AHIP Final Exam Test
Questions 2026 Exam All
Answers and Illustrations
Given
Mrs. West wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through acupuncture. She is concerned about
whether or not Medicare will cover these items and services. What
should you tell her? - ANSWER ✔✔Medicare does not cover
acupuncture, or, in general, glasses or dentures.
Mr. Bickford did not quite qualify for the extra help low-income subsidy
under the Medicare Part D Prescription Drug program and he is
wondering if there is any other option he has for obtaining help with his
,considerable drug costs. What should you tell him? - ANSWER
✔✔He could check with the manufacturers of his medications to see if
they offer an assistance program to help people with limited means
obtain the medications they need. Alternatively, he could check to see
whether his state has a pharmacy assistance program to help him with
his expenses.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that
you represent. It is one of three plans operated by the same organization
in Mr. Lombardi's area. The MA PPO plan does not include drug
coverage, but the other two plans do. Mr. Lombardi likes the PPO plan
that does not include drug coverage and intends to obtain his drug
coverage through a stand-alone Medicare prescription drug plan. What
should you tell him about this situation? - ANSWER ✔✔He could
enroll in one of the MA plans that include prescription drug coverage or a
Medigap plan and a stand-alone prescription drug plan, but he cannot
enroll in the MA-only PPO plan and a stand-alone prescription drug plan.
Mr. Torres has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal from his
savings account until it is exhausted, and then have his premiums
withheld from his Social Security check. What should you tell him? -
, ANSWER ✔✔In general, he must select a single Part D premium
payment mechanism that will be used throughout the year.
Agent Jennings makes a presentation on Medicare advertised as an
educational event. Agent Jennings distributes materials that are solely
educational in nature. However, she gives a brief presentation that
mentions plan-specific premiums. Is this a prohibited activity at an event
that has been advertised as educational? - ANSWER ✔✔Yes. When
an event has been advertised as "educational," discussing plan-specific
premiums is impermissible.
Mrs. Mulcahy is concerned that she may not qualify for enrollment in a
Medicare prescription drug plan because, although she is entitled to Part
A, she is not enrolled under Medicare Part B. What should you tell her? -
ANSWER ✔✔Everyone who is entitled to Part A or enrolled under
Part B is eligible to enroll in a Medicare prescription drug plan. As long
as Mrs. Mulcahy is entitled to Part A, she does not need to enroll under
Part B before enrolling in a prescription drug plan.
Mr. Jacob understands that there is a standard Medicare Part D
prescription drug benefit, but when he looks at information on various
plans available in his area, he sees a wide range in what they charge for
deductibles, premiums and cost sharing. How can you explain this to
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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Questions 2026 Exam All
Answers and Illustrations
Given
Mrs. West wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through acupuncture. She is concerned about
whether or not Medicare will cover these items and services. What
should you tell her? - ANSWER ✔✔Medicare does not cover
acupuncture, or, in general, glasses or dentures.
Mr. Bickford did not quite qualify for the extra help low-income subsidy
under the Medicare Part D Prescription Drug program and he is
wondering if there is any other option he has for obtaining help with his
,considerable drug costs. What should you tell him? - ANSWER
✔✔He could check with the manufacturers of his medications to see if
they offer an assistance program to help people with limited means
obtain the medications they need. Alternatively, he could check to see
whether his state has a pharmacy assistance program to help him with
his expenses.
Mr. Lombardi is interested in a Medicare Advantage (MA) PPO plan that
you represent. It is one of three plans operated by the same organization
in Mr. Lombardi's area. The MA PPO plan does not include drug
coverage, but the other two plans do. Mr. Lombardi likes the PPO plan
that does not include drug coverage and intends to obtain his drug
coverage through a stand-alone Medicare prescription drug plan. What
should you tell him about this situation? - ANSWER ✔✔He could
enroll in one of the MA plans that include prescription drug coverage or a
Medigap plan and a stand-alone prescription drug plan, but he cannot
enroll in the MA-only PPO plan and a stand-alone prescription drug plan.
Mr. Torres has a small savings account. He would like to pay for his
monthly Part D premiums with an automatic monthly withdrawal from his
savings account until it is exhausted, and then have his premiums
withheld from his Social Security check. What should you tell him? -
, ANSWER ✔✔In general, he must select a single Part D premium
payment mechanism that will be used throughout the year.
Agent Jennings makes a presentation on Medicare advertised as an
educational event. Agent Jennings distributes materials that are solely
educational in nature. However, she gives a brief presentation that
mentions plan-specific premiums. Is this a prohibited activity at an event
that has been advertised as educational? - ANSWER ✔✔Yes. When
an event has been advertised as "educational," discussing plan-specific
premiums is impermissible.
Mrs. Mulcahy is concerned that she may not qualify for enrollment in a
Medicare prescription drug plan because, although she is entitled to Part
A, she is not enrolled under Medicare Part B. What should you tell her? -
ANSWER ✔✔Everyone who is entitled to Part A or enrolled under
Part B is eligible to enroll in a Medicare prescription drug plan. As long
as Mrs. Mulcahy is entitled to Part A, she does not need to enroll under
Part B before enrolling in a prescription drug plan.
Mr. Jacob understands that there is a standard Medicare Part D
prescription drug benefit, but when he looks at information on various
plans available in his area, he sees a wide range in what they charge for
deductibles, premiums and cost sharing. How can you explain this to
COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
