ACTUAL QUESTIONS & ANSWERS (AHIP) GUARANTEE PASS
(UPDATED PDF)
AHIP Medicare Certification (2027) – Original Practice Exam
Part 1: Introduction & Medicare Fundamentals (Questions 1–30)
Disclaimer: This is an original practice exam created for study purposes.
Table of Contents
Section Questions
Introduction Exam Instructions
Medicare Fundamentals 1–10
Medicare Eligibility &
11–20
Enrollment
Medicare Parts A, B, C & D
21–30
Basics
Compliance, Marketing, SNPs, PDPs, Scenarios, Comprehensive
(Future Parts)
Review, Answer Key
Introduction
Instructions
• Choose the best answer for each multiple-choice question.
• Short-answer questions require concise responses.
• Scenario-based questions require application of Medicare rules.
• Read every question carefully.
• An answer key with detailed rationales follows each question in this practice exam.
,Section I – Medicare Fundamentals
Question 1
Which federal program primarily provides health insurance for people age 65 or older?
A. Medicaid
B. Medicare
C. CHIP
D. TRICARE
Answer
B. Medicare
Rationale:
Medicare is the federal health insurance program primarily for individuals age 65 and older, as
well as certain younger individuals with qualifying disabilities or End-Stage Renal Disease
(ESRD).
Question 2
Which statement best describes Medicare?
A. It is administered solely by state governments.
B. It is a federal health insurance program.
C. It provides health insurance only for low-income families.
D. It is available only through private insurance companies.
Answer
B. It is a federal health insurance program.
Rationale:
Medicare is administered by the federal government through the Centers for Medicare &
Medicaid Services (CMS).
Question 3
Which organization administers Medicare?
A. IRS
, B. CMS
C. Department of Labor
D. Social Security Administration
Answer
B. CMS
Rationale:
The Centers for Medicare & Medicaid Services (CMS) oversees the Medicare program.
Question 4
Which individual may qualify for Medicare before age 65?
A. Any college student
B. A person receiving Social Security Disability benefits who meets eligibility requirements
C. Anyone working full time
D. Any military veteran
Answer
B
Rationale:
Certain individuals under age 65 qualify due to disability, ESRD, or ALS under Medicare
eligibility rules.
Question 5
Medicare is funded primarily through:
A. Payroll taxes, premiums, and general federal revenues
B. Local property taxes only
C. Lottery proceeds
D. Corporate income taxes only
Answer
A