar will be eligible for
Medicare at age 65 regardless of her retirement income .
Question 4
Mr. Bauer is 49 years old, but eighteen months ago he was declared
disabled by the Social Security Administration and has been receiving
