AHIP 2026 Final Exam 200 most tested questions with Accurate Answers

AHIP 2026 Final Exam 200 most tested questions with
Accurate Answers
1. Describe how Original Medicare differs from Medicare Advantage in terms of
coverage.

Original Medicare covers only hospital services, while Medicare
Advantage covers outpatient services.

Original Medicare requires prior authorization for all services, while
Medicare Advantage does not.

Original Medicare is a fee-for-service plan, while Medicare
Advantage is a managed care plan that often includes additional
benefits.

Original Medicare is available to everyone, while Medicare Advantage
is only for low-income individuals.

2. Plans that may be offered under a Medicare Advantage Plan include:

HMO

POS

PPO

all of the above

3. Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as
well, but it provides no drug coverage. She would like to keep the coverage
she has but replace her existing Medigap plan with one that provides drug
coverage. What should you tell her?

Mrs. Gonzalez should purchase a K or L Medigap plan.

Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs,
but she could keep her Medigap policy and enroll in a Part D

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, prescription drug plan.

Mrs. Gonzalez can purchase a Medigap plan that covers drugs, but it
likely won’t offer coverage that is equivalent to that provided under
Part D.

Medigap is a replacement for Original Medicare and she has been
paying for double coverage. She should simply drop her Medigap
policy.

4. If Mrs. Geisler is currently taking multiple medications and finds that her
current Medicare Part D plan does not cover one of her essential drugs, what
steps should she take during the enrollment period?

She should continue with her current plan and hope the coverage
changes next year.

She should consult her doctor for advice on alternative medications.

She should compare other Medicare Part D plans to find one that
includes her essential drug and enroll in that plan.

She should switch to Medicare Advantage instead.

5. What is the primary purpose of Medicare Part D?

To cover outpatient services

To provide prescription drug coverage

To offer hospital insurance

To provide long-term care insurance

6. Describe the role of Medicare Part D in providing prescription drug
coverage for beneficiaries who choose not to enroll in Medicare Advantage
plans.



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, Medicare Part D offers standalone prescription drug coverage fo
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r beneficiaries who opt out of Medicare Advantage plans.
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x e Medicare Part D is only available to those under 65 years old.
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Medicare Part D requires beneficiaries to enroll in both Part A and Part
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B.


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penses.

7. Describe the implications of enrolling in a stand-
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alone Medicare prescription drug plan for someone who is already covered
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by a Medicare Advantage plan that includes drug coverage.
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x e Mr. Block will need to reapply for Medicare Advantage coverage.
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It results in a penalty for Mr. Block but does not affect his Medicare Adv
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antage plan. xe




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rollment from the Medicare Advantage plan. xe xe xe xe xe




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Medicare Advantage plan. xe xe




8. Mr. Chen is enrolled in his employer's group health plan and will be retiring s
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oon. He would like to know his options since he has decided to drop his ret
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iree coverage and is eligible forMedicare.What should you tellhim?
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, sponsored plan and his only option is to choose a Medigap plan.
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sponsored coverage to elect a Medicare Advantage or Part D plan, bu
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t he must wait until the
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