[STUDY GUIDE] • HIGH-YIELD PRACTICE & REVIEW EDITION
AHIP Final Exam 2026/2027 Latest
Updated Exam Questions with
Verified Answers
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
100 Questions 10 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 100 verified questions with correct answers regarding Medicare Advantage and
prescription drug plans. It provides essential insights into eligibility, enrollment periods, and regulatory
guidelines, making it suitable for AHIP certification preparation and comprehensive review of Medicare
policies.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Explores the structure, benefits, and eligibility criteria of
Medicare Advantage Plans Medicare Advantage plans. 10 Qs 10.0%
Medicare Prescription Drug Covers the specifics of Medicare Part D, including enrollment
Plans and coverage requirements. 10 Qs 10.0%
Examines various enrollment periods including the Annual
Enrollment Periods Election Period and Special Enrollment Periods. 10 Qs 10.0%
Details the eligibility criteria for different Medicare plans and
Eligibility Requirements coverage options. 10 Qs 10.0%
Focuses on the regulatory requirements and ethical
Marketing Guidelines considerations for marketing Medicare products. 10 Qs 10.0%
Medigap and Supplemental Explains the role of Medigap plans in providing additional
Insurance coverage alongside Original Medicare. 10 Qs 10.0%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 29
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Client Communication and Discusses best practices for communicating with clients and
Ethics ethical considerations in insurance sales. 10 Qs 10.0%
Describes the unique features and eligibility of Special Needs
Special Needs Plans (SNPs) Plans under Medicare. 10 Qs 10.0%
Covers Medicare Cost Plans and their distinctions from
Cost Plans and Alternatives Advantage and Original Medicare. 10 Qs 10.0%
Analyzes recent regulatory changes affecting Medicare and
Regulatory Changes Impact their implications for beneficiaries. 10 Qs 10.0%
Total Exam Coverage 10 Integrated Topic Modules 100 Qs 100.0%
TOPIC 1: MEDICARE ADVANTAGE PLANS
10 Questions • 10.0% of Exam • Explores the structure, benefits, and eligibility criteria of Medicare Advantage plans.
QUESTION 1
Melissa Meadows is a marketing representative for best care which has recently
introduced a Medicare advantage plan offerInG comprehensive dental benefits for $15
per month. Best Care has not submitted any potential posts to CMS for approval.
Melissa would like to use the power of social media to reach potential prospects. What
advice would you give her?
Answer: If permitted under the terms of her contract, agent Meadows could post a tweet stating that 'best
care offers an array of Medicare advantage benefit packages. One might be right for you. Call me to find out
more!'.
QUESTION 2
Mrs. Davenport enrolled in the ABC Medicare advantage (MA) plan several years ago. In
mid February 2021, her doctor confirms a diagnosis of end-stage renal disease (ESRD).
What options will Mrs.
Davenport have regarding her MA plan during the next open enrollment season?
Answer: She may remain in her ABC MA plan, enroll in another MA plan in her service area, or enroll in a
special-needs plan
(SNP) for individuals suffering from ESRD if one is available in her area.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 29
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 3
Mr. Ford enrolled in an MA-only plan in mid November during the Annual Election
Period. On December 1, he calls you up and says that he has changed his mind and
would like to enroll into an MA-PD plan. What enrollment rules would apply in this
case?
Answer: He can make as many enrollment changes as he likes during the annual election period And the last
choice made prior to the end of the period will be the effective one as of January 1.
QUESTION 4
Which of the following individuals is most likely to be eligible to enroll in a Medicare
advantage or part D plan?
Answer: Jose, a grandfather who was granted asylum and has worked in the United States for many years.
QUESTION 5
Mr. Lopez has heard that he can sign up for a product called "Medicare advantage" but
is not sure about what type of plan designs are available through this program. What
should you tell him about the types of health plans that are available through the
Medicare advantage program?
Answer: They are Medicare health plans such as HMOs, PPOs, PFFS, and MSAs.
QUESTION 6
Mrs. Radford asks whether there are any special eligibility requirements for Medicare
Advantage. What should you tell her?
Answer: She must be entitled to part A and enrolled in part B to enroll in Medicare Advantage.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 29
AHIP Final Exam 2026/2027 Latest
Updated Exam Questions with
Verified Answers
Comprehensive Examination Question Bank • Concept Mapping
TOTAL QUESTIONS EXAM TOPICS ANSWERS
100 Questions 10 Modules 100% Verified
DOCUMENT OVERVIEW
This document contains 100 verified questions with correct answers regarding Medicare Advantage and
prescription drug plans. It provides essential insights into eligibility, enrollment periods, and regulatory
guidelines, making it suitable for AHIP certification preparation and comprehensive review of Medicare
policies.
EXAM BLUEPRINT & TOPIC DISTRIBUTION
Systematic breakdown of subject domains and exam coverage.
Topic Module Scope & Core Focus Questions Share (%)
Explores the structure, benefits, and eligibility criteria of
Medicare Advantage Plans Medicare Advantage plans. 10 Qs 10.0%
Medicare Prescription Drug Covers the specifics of Medicare Part D, including enrollment
Plans and coverage requirements. 10 Qs 10.0%
Examines various enrollment periods including the Annual
Enrollment Periods Election Period and Special Enrollment Periods. 10 Qs 10.0%
Details the eligibility criteria for different Medicare plans and
Eligibility Requirements coverage options. 10 Qs 10.0%
Focuses on the regulatory requirements and ethical
Marketing Guidelines considerations for marketing Medicare products. 10 Qs 10.0%
Medigap and Supplemental Explains the role of Medigap plans in providing additional
Insurance coverage alongside Original Medicare. 10 Qs 10.0%
Confidential • Student Study Edition • Practice & Review Guide Page 1 of 29
,STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
Client Communication and Discusses best practices for communicating with clients and
Ethics ethical considerations in insurance sales. 10 Qs 10.0%
Describes the unique features and eligibility of Special Needs
Special Needs Plans (SNPs) Plans under Medicare. 10 Qs 10.0%
Covers Medicare Cost Plans and their distinctions from
Cost Plans and Alternatives Advantage and Original Medicare. 10 Qs 10.0%
Analyzes recent regulatory changes affecting Medicare and
Regulatory Changes Impact their implications for beneficiaries. 10 Qs 10.0%
Total Exam Coverage 10 Integrated Topic Modules 100 Qs 100.0%
TOPIC 1: MEDICARE ADVANTAGE PLANS
10 Questions • 10.0% of Exam • Explores the structure, benefits, and eligibility criteria of Medicare Advantage plans.
QUESTION 1
Melissa Meadows is a marketing representative for best care which has recently
introduced a Medicare advantage plan offerInG comprehensive dental benefits for $15
per month. Best Care has not submitted any potential posts to CMS for approval.
Melissa would like to use the power of social media to reach potential prospects. What
advice would you give her?
Answer: If permitted under the terms of her contract, agent Meadows could post a tweet stating that 'best
care offers an array of Medicare advantage benefit packages. One might be right for you. Call me to find out
more!'.
QUESTION 2
Mrs. Davenport enrolled in the ABC Medicare advantage (MA) plan several years ago. In
mid February 2021, her doctor confirms a diagnosis of end-stage renal disease (ESRD).
What options will Mrs.
Davenport have regarding her MA plan during the next open enrollment season?
Answer: She may remain in her ABC MA plan, enroll in another MA plan in her service area, or enroll in a
special-needs plan
(SNP) for individuals suffering from ESRD if one is available in her area.
Confidential • Student Study Edition • Practice & Review Guide Page 2 of 29
, STUDENT STUDY & MASTERY EDITION PRACTICE & REVIEW GUIDE
QUESTION 3
Mr. Ford enrolled in an MA-only plan in mid November during the Annual Election
Period. On December 1, he calls you up and says that he has changed his mind and
would like to enroll into an MA-PD plan. What enrollment rules would apply in this
case?
Answer: He can make as many enrollment changes as he likes during the annual election period And the last
choice made prior to the end of the period will be the effective one as of January 1.
QUESTION 4
Which of the following individuals is most likely to be eligible to enroll in a Medicare
advantage or part D plan?
Answer: Jose, a grandfather who was granted asylum and has worked in the United States for many years.
QUESTION 5
Mr. Lopez has heard that he can sign up for a product called "Medicare advantage" but
is not sure about what type of plan designs are available through this program. What
should you tell him about the types of health plans that are available through the
Medicare advantage program?
Answer: They are Medicare health plans such as HMOs, PPOs, PFFS, and MSAs.
QUESTION 6
Mrs. Radford asks whether there are any special eligibility requirements for Medicare
Advantage. What should you tell her?
Answer: She must be entitled to part A and enrolled in part B to enroll in Medicare Advantage.
Confidential • Student Study Edition • Practice & Review Guide Page 3 of 29
