AHIP 2027 MEDICARE TRAINING FINAL
EXAMINATION QUESTIONS AND
ANSWERS.
1. Which of the following describes the primary coverage provided by Medicare Part A?
A. Outpatient medical services and physician visits
B. Prescription drug coverage only
C. Inpatient hospital care, skilled nursing facility care, and hospice
D. Dental, vision, and hearing services
Answer: C
Conceptual Explanation: Medicare Part A is hospital insurance that covers inpatient
hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
2. The Initial Enrollment Period (IEP) for Medicare lasts for how many months?
A. 7 months
B. 6 months
C. 3 months
D. 12 months
,Answer: A
Conceptual Explanation: The IEP is a 7-month period that includes the 3 months before,
the month of, and the 3 months after an individual’s 65th birthday.
3. Medicare Part B is primarily funded through which of the following?
A. Payroll taxes and beneficiary premiums
B. State subsidies and private donations
C. General revenue of the federal government and beneficiary premiums
D. Corporate taxes exclusively
Answer: C
Conceptual Explanation: Part B is financed through a combination of general federal
revenues and monthly premiums paid by beneficiaries.
4. What is the Late Enrollment Penalty for Medicare Part D?
A. 10% of the premium for every year delayed
B. There is no penalty for late enrollment in Part D
C. A flat $50 fine per month
D. 1% of the national base beneficiary premium for every full month of delay
Answer: D
, Conceptual Explanation: The Part D penalty is calculated by multiplying 1% of the
‘national base beneficiary premium’ by the number of full, uncovered months the
individual was eligible but did not have creditable coverage.
5. Which statement is true regarding the relationship between Medigap (Medicare
Supplement) and Medicare Advantage (MA) plans?
A. A beneficiary can have both to cover all costs
B. Medigap plans pay the premiums for Medicare Advantage
C. It is illegal for an agent to sell a Medigap plan to a person who already has an MA plan
D. Medicare Advantage plans are the same as Medigap plans
Answer: C
Conceptual Explanation: Medicare beneficiaries cannot have both a Medicare Advantage
plan and a Medigap policy; agents are prohibited from selling a Medigap policy to an MA
enrollee.
6. When does the Annual Enrollment Period (AEP) occur each year?
A. January 1 to March 31
B. July 1 to September 30
C. October 15 to December 7
D. December 1 to January 31
Answer: C
EXAMINATION QUESTIONS AND
ANSWERS.
1. Which of the following describes the primary coverage provided by Medicare Part A?
A. Outpatient medical services and physician visits
B. Prescription drug coverage only
C. Inpatient hospital care, skilled nursing facility care, and hospice
D. Dental, vision, and hearing services
Answer: C
Conceptual Explanation: Medicare Part A is hospital insurance that covers inpatient
hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
2. The Initial Enrollment Period (IEP) for Medicare lasts for how many months?
A. 7 months
B. 6 months
C. 3 months
D. 12 months
,Answer: A
Conceptual Explanation: The IEP is a 7-month period that includes the 3 months before,
the month of, and the 3 months after an individual’s 65th birthday.
3. Medicare Part B is primarily funded through which of the following?
A. Payroll taxes and beneficiary premiums
B. State subsidies and private donations
C. General revenue of the federal government and beneficiary premiums
D. Corporate taxes exclusively
Answer: C
Conceptual Explanation: Part B is financed through a combination of general federal
revenues and monthly premiums paid by beneficiaries.
4. What is the Late Enrollment Penalty for Medicare Part D?
A. 10% of the premium for every year delayed
B. There is no penalty for late enrollment in Part D
C. A flat $50 fine per month
D. 1% of the national base beneficiary premium for every full month of delay
Answer: D
, Conceptual Explanation: The Part D penalty is calculated by multiplying 1% of the
‘national base beneficiary premium’ by the number of full, uncovered months the
individual was eligible but did not have creditable coverage.
5. Which statement is true regarding the relationship between Medigap (Medicare
Supplement) and Medicare Advantage (MA) plans?
A. A beneficiary can have both to cover all costs
B. Medigap plans pay the premiums for Medicare Advantage
C. It is illegal for an agent to sell a Medigap plan to a person who already has an MA plan
D. Medicare Advantage plans are the same as Medigap plans
Answer: C
Conceptual Explanation: Medicare beneficiaries cannot have both a Medicare Advantage
plan and a Medigap policy; agents are prohibited from selling a Medigap policy to an MA
enrollee.
6. When does the Annual Enrollment Period (AEP) occur each year?
A. January 1 to March 31
B. July 1 to September 30
C. October 15 to December 7
D. December 1 to January 31
Answer: C
