2026 AHIP MODULE 1 to 5 EXAM
Actual Questions and Verified Answers
Each Module With 20 Questions and Answers
TABLE OF CONTENTS
AHIP 2025 MODULE 1………………………………… 02
AHIP 2025 MODULE 2………………………………… 10
AHIP 2025 MODULE 3………………………………… 18
AHIP 2025 MODULE 4………………………………… 24
AHIP 2025 MODULE 5...................................30
1/
3
, 2025 AHIP MODULE 1 EXAM
Actual Questions and Verified Answers
With 20 Questions and Answers
1. Mrs. Shields is covered by Original Medicare. She sustained a h
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
Ans>> Medicare
will cover Mrs. Shield's skilled nursing services provided during the first 20 days o
her stay, after which she would have a copay until she has been in the facility fo
100 days.
2. Mrs. West wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through massage therapy. She is concerned
about whether or not Medicare will cover these items and services.
What should you tell her
Ans>> Medicare does not cover massage therapy, or, in general, glasses
dentures.
2/
3
,3. Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income.
What could you tell Mrs. Park that might be of assistance
She should contact her state Medicaid agency to see if she qualifies for one
Ans>>
of several programs that can help with Medicare costs for which she is
responsible.
4. Mr. Alonso receives some help paying for his two generic
prescription drugs from his employer's retiree coverage, but he wants
to compare it to a Part D prescription drug plan. He asks you what
costs he would generally expect to encounter when enrolling into a
standard Medicare Part D prescription drug plan. What should you tell
him
Ans>> He generally would pay a monthly premium, annual deductible,
and per- prescription cost-sharing.
5. 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
Ans>> 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.
6. Mr. Davis is 52 years old and has recently been diagnosed with end-
stage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should you
tell him
Ans>> 3/
3
, He may sign-up for Medicare at any time however coverage usually begins on
the
fourth month after dialysis treatments start.
4/
3
Actual Questions and Verified Answers
Each Module With 20 Questions and Answers
TABLE OF CONTENTS
AHIP 2025 MODULE 1………………………………… 02
AHIP 2025 MODULE 2………………………………… 10
AHIP 2025 MODULE 3………………………………… 18
AHIP 2025 MODULE 4………………………………… 24
AHIP 2025 MODULE 5...................................30
1/
3
, 2025 AHIP MODULE 1 EXAM
Actual Questions and Verified Answers
With 20 Questions and Answers
1. Mrs. Shields is covered by Original Medicare. She sustained a h
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
Ans>> Medicare
will cover Mrs. Shield's skilled nursing services provided during the first 20 days o
her stay, after which she would have a copay until she has been in the facility fo
100 days.
2. Mrs. West wears glasses and dentures and has enjoyed considerable
pain relief from arthritis through massage therapy. She is concerned
about whether or not Medicare will cover these items and services.
What should you tell her
Ans>> Medicare does not cover massage therapy, or, in general, glasses
dentures.
2/
3
,3. Mrs. Park is an elderly retiree. Mrs. Park has a low fixed income.
What could you tell Mrs. Park that might be of assistance
She should contact her state Medicaid agency to see if she qualifies for one
Ans>>
of several programs that can help with Medicare costs for which she is
responsible.
4. Mr. Alonso receives some help paying for his two generic
prescription drugs from his employer's retiree coverage, but he wants
to compare it to a Part D prescription drug plan. He asks you what
costs he would generally expect to encounter when enrolling into a
standard Medicare Part D prescription drug plan. What should you tell
him
Ans>> He generally would pay a monthly premium, annual deductible,
and per- prescription cost-sharing.
5. 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
Ans>> 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.
6. Mr. Davis is 52 years old and has recently been diagnosed with end-
stage renal disease (ESRD) and will soon begin dialysis. He is
wondering if he can obtain coverage under Medicare. What should you
tell him
Ans>> 3/
3
, He may sign-up for Medicare at any time however coverage usually begins on
the
fourth month after dialysis treatments start.
4/
3
