2026 AHIP Modules 1–5 Exam – Actual Questions
& Verified Answers (CMS-Aligned Study Guide)
What’s Inside?
• Actual AHIP 2026 Module 1–5 Exam questions with
verified and correct answers
• Covers all five official AHIP course modules, including:
1. Medicare Basics
2. Medicare Advantage (Part C)
3. Medicare Part D Prescription Coverage
4. Marketing & Enrollment Guidelines
5. Fraud, Waste, and Abuse (FWA) Prevention
• All answers have been verified by industry experts for
accuracy
• Exam questions formatted to mirror the actual AHIP online
testing interface
,Table of Contents
2026 AHIP Module 1 ............................................ 2
2026 AHIP Module 2.......................................... 23
2026 AHIP Module 3.......................................... 40
2026 AHIP Module 4 ......................................... 56
2026 AHIP Module 5...........................................72
2026 AHIP Module 1
,**1. Mr. Capadona would like to purchase a Medicare Advantage (MA)
plan and a Medigap plan to pick up costs not covered by that plan. What
should you tell him?**
A) You can sell him a Medigap plan to help with costs not covered under
Medicare Advantage.
B) It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled
in an MA plan, and besides, Medigap only works with Original Medicare.
C) Medigap plans are designed to work alongside Medicare Advantage
plans.
D) He must disenroll from his MA plan before buying a Medigap plan.
**Correct Answer:**
B) It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled
in an MA plan, and besides, Medigap only works with Original Medicare.
**Expert Rationale:**
Medigap plans are supplemental policies that fill gaps in Original Medicare
(Parts A and B) coverage. Federal law prohibits issuance of a Medigap policy
to anyone currently enrolled in a Medicare Advantage plan; Medigap cannot
pay costs associated with MA. This ensures coordination of benefits and
prevents duplicate coverage.
---
, **2. Agent John Miller is meeting with Jerry Smith, a new prospect.
Jerry is currently enrolled in Medicare Parts A and B. Jerry has also
purchased a Medicare Supplement (Medigap) plan which he has had for
several years. However, the plan does not provide drug benefits. How
would you advise Agent John Miller to proceed?**
A) Advise Jerry to switch to a Medicare Advantage plan for drug coverage.
B) Tell prospect Jerry Smith that he should consider adding a standalone
Part D prescription drug coverage policy to his present coverage.
C) Inform Jerry that Medigap automatically covers prescription drugs.
D) Recommend canceling the Medigap plan.
**Correct Answer:**
B) Tell prospect Jerry Smith that he should consider adding a standalone
Part D prescription drug coverage policy to his present coverage.
**Expert Rationale:**
Medigap plans sold after 2006 do not include prescription drug coverage.
Beneficiaries needing drug coverage must enroll in a standalone Medicare
Part D plan. This allows individuals to retain their Medigap coverage while
accessing necessary medications through an appropriate channel.
---
& Verified Answers (CMS-Aligned Study Guide)
What’s Inside?
• Actual AHIP 2026 Module 1–5 Exam questions with
verified and correct answers
• Covers all five official AHIP course modules, including:
1. Medicare Basics
2. Medicare Advantage (Part C)
3. Medicare Part D Prescription Coverage
4. Marketing & Enrollment Guidelines
5. Fraud, Waste, and Abuse (FWA) Prevention
• All answers have been verified by industry experts for
accuracy
• Exam questions formatted to mirror the actual AHIP online
testing interface
,Table of Contents
2026 AHIP Module 1 ............................................ 2
2026 AHIP Module 2.......................................... 23
2026 AHIP Module 3.......................................... 40
2026 AHIP Module 4 ......................................... 56
2026 AHIP Module 5...........................................72
2026 AHIP Module 1
,**1. Mr. Capadona would like to purchase a Medicare Advantage (MA)
plan and a Medigap plan to pick up costs not covered by that plan. What
should you tell him?**
A) You can sell him a Medigap plan to help with costs not covered under
Medicare Advantage.
B) It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled
in an MA plan, and besides, Medigap only works with Original Medicare.
C) Medigap plans are designed to work alongside Medicare Advantage
plans.
D) He must disenroll from his MA plan before buying a Medigap plan.
**Correct Answer:**
B) It is illegal for you to sell Mr. Capadona a Medigap plan if he is enrolled
in an MA plan, and besides, Medigap only works with Original Medicare.
**Expert Rationale:**
Medigap plans are supplemental policies that fill gaps in Original Medicare
(Parts A and B) coverage. Federal law prohibits issuance of a Medigap policy
to anyone currently enrolled in a Medicare Advantage plan; Medigap cannot
pay costs associated with MA. This ensures coordination of benefits and
prevents duplicate coverage.
---
, **2. Agent John Miller is meeting with Jerry Smith, a new prospect.
Jerry is currently enrolled in Medicare Parts A and B. Jerry has also
purchased a Medicare Supplement (Medigap) plan which he has had for
several years. However, the plan does not provide drug benefits. How
would you advise Agent John Miller to proceed?**
A) Advise Jerry to switch to a Medicare Advantage plan for drug coverage.
B) Tell prospect Jerry Smith that he should consider adding a standalone
Part D prescription drug coverage policy to his present coverage.
C) Inform Jerry that Medigap automatically covers prescription drugs.
D) Recommend canceling the Medigap plan.
**Correct Answer:**
B) Tell prospect Jerry Smith that he should consider adding a standalone
Part D prescription drug coverage policy to his present coverage.
**Expert Rationale:**
Medigap plans sold after 2006 do not include prescription drug coverage.
Beneficiaries needing drug coverage must enroll in a standalone Medicare
Part D plan. This allows individuals to retain their Medigap coverage while
accessing necessary medications through an appropriate channel.
---
