AHIP Final Exam 2026/2027 Questions
and Correct Answers with Rationales | A+
Graded | Latest
1. What is the definition of Medicare?
A. A federal health insurance program for people age 65 and older, and certain younger
people with disabilities
B. A state health insurance program for low-income individuals
C. A private health insurance program for retirees
D. A federal program for veterans only
Correct Answer: A
Rationale: Medicare is a federal health insurance program for people age 65 and older,
certain younger people with disabilities, and people with End-Stage Renal Disease
(ESRD).
2. What are the four parts of Medicare?
A. Part A (Hospital), Part B (Medical), Part C (Medicare Advantage), Part D (Prescription
Drugs)
B. Part A (Medical), Part B (Hospital), Part C (Supplement), Part D (Prescription Drugs)
C. Part A (Hospital), Part B (Medical), Part C (Supplement), Part D (Prescription Drugs)
D. Part A (Hospital), Part B (Medical), Part C (Medicare Advantage), Part D (Dental)
Correct Answer: A
Rationale: The four parts of Medicare are: Part A (Hospital Insurance), Part B (Medical
Insurance), Part C (Medicare Advantage), and Part D (Prescription Drug Coverage).
3. Who is eligible for Medicare Part A without paying a premium?
A. Anyone age 65 or older
B. Anyone who has paid Medicare taxes for at least 10 years (40 quarters)
C. Anyone with a disability
D. Anyone with ESRD
,Correct Answer: B
Rationale: Most people who have worked and paid Medicare taxes for at least 10 years
(40 quarters) are eligible for premium-free Part A. Those who have not paid Medicare
taxes may pay a premium.
4. What is the initial enrollment period (IEP) for Medicare?
A. The 3 months before, the month of, and the 3 months after the month you turn 65
B. The 6 months before and after the month you turn 65
C. The 12 months before and after the month you turn 65
D. The month you turn 65 only
Correct Answer: A
Rationale: The Initial Enrollment Period (IEP) is a 7-month period: 3 months before the
month you turn 65, the month of your birthday, and 3 months after.
5. What is the general enrollment period (GEP) for Medicare Part B?
A. January 1 – March 31 each year
B. April 1 – June 30 each year
C. October 15 – December 7 each year
D. January 1 – February 14 each year
Correct Answer: A
Rationale: The General Enrollment Period (GEP) for Medicare Part B is January 1 through
March 31 each year. Coverage begins July 1 of that year. Late enrollment penalties may
apply.
6. What is the Medicare Annual Enrollment Period (AEP)?
A. January 1 – March 31
B. April 1 – June 30
C. October 15 – December 7
D. January 1 – February 14
Correct Answer: C
Rationale: The Medicare Annual Enrollment Period (AEP) is October 15 through
December 7 each year. During this time, beneficiaries can enroll in, switch, or drop
Medicare Advantage and Part D plans.
,7. What is the Medicare Advantage Open Enrollment Period (MA OEP)?
A. January 1 – March 31
B. April 1 – June 30
C. October 15 – December 7
D. January 1 – February 14
Correct Answer: A
Rationale: The Medicare Advantage Open Enrollment Period (MA OEP) is January 1
through March 31. During this period, MA enrollees can switch to another MA plan or
return to Original Medicare.
8. Who is eligible for a Special Enrollment Period (SEP) for Medicare?
A. Anyone who wants to enroll
B. Individuals who experience qualifying life events (e.g., losing employer coverage,
moving)
C. Only individuals over age 65
D. Only individuals with disabilities
Correct Answer: B
Rationale: Special Enrollment Periods (SEPs) are available to individuals who experience
qualifying life events such as losing employer-sponsored coverage, moving out of a
plan's service area, or other exceptional circumstances.
9. What is the late enrollment penalty for Medicare Part B?
A. 1% of the premium for each 12-month period you were eligible but did not enroll
B. 10% of the premium for each 12-month period you were eligible but did not enroll
C. 5% of the premium for each 12-month period you were eligible but did not enroll
D. 20% of the premium for each 12-month period you were eligible but did not enroll
Correct Answer: B
Rationale: The Part B late enrollment penalty is 10% of the premium for each full 12-
month period you were eligible for Part B but did not enroll. The penalty is added to
your monthly premium for as long as you have Part B.
10. What is the late enrollment penalty for Medicare Part D?
, A. 1% of the national base beneficiary premium for each month you were eligible but
did not enroll
B. 10% of the national base beneficiary premium for each month you were eligible but
did not enroll
C. 5% of the national base beneficiary premium for each month you were eligible but
did not enroll
D. 15% of the national base beneficiary premium for each month you were eligible but
did not enroll
Correct Answer: A
Rationale: The Part D late enrollment penalty is 1% of the national base beneficiary
premium for each full month you were eligible for Part D but did not enroll. The penalty
is added to your monthly premium for as long as you have Part D.
11. What is the definition of "creditable coverage" for Part D?
A. Coverage that is considered at least as good as Medicare Part D
B. Coverage that is better than Medicare Part D
C. Coverage that is worse than Medicare Part D
D. Coverage that is not recognized by Medicare
Correct Answer: A
Rationale: Creditable coverage is prescription drug coverage that is expected to pay, on
average, at least as much as Medicare Part D. Examples include employer-sponsored
plans and TRICARE.
12. What is the current Medicare Part B premium for 2026-2027?
A. $164.90
B. $174.70
C. $185.00
D. $200.00
Correct Answer: B
Rationale: The standard Medicare Part B premium for 2026 is $174.70. Premiums vary
based on income (IRMAA). The 2027 premium is expected to increase slightly.
SECTION 2: MEDICARE ADVANTAGE (PART C) (Questions 21-40)
and Correct Answers with Rationales | A+
Graded | Latest
1. What is the definition of Medicare?
A. A federal health insurance program for people age 65 and older, and certain younger
people with disabilities
B. A state health insurance program for low-income individuals
C. A private health insurance program for retirees
D. A federal program for veterans only
Correct Answer: A
Rationale: Medicare is a federal health insurance program for people age 65 and older,
certain younger people with disabilities, and people with End-Stage Renal Disease
(ESRD).
2. What are the four parts of Medicare?
A. Part A (Hospital), Part B (Medical), Part C (Medicare Advantage), Part D (Prescription
Drugs)
B. Part A (Medical), Part B (Hospital), Part C (Supplement), Part D (Prescription Drugs)
C. Part A (Hospital), Part B (Medical), Part C (Supplement), Part D (Prescription Drugs)
D. Part A (Hospital), Part B (Medical), Part C (Medicare Advantage), Part D (Dental)
Correct Answer: A
Rationale: The four parts of Medicare are: Part A (Hospital Insurance), Part B (Medical
Insurance), Part C (Medicare Advantage), and Part D (Prescription Drug Coverage).
3. Who is eligible for Medicare Part A without paying a premium?
A. Anyone age 65 or older
B. Anyone who has paid Medicare taxes for at least 10 years (40 quarters)
C. Anyone with a disability
D. Anyone with ESRD
,Correct Answer: B
Rationale: Most people who have worked and paid Medicare taxes for at least 10 years
(40 quarters) are eligible for premium-free Part A. Those who have not paid Medicare
taxes may pay a premium.
4. What is the initial enrollment period (IEP) for Medicare?
A. The 3 months before, the month of, and the 3 months after the month you turn 65
B. The 6 months before and after the month you turn 65
C. The 12 months before and after the month you turn 65
D. The month you turn 65 only
Correct Answer: A
Rationale: The Initial Enrollment Period (IEP) is a 7-month period: 3 months before the
month you turn 65, the month of your birthday, and 3 months after.
5. What is the general enrollment period (GEP) for Medicare Part B?
A. January 1 – March 31 each year
B. April 1 – June 30 each year
C. October 15 – December 7 each year
D. January 1 – February 14 each year
Correct Answer: A
Rationale: The General Enrollment Period (GEP) for Medicare Part B is January 1 through
March 31 each year. Coverage begins July 1 of that year. Late enrollment penalties may
apply.
6. What is the Medicare Annual Enrollment Period (AEP)?
A. January 1 – March 31
B. April 1 – June 30
C. October 15 – December 7
D. January 1 – February 14
Correct Answer: C
Rationale: The Medicare Annual Enrollment Period (AEP) is October 15 through
December 7 each year. During this time, beneficiaries can enroll in, switch, or drop
Medicare Advantage and Part D plans.
,7. What is the Medicare Advantage Open Enrollment Period (MA OEP)?
A. January 1 – March 31
B. April 1 – June 30
C. October 15 – December 7
D. January 1 – February 14
Correct Answer: A
Rationale: The Medicare Advantage Open Enrollment Period (MA OEP) is January 1
through March 31. During this period, MA enrollees can switch to another MA plan or
return to Original Medicare.
8. Who is eligible for a Special Enrollment Period (SEP) for Medicare?
A. Anyone who wants to enroll
B. Individuals who experience qualifying life events (e.g., losing employer coverage,
moving)
C. Only individuals over age 65
D. Only individuals with disabilities
Correct Answer: B
Rationale: Special Enrollment Periods (SEPs) are available to individuals who experience
qualifying life events such as losing employer-sponsored coverage, moving out of a
plan's service area, or other exceptional circumstances.
9. What is the late enrollment penalty for Medicare Part B?
A. 1% of the premium for each 12-month period you were eligible but did not enroll
B. 10% of the premium for each 12-month period you were eligible but did not enroll
C. 5% of the premium for each 12-month period you were eligible but did not enroll
D. 20% of the premium for each 12-month period you were eligible but did not enroll
Correct Answer: B
Rationale: The Part B late enrollment penalty is 10% of the premium for each full 12-
month period you were eligible for Part B but did not enroll. The penalty is added to
your monthly premium for as long as you have Part B.
10. What is the late enrollment penalty for Medicare Part D?
, A. 1% of the national base beneficiary premium for each month you were eligible but
did not enroll
B. 10% of the national base beneficiary premium for each month you were eligible but
did not enroll
C. 5% of the national base beneficiary premium for each month you were eligible but
did not enroll
D. 15% of the national base beneficiary premium for each month you were eligible but
did not enroll
Correct Answer: A
Rationale: The Part D late enrollment penalty is 1% of the national base beneficiary
premium for each full month you were eligible for Part D but did not enroll. The penalty
is added to your monthly premium for as long as you have Part D.
11. What is the definition of "creditable coverage" for Part D?
A. Coverage that is considered at least as good as Medicare Part D
B. Coverage that is better than Medicare Part D
C. Coverage that is worse than Medicare Part D
D. Coverage that is not recognized by Medicare
Correct Answer: A
Rationale: Creditable coverage is prescription drug coverage that is expected to pay, on
average, at least as much as Medicare Part D. Examples include employer-sponsored
plans and TRICARE.
12. What is the current Medicare Part B premium for 2026-2027?
A. $164.90
B. $174.70
C. $185.00
D. $200.00
Correct Answer: B
Rationale: The standard Medicare Part B premium for 2026 is $174.70. Premiums vary
based on income (IRMAA). The 2027 premium is expected to increase slightly.
SECTION 2: MEDICARE ADVANTAGE (PART C) (Questions 21-40)
