AHIP Final Exam 2026/2027-Edition Real Exam
Questions And 100% Correct Answers
Overview:
This practice set covers the 5 core AHIP domains tested on the actual exam: Original Medicare,
Medicare Advantage & Part D, Enrollment Periods, Marketing & Compliance, and Fraud, Waste
& Abuse. These are NOT the actual AHIP exam questions - the real exam is proprietary and
randomized - but they are modeled on the same format, difficulty, and logic you will see. Use
this to test your understanding.
All correct answers are bolded in Green.
1. Mrs. Johnson is 65, entitled to Part A and enrolled in Part B. She wants to enroll in a
Medicare Advantage plan. What does she need to know about Original Medicare?
A) She will lose Part A if she joins MA
B) Original Medicare includes Part A, Part B, and must include Part D
C) If she joins an MA plan, she will continue to pay her Part B premium, plus any MA
premium, and she remains enrolled in Part A and B
Rationale: Enrollment in MA does not mean you lose Original Medicare entitlement. You must
continue to be entitled to Part A and enrolled in Part B and continue paying the Part B premium.
MA is another way to get A and B benefits.
2. Which of the following services is NOT covered under Original Medicare Part A?
A) Inpatient hospital care
B) Skilled Nursing Facility care after a qualifying hospital stay
C) Long-term custodial care in a nursing home
Rationale: Part A covers inpatient hospital, SNF, hospice, and some home health. It does NOT
cover long-term custodial care (help with ADLs like bathing/dressing when that is the only care
needed).
3. Mr. Smith has End-Stage Renal Disease (ESRD). Under current rules, which statement is
true?
A) He can never join a Medicare Advantage plan
B) He can enroll in a Medicare Advantage plan during a valid enrollment period, as the ESRD
restriction was removed starting in 2021
C) He can only join a Special Needs Plan
Questions And 100% Correct Answers
Overview:
This practice set covers the 5 core AHIP domains tested on the actual exam: Original Medicare,
Medicare Advantage & Part D, Enrollment Periods, Marketing & Compliance, and Fraud, Waste
& Abuse. These are NOT the actual AHIP exam questions - the real exam is proprietary and
randomized - but they are modeled on the same format, difficulty, and logic you will see. Use
this to test your understanding.
All correct answers are bolded in Green.
1. Mrs. Johnson is 65, entitled to Part A and enrolled in Part B. She wants to enroll in a
Medicare Advantage plan. What does she need to know about Original Medicare?
A) She will lose Part A if she joins MA
B) Original Medicare includes Part A, Part B, and must include Part D
C) If she joins an MA plan, she will continue to pay her Part B premium, plus any MA
premium, and she remains enrolled in Part A and B
Rationale: Enrollment in MA does not mean you lose Original Medicare entitlement. You must
continue to be entitled to Part A and enrolled in Part B and continue paying the Part B premium.
MA is another way to get A and B benefits.
2. Which of the following services is NOT covered under Original Medicare Part A?
A) Inpatient hospital care
B) Skilled Nursing Facility care after a qualifying hospital stay
C) Long-term custodial care in a nursing home
Rationale: Part A covers inpatient hospital, SNF, hospice, and some home health. It does NOT
cover long-term custodial care (help with ADLs like bathing/dressing when that is the only care
needed).
3. Mr. Smith has End-Stage Renal Disease (ESRD). Under current rules, which statement is
true?
A) He can never join a Medicare Advantage plan
B) He can enroll in a Medicare Advantage plan during a valid enrollment period, as the ESRD
restriction was removed starting in 2021
C) He can only join a Special Needs Plan
