MEDICARE TRAINING AND CERTIFICATION
EXAM
2026–2027 UPDATED EXAM TEST BANK
Subject: Medicare + Fraud, Waste, and Abuse (MFWA) Certification
STUDY COMPLIANCE & PRACTICE
A comprehensive, student-friendly question bank covering Medicare eligibility, enrollment periods, Part A and B
benefits, Medicare Advantage (Part C), Medigap, Part D prescription drug redesign (under the Inflation
Reduction Act), CMS marketing guidelines (SOA, TPMO, Events), and Medicare Fraud, Waste, and Abuse
(FWA).
PLAN YEAR: 2026–2027
Prepared for Insurance Professionals & Medicare Brokers
Compatible with standard AHIP & CMS certification guidelines.
,MEDICARE TRAINING AND CERTIFICATION EXAM 2026–2027 UPDATED TEST BANK
TABLE OF CONTENTS
Chapter 1: Medicare Overview, Eligibility, and Benefits (Parts A & B) Page 3
Chapter 2: Medicare Health Plans (Part C - Medicare Advantage & Medigap) Page 6
Chapter 3: Medicare Part D Prescription Drug Coverage (Modern Redesign) Page 9
Chapter 4: CMS Medicare Marketing Guidelines and Compliance (SOA, TPMO, Events) Page 12
Chapter 5: Enrollment Guidance and Fraud, Waste, and Abuse (FWA) Page 15
Subject: Medicare + Fraud, Waste, and Abuse (MFWA) Certification Page 2 of 27
, MEDICARE TRAINING AND CERTIFICATION EXAM 2026–2027 UPDATED TEST BANK
CHAPTER 1: MEDICARE OVERVIEW, ELIGIBILITY, AND BENEFITS
(PARTS A & B)
Question 1: An individual is turning 65 on September 15. What is their Initial Enrollment Period
(IEP) window to sign up for Medicare Part A and Part B?
A. June 1 through December 31 of the year they turn 65
B. June 15 through December 15 (a 6-month period)
C. June 1 through December 31 (a 7-month period starting 3 months before their birth month and ending 3
months after)
D. October 15 through December 7 (the standard Annual Enrollment Period)
ANSWER : Option C
Explanation:
The Initial Enrollment Period (IEP) is a 7-month period that includes the 3 months before the individual turns 65,
the month they turn 65, and the 3 months after they turn 65. In this case, since the birth month is September, the
7-month window begins June 1 and ends December 31. Option A is technically the same date range but does
not explain the standard regulatory definition. Option B and D are incorrect; Option D is the Annual Enrollment
Period (AEP), which is for individuals who already have Medicare to make plan changes, not the initial
enrollment.
Question 2: To qualify for premium-free Medicare Part A, an individual or their spouse must have
earned how many quarters of coverage (QC) by paying Medicare taxes?
A. At least 20 quarters (5 years of work)
B. At least 40 quarters (10 years of work)
C. At least 30 quarters (7.5 years of work)
D. No quarters are required; Part A is free for all US citizens at age 65
ANSWER : Option B
Explanation:
Medicare Part A is premium-free for individuals who have worked and paid Medicare taxes for at least 40
quarters (equivalent to 10 years). If an individual has between 30 and 39 quarters, they can purchase Part A at a
reduced premium rate ($278/month in 2026). If they have fewer than 30 quarters, they pay the full premium
($506/month in 2026). Thus, Option B is correct, and Options A, C, and D are incorrect.
Subject: Medicare + Fraud, Waste, and Abuse (MFWA) Certification Page 3 of 27
EXAM
2026–2027 UPDATED EXAM TEST BANK
Subject: Medicare + Fraud, Waste, and Abuse (MFWA) Certification
STUDY COMPLIANCE & PRACTICE
A comprehensive, student-friendly question bank covering Medicare eligibility, enrollment periods, Part A and B
benefits, Medicare Advantage (Part C), Medigap, Part D prescription drug redesign (under the Inflation
Reduction Act), CMS marketing guidelines (SOA, TPMO, Events), and Medicare Fraud, Waste, and Abuse
(FWA).
PLAN YEAR: 2026–2027
Prepared for Insurance Professionals & Medicare Brokers
Compatible with standard AHIP & CMS certification guidelines.
,MEDICARE TRAINING AND CERTIFICATION EXAM 2026–2027 UPDATED TEST BANK
TABLE OF CONTENTS
Chapter 1: Medicare Overview, Eligibility, and Benefits (Parts A & B) Page 3
Chapter 2: Medicare Health Plans (Part C - Medicare Advantage & Medigap) Page 6
Chapter 3: Medicare Part D Prescription Drug Coverage (Modern Redesign) Page 9
Chapter 4: CMS Medicare Marketing Guidelines and Compliance (SOA, TPMO, Events) Page 12
Chapter 5: Enrollment Guidance and Fraud, Waste, and Abuse (FWA) Page 15
Subject: Medicare + Fraud, Waste, and Abuse (MFWA) Certification Page 2 of 27
, MEDICARE TRAINING AND CERTIFICATION EXAM 2026–2027 UPDATED TEST BANK
CHAPTER 1: MEDICARE OVERVIEW, ELIGIBILITY, AND BENEFITS
(PARTS A & B)
Question 1: An individual is turning 65 on September 15. What is their Initial Enrollment Period
(IEP) window to sign up for Medicare Part A and Part B?
A. June 1 through December 31 of the year they turn 65
B. June 15 through December 15 (a 6-month period)
C. June 1 through December 31 (a 7-month period starting 3 months before their birth month and ending 3
months after)
D. October 15 through December 7 (the standard Annual Enrollment Period)
ANSWER : Option C
Explanation:
The Initial Enrollment Period (IEP) is a 7-month period that includes the 3 months before the individual turns 65,
the month they turn 65, and the 3 months after they turn 65. In this case, since the birth month is September, the
7-month window begins June 1 and ends December 31. Option A is technically the same date range but does
not explain the standard regulatory definition. Option B and D are incorrect; Option D is the Annual Enrollment
Period (AEP), which is for individuals who already have Medicare to make plan changes, not the initial
enrollment.
Question 2: To qualify for premium-free Medicare Part A, an individual or their spouse must have
earned how many quarters of coverage (QC) by paying Medicare taxes?
A. At least 20 quarters (5 years of work)
B. At least 40 quarters (10 years of work)
C. At least 30 quarters (7.5 years of work)
D. No quarters are required; Part A is free for all US citizens at age 65
ANSWER : Option B
Explanation:
Medicare Part A is premium-free for individuals who have worked and paid Medicare taxes for at least 40
quarters (equivalent to 10 years). If an individual has between 30 and 39 quarters, they can purchase Part A at a
reduced premium rate ($278/month in 2026). If they have fewer than 30 quarters, they pay the full premium
($506/month in 2026). Thus, Option B is correct, and Options A, C, and D are incorrect.
Subject: Medicare + Fraud, Waste, and Abuse (MFWA) Certification Page 3 of 27
