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Qualified and verified AHIP Exam 2025/2026 – 50 Verified Questions with Correct Answers (A+ Graded) UPDATED

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20 Multiple choice questions

Term 1 of 20
You will be holding a sales event soon, at which you would like to offer door prizes to attendees.
Under guidelines from the Medicare agency, what types of gifts or prizes would not be allowed in
this situation

Gift cards or gift certificates of $15 or less that can be readily converted to cash.

Coupons for electronics worth more than $30


Tickets to sporting events valued at $25 or less

Vouchers for travel expenses over $20

Term 2 of 20

Mrs. Gonzalez is enrolled in Original Medicare and has a Medigap policy as well, but it provides
no drug coverage. She would like to keep the coverage she has but replace her existing Medigap
plan with one that provides drug coverage. What should you tell her?

Mrs. Chi may enroll in a MA MSA plan and remain in her current standalone Part D
prescription drug plan.

Medicare will cover Mrs. Shield's skilled nursing services provided during the first 20 days
of her stay, after which she would have a copay until she has been in the facility for 100
days.


Mrs. Gonzalez cannot purchase a Medigap plan that covers drugs, but she could keep her
Medigap policy and enroll in a Part D prescription drug plan.

Mrs. Duarte should file an appeal of this initial determination within 120 days of the date she
received the MSN in the mail.

, Term 3 of 20

Mrs. Shields is covered by Original Medicare. She sustained a hip fracture and is being
successfully treated for that condition. However, she and her physicians feel that after her lengthy
hospital stay, she will need a month or two of nursing and rehabilitative care. What should you tell
them about Original Medicare's coverage of care in a skilled nursing facility?

Medicare Advantage Plans may offer extra benefits that Original Medicare does not offer
such as vision, hearing, and dental services. It must include a maximum out-of-pocket limit
on Part A and Part B services.

Medicare will cover a total of 190 days of inpatient psychiatric care during Mr. Rainey's
entire lifetime.

Medicare will cover Mrs. Shield's skilled nursing services provided during the first 20 days
of her stay, after which she would have a copay until she has been in the facility for 100
days.


Medicare Part D drug plans may have different benefit structures, but on average, they
must all be at least as good as the standard model established by the government.

Term 4 of 20
You have set up an appointment for an in-home sales presentation with Mrs. Fernandez, who
expressed interest in the Medicare plans you represent. In preparation for the sales presentation,
what must you do?

No permission is needed as long as you have scheduled the visit.

Document her medical history before the visit.

Before conducting the presentation, obtain and document having obtained her permission
to visit, along with her interest in the specific products you will present.


Obtain permission during the presentation.
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