AHIP Final Exam Actual 2026/2027 – Complete Q&A with
Detailed Rationales | 100% Verified | Pass Guaranteed – A+
Graded
Section A: Medicare Basics — Parts A, B, C, D & Eligibility
Q1: A 67-year-old beneficiary is hospitalized for 5 days following a hip replacement.
Which Medicare Part covers the inpatient hospital stay?
A. Medicare Part B
B. Medicare Part C
C. Medicare Part A [CORRECT]
D. Medicare Part D
Correct Answer: C
Rationale: Medicare Part A covers inpatient hospital stays, skilled nursing facility care,
hospice, and some home health services. Part B (Option A) covers outpatient and
physician services. Part C (Option B) is Medicare Advantage, which must cover Part A
services but is not the underlying coverage mechanism. Part D (Option D) covers
prescription drugs only.
Q2: A beneficiary receives an annual wellness visit, flu shot, and mammography
screening at no cost. These services are covered under:
A. Medicare Part A
,B. Medicare Part B [CORRECT]
C. Medicare Part C only
D. Medigap Plan F
Correct Answer: B
Rationale: Medicare Part B covers preventive services including annual wellness visits,
vaccinations, and cancer screenings at no cost-sharing to the beneficiary. Part A (Option
A) does not cover outpatient preventive care. Part C (Option C) must cover these
services but the underlying coverage is Part B. Medigap (Option D) supplements
cost-sharing, not preventive service coverage.
Q3: A 45-year-old individual has been receiving Social Security Disability Insurance
(SSDI) for 28 months and has ALS. When does Medicare coverage begin?
A. After 24 months of SSDI, with no exceptions
B. Immediately upon SSDI approval because ALS qualifies for immediate Medicare
[CORRECT]
C. Only at age 65 regardless of disability
D. After 36 months of SSDI
Correct Answer: B
Rationale: Individuals with ALS (Amyotrophic Lateral Sclerosis) qualify for Medicare
immediately upon SSDI approval, without the 24-month waiting period required for most
disabilities. Option A applies to most disabilities, not ALS. Option C is false—disability
can trigger earlier eligibility. Option D is not a Medicare waiting period.
, Q4: A beneficiary with a high income ($120,000 individual MAGI) asks if they are
ineligible for Medicare due to their income. The correct response is:
A. Yes, high income makes you ineligible for Medicare
B. No, Medicare eligibility is not income-based, but you may pay higher Part B and Part
D premiums [CORRECT]
C. Yes, but you can buy into Medicare with a surcharge
D. Only Part A is affected by high income
Correct Answer: B
Rationale: Medicare eligibility is not income-based; however, high-income beneficiaries
pay Income-Related Monthly Adjustment Amounts (IRMAA) for Part B and Part D
premiums. Option A is false—eligibility is unaffected. Option C is false—no "buy-in" is
needed. Option D is false—both Part B and D premiums are affected.
Q5: A beneficiary needs a walker and a blood glucose monitor for home use. Which
Medicare Part covers these items?
A. Medicare Part A
B. Medicare Part B [CORRECT]
C. Medicare Part C only
D. Medicare Part D
Correct Answer: B
Detailed Rationales | 100% Verified | Pass Guaranteed – A+
Graded
Section A: Medicare Basics — Parts A, B, C, D & Eligibility
Q1: A 67-year-old beneficiary is hospitalized for 5 days following a hip replacement.
Which Medicare Part covers the inpatient hospital stay?
A. Medicare Part B
B. Medicare Part C
C. Medicare Part A [CORRECT]
D. Medicare Part D
Correct Answer: C
Rationale: Medicare Part A covers inpatient hospital stays, skilled nursing facility care,
hospice, and some home health services. Part B (Option A) covers outpatient and
physician services. Part C (Option B) is Medicare Advantage, which must cover Part A
services but is not the underlying coverage mechanism. Part D (Option D) covers
prescription drugs only.
Q2: A beneficiary receives an annual wellness visit, flu shot, and mammography
screening at no cost. These services are covered under:
A. Medicare Part A
,B. Medicare Part B [CORRECT]
C. Medicare Part C only
D. Medigap Plan F
Correct Answer: B
Rationale: Medicare Part B covers preventive services including annual wellness visits,
vaccinations, and cancer screenings at no cost-sharing to the beneficiary. Part A (Option
A) does not cover outpatient preventive care. Part C (Option C) must cover these
services but the underlying coverage is Part B. Medigap (Option D) supplements
cost-sharing, not preventive service coverage.
Q3: A 45-year-old individual has been receiving Social Security Disability Insurance
(SSDI) for 28 months and has ALS. When does Medicare coverage begin?
A. After 24 months of SSDI, with no exceptions
B. Immediately upon SSDI approval because ALS qualifies for immediate Medicare
[CORRECT]
C. Only at age 65 regardless of disability
D. After 36 months of SSDI
Correct Answer: B
Rationale: Individuals with ALS (Amyotrophic Lateral Sclerosis) qualify for Medicare
immediately upon SSDI approval, without the 24-month waiting period required for most
disabilities. Option A applies to most disabilities, not ALS. Option C is false—disability
can trigger earlier eligibility. Option D is not a Medicare waiting period.
, Q4: A beneficiary with a high income ($120,000 individual MAGI) asks if they are
ineligible for Medicare due to their income. The correct response is:
A. Yes, high income makes you ineligible for Medicare
B. No, Medicare eligibility is not income-based, but you may pay higher Part B and Part
D premiums [CORRECT]
C. Yes, but you can buy into Medicare with a surcharge
D. Only Part A is affected by high income
Correct Answer: B
Rationale: Medicare eligibility is not income-based; however, high-income beneficiaries
pay Income-Related Monthly Adjustment Amounts (IRMAA) for Part B and Part D
premiums. Option A is false—eligibility is unaffected. Option C is false—no "buy-in" is
needed. Option D is false—both Part B and D premiums are affected.
Q5: A beneficiary needs a walker and a blood glucose monitor for home use. Which
Medicare Part covers these items?
A. Medicare Part A
B. Medicare Part B [CORRECT]
C. Medicare Part C only
D. Medicare Part D
Correct Answer: B
