2026 AHIP CERTIFICATION EXAM Actual Questions and Answers

2026 AHIP
CERTIFICATION EXAM
Actual Questions and Answers


What’s Inside?
 Actual AHIP 2026 Certification Exam questions with verified
and explained answers
 Fully aligned with the latest CMS & AHIP training modules
 Detailed coverage of all exam sections,
 Each question includes rationales and key references to reinforce
understanding
 Content designed to mirror the official AHIP
testing environment

,**1.Edwardsufferedfromseriouskidneydisease.Asaresult,Edward bec c
n cn




ameeligibleforMedicarecoverageduetoend-
stagerenaldisease (ESRD).A closerelativedonatedtheirkidneyandEd c n c
n q c n c
n




wardsuccessfully underwent transplantsurgery12monthsago.Edwar cn q c n c
n c
n c
n




disnowage50and asks youifhisMedicarecoveragewillcontinue,w hat s c
n c
n cn cn c
n c
n q c n




hould yousay?** cn




A. HisMedicarecoveragewillend12monthsaftertransplantsurgery, r qw cn




egardlessofhisage. n
c n
c n
c




B. HisMedicarecoveragewillcontinueaslongashereceivesfollow-
upcare forthetransplant.
cn cn n
c n
c




C. HisMedicarecoveragewillend36monthsafterthetransplant unlesshe cn
q cn




otherwisequalifies. n
c




D. HisMedicarecoverageendsimmediatelyaftertransplantsurgery.


**CorrectAnswer:C.HisMedicarecoveragewillend36monthsafterthe transp
q
w cn cn




lant unlessheotherwisequalifies.**
q c n c
n c
n




**Expert Rationale:**ForindividualseligibleforMedicareduetoESRD, cover
q c n n
c n
c cn cn cn cn cn cn cn




ageends36monthsafterasuccessfulkidneytransplant unlessthey qualifyforM cn
q c n cn




edicareduetoageordisability.Edward’scoveragewillcontinue for3yearspost-
cn n
c n
c n
c n
c n
c cn cn cn cn cn cn cn




transplant unlessheturns65orqualifiesfordisability. q c n n
c n
c n
c n
c n
c cn cn




---


**2.Ms.Hendersonbelieves that shewillqualifyforMedicareCoverage whens
c
n c
n c n
q c
n c
n cn




heturns65,without payinganypremiums,because c n
q

,shehasbeenworkingfor40yearsandpayingMedicaretaxes.What sho c
n c
n q c n




uldyoutellher?**
c
n




A. SheisnoteligibleforanyMedicarecoverage.
B. ShewillreceiveMedicarePartAwithout premiums,but must pay qw q cn qw q cn c




premiumsforPart B.
n n
c n
c q c n




C. Shewillnot needtopayanypremiumsforPartA cn
q n
c qw c n c n c n orPartB.
D. SheisonlyeligibleforMedicarePart B. cn
q




**CorrectAnswer:B.ShewillreceiveMedicarePartAw ithout premiums,
q
w q
w wq q cn c




but must paypremiumsforPart B.**
n q c n q c n c
n q c n




**Expert Rationale:**Individualswithsufficientwork credits(generally40 quar
q c n n
c cn cn q c n cn cn cn




ters)receivepremium-cn n
c




freePart A at age65.However,Part Brequiresa monthlypremium,whichisinco
cn q qw q c n n
c n
c n
c q c n cn cn cn cn cn cn cn




me-
adjusted.Thisoftencauses confusion,but PartB premiumsarealwaysrequired
n
c n
c n
c c n cn qw




unlessshequalifiesforMedicaidorother coverage. cn n
c cn cn cn




---


**3. Ms. Lewishasaggressivecancerandwouldliketoknowif Medicare w
cn cn cn cn




illcoverhospiceservicesincasesheneedsthem.What should youtell he c n
q cn cn




r?**


A. HospiceisnotcoveredunderOriginalMedicare. q




B. HospiceiscoveredunderMedicarePartA . qw c n c n




C. HospiceiscoveredunderMedicarePartB.

, D. HospiceisonlycoveredifshehasaMedicareAdvantageplan.


**CorrectAnswer:B.HospiceiscoveredunderMedicarePartA.**
q
w




**Expert Rationale:**Hospicecareisa benefit under PartAo fMedicare,
cn
q cn
q cn
q qw c n c n




availabletoterminallyillindividualswhoelecttofocusoncomfort carerather tha
n
c n
c n
c cn cn cn cn cn c n
q cn cn




ncurativetreatment.Coverageincludespainrelief,symptom management,an
cn n
c n
c n
c cn cn cn cn cn




dsupport services.
cn q c n




---


**4.Mr.CapadonawouldliketopurchaseaMedicareAdvantage(MA)plan c
n cn




andaMedigapplantopick upcosts notcoveredbythat plan.
c
n c n
q c
n c n
q




Whatshouldyoutellhim?**


A. HecanenrollinbothMAa ndMedigapplans. qw c n c n




B. MedigapcanonlybeusedwithOriginalMedicare,notMAp lans. qw




C. MedigapwillcovercostsnotincludedbyMAplans.
D. Hedoesnot needanyplan. c n
q




**CorrectAnswer:B.MedigapcanonlybeusedwithOriginalMedicare, no
q
w cn c
n c
n cn




t MA plans.**
q cn q cn




**Expert Rationale:**FederallawprohibitsthesaleofMedigappoliciesto individua
q cn cn cn




lsenrolledinMedicareAdvantage,sinceMedigapsupplementsonly
cn n
c n
c cn cn cn cn




OriginalMedicare( PartAa ndPartB),not MedicareAdvantageplans.
cn n
c qw c n c n n
c cn cn cn
q cn